Dafydd Watts

PFD Report Historic (No Identified Response) Ref: 2014-0194
Date of Report 29 April 2014
Coroner T G Moore
Coroner Area Avon
Response Deadline ✓ from report 28 June 2014
No published response · Over 2 years old
Sent To
  • UCB Pharma
  • British National Formulary
Response Status
Responses 0 of 2
56-Day Deadline 28 Jun 2014
Over 2 years old — no identified published response
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroners Concerns
Although the evidence suggests that this is only the fourth such death documented it appears that the possibility (albeit remote) of such an occurrence is not drawn to physicians attention in the drug literature or in the BNF entry:
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe your organisation have the power to take such action.
Report Sections
Investigation and Inquest
On commenced an investigation into the death of Dafydd Rhys WATTS, Aged 34. The investigation concluded at the end of the inquest on 14th March 2014. The conclusion of the inquest was; la Pericarditis Ib Drug reaction with eosinophilia and systemic symptoms syndrome (DRESS) Ic Epilepsy treated with levetiracetam Conclusion; Dafyyd Watts died suddenly of pericarditis following an unrecognised and exceptionally rare drug reaction to his necessary anti-epileptic treatment
Circumstances of the Death
The deceased died of eosinophilic pericarditis and DRESS syndrome due to Levetiracetam He had previously been prescribed Carbamazepine but suffered pulmonary eosinophilia. He ceased this treatment and started Levetiracetam_
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Recombinant Products Over Plasma-Derived
Infected Blood Inquiry
Medical Product Allergen Labelling
Drug Prescription Documentation
Hyponatraemia Inquiry
Pharmacist missed drug contraindications

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.