Teen did not die from peanut kiss: Coroner

Posted on: Fri, 03/03/2006 - 2:20am
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This was just released - it's on the Toronto Star's website:

Teen did not die from peanut kiss: Coroner
Mar. 3, 2006. 11:34 AM

SAGUENAY, Que. (CP)

Posted on: Fri, 03/03/2006 - 3:07am
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So what DID she die from?!? This is the one story that when I tell people, they seem to get the severity of this allergy....I'm floored.
------------------
mom to Ari(5) - severe nut allergies, asthma, you name it - and Maya (8), mild excema

Posted on: Fri, 03/03/2006 - 3:12am
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Allergic Living magazine has a story about the investigation into her death in the upcoming March issue. The focus of the article is on how difficult it is to pinpoint anaphylaxis as a cause of death - death is often attributed to other causes instead. We won't know why the coroner is so sure it's not the PB sandwich until he releases his final report - I'll be sure to follow-up post the minute I hear it's been released.

Posted on: Fri, 03/03/2006 - 4:03am
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I'll be interested in hearing what the final results are.
I hope if they declare that it wasn't from the kiss that it isn't too widely publicized. I'm all for the truth about things, but once some people hear this (and we all know someone who falls into this category) it will just help further their disbelief that trace amounts of peanuts can be deadly.
Do let us know what you find out though!

Posted on: Fri, 03/03/2006 - 4:05am
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Although I do have to add that if it wasn't from the kiss, I will be happy for her boyfriend. How devestating it must have been to be the 'cause' of her death!

Posted on: Fri, 03/03/2006 - 4:33am
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Sally, that was my very first thought. About her boyfriend.
Cayley's mom, thanks for posting.

Posted on: Fri, 03/03/2006 - 4:56am
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The French article goes a bit further. The coroner defines anaphylactic shock as :
"Un choc anaphylactique se traduit par deux r

Posted on: Fri, 03/03/2006 - 5:11am
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Hmmm. I wonder if it is just coming down to a matter of semantics? I hope we hear the cause he sites. I also thought how reassuring for her bf, if it were the case it was something else. But was it, or is he splitting hairs on the definition of anaphylaxis? becca

Posted on: Fri, 03/03/2006 - 5:38am
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Darthcleo, thank you very much.
Please correct me if my bilingual decoding skills are not up to par here, but his explanation seems to me to leave a severe asthmatic mechanism as a possibility, oui?
It sounds like he is stating that the "usual" route of anaphylaxis death is either laryngeodema causing respiratory arrest or sudden a BP drop causing cardiac arrest. I don't think asthma would fit either one. And asthma is what the first-hand reports claim Christina thought at the time-- one of her friends reported her digging for an inhaler, if memory serves.
What perplexes me is how he seems to be so certain that her death wasn't peanut induced. It will be interesting to see what the explanation is.
But I will just mention this: I recall specifically reading in two separate research articles that beta-tryptase levels are often NOT ELEVATED in peanut anaphylaxis fatalities. Even when it is very clear what the cause of death was and they get a blood sample at TOD. So if that is his reasoning, the experts will be debunking THAT in a hurry.
But this is just speculation on my part. That would explain why he seems so convinced that her death was not anaphylaxis, however.
More on that:
This article is regarding Jack-Jumper fatalities,
[url="http://www.mja.com.au/public/issues/175_12_171201/brown/brown.html"]http://www.mja.com.au/public/issues/175_12_171201/brown/brown.html[/url]
from this same article, please note that:
[i]"Serum mast-cell tryptase level was markedly raised in Patient 4, but only marginally raised in the other two patients tested. The reference range for the technique used in 1995 was < 2

Posted on: Fri, 03/03/2006 - 6:15am
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I also thought it was interesting that numerous earlier reports said that she had died even though she was given emergency epinephrine immediately. His report says that it was not administered properly if at all.

Posted on: Fri, 03/03/2006 - 6:45am
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I'm thinking the toxicology report was suspicious. Partying with her friends, she might have taken something that night...

Posted on: Fri, 03/03/2006 - 11:20am
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Good to hear that she didn't die because of the kiss. Perhaps the family will not want the cause of death to be publicly known if it is not something okay. There's a fine line between desire to know (and now we do know it was not PA related) and respecting the family and the dead child.
How very sad. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Fri, 03/03/2006 - 11:47am
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I'm going to suspend judgment until we hear further. I'm troubled by his statements about the allergy associations using this case as an example, and his statement strikes me as rather hostile. It seems strange that he isn't stating the actual cause of death at this point. I think we'll just have to wait and see. Unfortunately, it's on the internet news sites already, so even after the follow up all people are now going to remember is that she didn't really die from her peanut allergy.

