Paediatrician suspended
for failing to diagnose one-year-old with life-threatening disease
SINGAPORE: A paediatrician
has been suspended for three months for failing to diagnose a one-year-old boy
with Kawasaki disease.
As a result of the late
diagnosis, the boy was exposed to the possibility of developing severe cardiac
complications, the Singapore Medical Council said in a statement on Tuesday
(Jun 27).
Dr Chia Foong Lin did not
discuss the possibility of Kawasaki disease with the boy's parents despite
having considered that he could have it, according to a disciplinary tribunal
appointed by the SMC.
"Instead, she was content
to continue managing the patient for viral fever when the clinical features
clearly did not point to a simple case of viral infection," the SMC added.
Kawasaki disease is
characterised by inflammation of the blood vessels. Symptoms include high fever
for at least five days, conjunctivitis, and dry red lips, which the boy
displayed, according to the inquiry.
Dr Chia, 56, who at the
time of the incident in 2013 was practising at Chia Baby and Child Clinic at
Clementi, was on call at Gleneagles Hospital when the boy was admitted. From
Feb 25 to Mar 3 in 2013, Dr Chia repeatedly diagnosed him with a viral
infection.
It was only suspected that
he had Kawasaki disease when he was taken to another hospital for a second
opinion.
SUPPORTIVE TESTS NOT
ORDERED
The disciplinary tribunal
agreed with SMC’s lawyers that Kawasaki disease was a "relatively common
and potentially life-threatening" childhood disease but Dr Chia
failed to pick up on its symptoms.
Dr Chia also did not order
tests that could have supported the diagnosis of the disease, SMC noted.
"The disciplinary tribunal was of the view that such a failure amounted to
a serious negligence on the part of Dr Chia," it said.
However, the tribunal
acknowledged that the diagnosis of the disease is not straightforward. In
imposing the penalty on Dr Chia, the disciplinary tribunal noted that she had
an unblemished record and that the case did not show an intentional departure
from established standards. However, it dismissed an appeal from Dr Chia
against the sentence.
.
.
No comments:
Post a Comment
Note: only a member of this blog may post a comment.