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Nine-year-old died of infection, inquest heard

3:37pm Wednesday 20th February 2008

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By Staff Reporter »

A NINE-year-old boy who battled a rare childhood cancer for nine months died from a blood infection, an inquest heard.

Hamzah Ibrahim was diagnosed with Ewing's sarcoma, a rare form of bone cancer, in July 2006.

He was treated with chemotherapy and radiotherapy at Royal Manchester Children's Hospital before undergoing an operation at a specialist hospital in Birmingham in March 2007.

In April 2007, following the operation, the former Pikes Lane Primary pupil, of Sherringham Place, Daubhill, was given a course of chemotherapy at the children's hospital and sent home.

His parents, Anis and Razia, became concerned that Hamzah was becoming unwell so contacted the hospital. They were told to monitor him and check his temperature.

But his condition deteriorated and his parents dialled 999 and Hamzah was rushed to the Royal Bolton Hospital on April 13.

Dr Powell, consultant paediatrian at the hospital told the hearing today: "It was clear he was extremely unwell when he arrived and was very close to dying."

He told the hearing he believed Hamzah had died from bacterial septic shock which had overwhelmed his body.

Dr Melanie Newbould, a consultant paediatric histopathologist at the Royal Manchester Children's Hospital, said: "The major findings in Hamzah were those of shock. The condition can have a number of causes. On this occasion I am not able to say what the cause of the shock was but it is most likely that he died of septicaemia."

Dr Estlin, consultant paediatric oncologist at the Royal Manchester Children's Hospital, told the inquest Hamzah was fine when he was discharged from the hospital. He said chemotherapy can leave a person more susceptible to infections from within the body, and believed this is what had happened to Hamzah.

DS Raymond Sherlock, of Bolton CID, who investigated Hamzah's death, as is the procedure in all sudden deaths, said his investigation was consistent with the evidence given in the hearing.

Coroner Jennifer Leeming said: "I will record the medical cause of Hamzah's death which, on the balance of probabilities, I believe to be septicaemic shock.

"On the balance of probabilities, Hamzah died as a consequence of a complication of necessary chemotherapy treatment for a Ewing's tumour."

She then paid tribute to Hamzah. She said: "It takes courage and determination to undergo that sort of treatment, especially for a child of nine-years-old, all be it with the support of his family.

"It is to say the least tragic that unfortunately those who have given evidence here today were unable to save him.

Speaking after the inquest, Hamzah's father paid tribute to his son.

Mr Ibrahim said: "He was an absolutely superb son. He never moaned about what he was going through.

"We all miss him so much. We visit his grave at Overdale every day."

He never moaned, he was a superb son'

SPEAKING after the inquest, Anis Ibrahim, Hamzah's father, paid tribute to his brave son.

Mr Ibrahim said: "He was an absolutely superb son.

"He never moaned about what he was going through.

"We all miss him so much. We visit his grave at Overdale every day."

Mr Ibrahim, who was at his son's bedside every day he was in hospital, said: "I just can't believe he has gone.

"I've not been in his bedroom since he died.

"All his toys are still there. I just can't go in there.

"He loved cars, he was always asking about them.

"Even when he was in hospital he would ask for people's car keys.

"I think he would have been a mechanic when he was older."

Mr Ibrahim, who works as a housing consultant, said: "He always thought about everyone else.

"The last thing he said to me before he died was Dad, make sure nobody else like me suffers'."

Hamzah also loved sport, particularly football and karate.

His school, Pikes Lane Primary in Gibraltar Street, Deane, paid tribute to him by hosting sponsored events last July, raising money for the cancer charity CLIC Sargent.

The school also set up a special memorial board with photographs of Hamzah.


Your Say Yourtheboltonnews

Gene Hunt, says...
3:49pm Wed 20 Feb 08

So sad. My sincere condolences to the family of Hamzah.

I hope before he was ill, he was a proper little lad who you can smile when you think of him.

Lord Lucan, Somewhere says...
6:31pm Wed 20 Feb 08

Very sad but why was there an inquest - the poor little mite was clearly very ill and surely no foul play was suspected?

concerned, Bolton says...
12:23pm Thu 21 Feb 08

Chemotherapy kills the white cells which are the bodies defence from infection.
I am surprised Pendlebury told them to monitor the child at home and not take him straight to the hospital.
If a child becomes ill after chemo it is essential to take them immediately to the hospital as it is vital to administer antibiotics immediately as they can become very sick very quickly.
Was Pendlebury AGAIN short of beds that they did not tell the parents to take him to the hospital immediately to be checked out.
This used to be standard procedure. When the child arrived blood cultures would be done to confirm infection and what that infection was. The child would be put on first line antibiotics and if these were not lowering the temperature second line would be used etc.
Blood pressure would be monitored as this can be affected and action may need to be taken.
Septicaemic shock is one of the concerns that doctors have about chemo as it can leave patients vulnerable to infection.
The Royal Bolton Hospital unless arranged shared care is in place with Pendlebury is not the place he should have been.
They are not a specialist hospital for childhood cancer.
They would have looked after the child well but he should have been taken to Pendlebury by his parents as soon as things were not as they should have been.
An investigation into why his parents were not told to take him to Pendlebury immediately should have happened.
Are parents still being told to monitor their children at home?

georgyboy, bolton says...
7:12pm Thu 21 Feb 08

what a beautiful kind face ,unusual for me a tear came to my face ,so sad GOD BLESS THE IBRAHIM FAMILY one day you will meet again

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COURAGEOUS: Hamzah Ibrahim, who died of a blood infection after treatment for cancer

COURAGEOUS: Hamzah Ibrahim, who died of a blood infection after treatment for cancer



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