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Boy who died of sepsis had infection 'everywhere'

Dylan CopeImage source, Family photo
Image caption,

Dylan Cope was first taken to hospital on 6 December 2022 and he died eight days later

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A nine-year-old boy who died from sepsis had infection 鈥渆verywhere鈥 when he was operated on, an inquest heard.

Dylan Cope, from Newport, was taken to the Grange Hospital in Cwmbran in December 2022 with suspected appendicitis, but he was later discharged with flu, the inquest heard.

When his condition did not improve, Dylan was readmitted to the Grange Hospital, where he was then transferred to the University Hospital of Wales in Cardiff.

Gwent Coroners' Court heard Dylan died on 14 December 2022 from septic shock caused by a perforated appendix.

Image source, Family photo
Image caption,

Dylan's parents say he was "such a unique character, and a lovely brand of feisty and sensitive"

Dr Kandaswarmy, the consultant paediatrician when Dylan was readmitted to the Grange Hospital, said he had a call telling him, 鈥渁 child is very poorly鈥.

He added that Dylan had abdomen pain, a distended tummy and rashes on his legs.

鈥淗e did look very unwell, he looked pale in colour,鈥 he said.

Dr Kandaswarmy explained the Grange Hospital did not have a paediatric intensive care unit, so the decision was made for a 鈥渢ime critical transfer鈥 to the University Hospital of Wales.

The court heard Dylan arrived in the resuscitation room in the University Hospital of Wales at 19:15.

Mr Ma鈥檌n Masarweh, a consultant paediatric surgeon in the hospital said Dylan looked 鈥渞eally sick鈥 and was 鈥渟howing signs of septic shock鈥.

He said it was affecting all of Dylan鈥檚 organs and that he required surgery as soon as possible.

He said Dylan went into surgery at 21:40 and said he discovered Dylan had a perforated appendix.

鈥淯nfortunately the infection was everywhere,鈥 he said.

Mr Masarweh said he removed the appendix and removed the contamination from Dylan鈥檚 body.

When asked how long Dylan may have been suffering from appendicitis, he said the complications start between 3-5 days after the beginning of the symptoms but said you could not definitively 鈥渟ay when鈥.

The court was told the infection affected organs in Dylan鈥檚 body and his condition continued to deteriorate over the following days.

The inquest heard Dylan鈥檚 parents were told his death 鈥渨as inevitable鈥.

The court has heard the medial cause of death was septic shock, with multi-organ disfunction caused by a perforated appendix.

The inquest continues.