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Coroner’s reportPrevention of future deaths · 2019-0204

“Strongyloides stercoralis forms are not routinely screened for prior to transplant surgery”

Dated 19 Jun 2019, from the coroner for Inner North London. Sent to 2 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Report put online after its 56 days

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.

judiciary.uk put this report online on 23 Aug 2019, after the 56 days for replies had ended (14 Aug 2019). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.

  1. Report dated19 Jun 2019
  2. Deadline14 Aug 2019
  3. Published on judiciary.uk23 Aug 2019
  4. Today22 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
NHS Blood and TransplantResponse publishedPublished on judiciary.uk in August 2019.
British Transplantation SocietyReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Aug 2019, after the 56 days for replies had ended (14 Aug 2019). These dates can’t tell us whether a reply was due before it went online.

The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

— (1) Strongyloides stercoralis forms are not routinely screened for prior to transplant surgery. If identified early, they are treatable (2) Strongyloides hyperinfection syndrome presents with non-specific symptoms such as abdominal pain, vomiting, intestinal obstruction, cough, wheezing and chest pain. It can evolve into respiratory distress and multi-organ failure. (3) Strongyloidiasis is estimated to affect up to 300 million people worldwide. The infection is particularly prevalent in tropical and subtropical regions including a number of common travel destinations such as Thailand and Brazil. Mr Phung was born in Vietnam but had lived in the UK for many years.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2019-0204
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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