Misdiagnosis Of Brain Infection

In February 2018, Michigan teenager Marquel Brumley was diagnosed with a viral infection at an urgent care facility and was sent home for the infection to run its course.  When he started having migraines, emergency medicine doctors at the local hospital gave him over-the-counter pain medication and sent him home again. The migraines did not go away.  Then his mother took him to an Ann Arbor hospital but doctors there diagnosed simple migraines and he was again sent home. When Brumley’s face became swollen and lost muscle movement, doctors performed an MRI which revealed that a sinus infection had traveled to his brain. Brumley’s family was told that the sinus infection had penetrated through the bone into the blood vessels in the brain. He underwent surgery but blood clots had formed, cutting off oxygen to his brain. He died a few days later.

While sinus infections are common, Mayoclinic.org tells us that these viral infections can turn into meningitis, encephalitis, and/or a brain abscess.

Encephalitis often causes only mild flu-like signs and symptoms — such as a fever or headache — or no symptoms at all. Sometimes the flu-like symptoms are more severe. Encephalitis can also cause confused thinking, seizures, or problems with senses or movement… The inflammation can injure the brain, possibly resulting in coma or death…

Primary encephalitis occurs when a virus or other agent directly infects the brain. The infection may be concentrated in one area or widespread. A primary infection may be a reactivation of a virus that had been inactive after a previous illness.

The Encephalitis Society, https://www.encephalitis.info/, describes the seriousness of the neurological condition by saying that “unfortunately, despite improvements in specific and more supportive treatments such as excellent intensive care management, it still has a high mortality (death) rate… Even with the right treatment, certain types of encephalitis have mortality rates of between 10-30%.”

Emergency medicine physicians treat many life-threatening medical conditions. Misdiagnosis of a deadly condition such as encephalitis, meningitis, or a brain infection may result in medical malpractice litigation. Hiring an experienced board-certified emergency medicine expert witness from a top ranked medical center is an instrumental resource.  To secure an expert witness handpicked for your case, contact ELITE Medical Experts and speak with a board-certified physician on our staff.

Emergency Medicine Ohio Jury Award

A Summit County, OH, jury awarded $4.58M to the estate of Nakeyia McMichael in litigation against Dr. John Pakiela and the Emergency Department of Akron General Medical Center. Mrs. McMichael died from untreated brain swelling 24 hours after being discharged from the hospital.  John Pakiela, DO, was the attending and supervising physician responsible for incorrectly diagnosing a simple migraine headache. The Summit County Court of Common Pleas jury found that Dr. Pakiela did not follow the duty of care in the diagnosis and treatment of Mrs. McMichael.  Upon admittance in June 2012, she and her husband reported to the triage nurse that she had a history of lupus, and had been told in an earlier hospital stay that she has “swelling” in her head.  Unfortunately, no one ordered brain imaging, administered medications to treat brain swelling, requested a neurology consult, or reviewed her previous medical records.

Emergency medicine expert witnesses are experienced in evaluating the diagnosis and treatment in complex cases such as this.  Emergency medicine physicians treat many life-threatening medical conditions and litigation in this area often involves a missed diagnosis. The ER doctor must make decisions and start treatment immediately.  They examine the patient, take a medical history, decide which tests to order, make a diagnosis, determine treatment and decide whether to admit the patient to the hospital or treat her and send her home.

The ER expert witness is critical in explaining technical details involved in diagnosis and treatment to a jury. In this case, Mrs. McMichael was misdiagnosed, sent home, and passed away the next day. Dr. John Pakiela and the Emergency Department of Akron General Medical Center were found negligent in her care. The Emergency Department of Akron General was operated by General Emergency Medical Specialists, Inc., a medical corporation that employs emergency room physicians.

Contact ELITE Medical Experts to find an experienced emergency medicine expert for your case.