Posted on: Fri, 03/03/2006 - 12:31pm
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Although I left this board, someone just emailed me about this thread since I am a physician and asked my opinion. I also am not so sure that anaphylaxis can be 100% ruled out. The history of what happened (apparent asthma attack, then collapsed) is a pretty typical history for anaphylaxis. I think it may turn out to be semantics. If she had not had the apparent asthma attack, I would find it easier to believe that it was not death from anaphylaxis. But you have to look at the whole clinical picture. Based on what I read about this when it happened a few months ago, it clinically looked like anaphylaxis. It was pretty much the same symptoms as what happened to Nathan Walters and Sabrina Shannon (first asthma attack, then losing consciousness). So it will be interesting to see what they say was the cause. If it was drug related (too much partying), it would not have looked like an asthma attack. My dd has had several reactions that have presented as an asthma attack and nothing else. The Van De Kamps reaction was an asthma attack. Lots of times on a post mortem, the cause of death can be worded different ways. This situation may be a cause of death that doesn`t say anaphylaxis, but actually was. (for example, it can say "heart failure" but it could be heart failure due to any number of causes and one would be anaphylaxis). It will be interesting to see what they finally say the cause was. There are reactants that go up after a reaction, but they only stay up for a few hours. I doubt that they drew blood soon enough to even detect those given the circumstances.

Posted on: Sat, 03/04/2006 - 2:50am
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Well, we've had a very hard time with this story since it broke. It's caused way more harm to my son than good. He can't go anywhere without someone mentioning how EASY it is for him to DIE and referring to this teenager. His 2nd grade classmates talk about it all the time to him. He is a nervous wreck and often won't eat his lunch at school if he gets spooked by their comments.
After a particularly hard day, I just told him that she didn't die of the peanut allergy reaction. I said she was allergic to peanuts, but something else happened that caused her to die. I didn't care if it was a lie or not, I just wanted my little boy to not be so scared. I'm glad to hear that there MIGHT have been another cause and that I can show him this article.

Posted on: Sat, 03/04/2006 - 3:30am
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When my non-PA DD heard this report that she did not die from kissing her BF after eating PB, she said, "This report is giving people false information re: PA. Even though she may not have died from kissing her BF, common sense should tell people that if you have PA and DO kiss someone who has eaten PB (especially being a teen, KWIM?) then there is a great possibility that you could react. It would be like eating it yourself if it should get in your mouth."
Now, I know what she meant. She felt that people should still be aware of the fact that if someone eats PB and then kiss a PA person, they can still react from the proteins, residue, etc., still in that person's mouth. I think people should still be cautious.

Posted on: Sat, 03/04/2006 - 5:01am
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Yes, that is a very good point. Regardless of what the "official" pronouncement is, there needs to be an emphasis on how this really is a serious issue.
This girl may or may not have died from peanut exposure, but the point needs to be clear that it very well could have been the cause. If someone with PA kisses someone who recently ate peanut butter, the result can/will be anaphylaxic shock and possibly death.
The last thing we need now is for people to think that PA isn't serious because this girl didn't actually die from anaphylaxis.... and people will really use that against those with peanut allergy (sad, but true)

Posted on: Sat, 03/04/2006 - 5:34am
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Well said, Triciasmom!

Posted on: Sat, 03/04/2006 - 6:18am
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As the mother of a teenage daughter this story scared the life out of me. We havent received the latest news over here in the UK yet so would you please keep us updated if anything else if revealed. Many thanks, Jayne.

Posted on: Sat, 03/04/2006 - 7:33am
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It was on my aol newheader today. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img] I have many mixed emotions when it comes to this topic. One being that I am so sorry for this family to have her death splashed all over the headlines once again. The other is I do hope that they find what really caused her death for them & her boyfriend to have closure. Next, I know I educate people about aidan's allergies according to his history & this topic did bring awareness in people's minds that knew him b/c they knew of his pa so I don't think it will impact his care negatively. The truth of the matter is it CAN happen. That of course scares me, but I continue to educate people like I said on his history & hope that it comes across correctly.
Again, My heart goes out to her family.
mandi

Posted on: Sat, 03/04/2006 - 7:34am
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[b]Well said, Triciasmom![/b]
I agree totally!!!!

Posted on: Sat, 03/04/2006 - 8:11am
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Carefulmom, I didn't realize you had "left" the board. Were you taking a break or you had decided not to come back?
Kim M., also good to see you in this thread. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
------------------
"That was Polanski. Nicholson got his nose cut."

Posted on: Sat, 03/04/2006 - 9:03am
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Quote:Originally posted by Corvallis Mom:
[b]Darthcleo, thank you very much.
But I will just mention this: I recall specifically reading in two separate research articles that beta-tryptase levels are often NOT ELEVATED in peanut anaphylaxis fatalities. Even when it is very clear what the cause of death was and they get a blood sample at TOD. So if that is his reasoning, the experts will be debunking THAT in a hurry.
But this is just speculation on my part. That would explain why he seems so convinced that her death was not anaphylaxis, however.
More on that:
This article is regarding Jack-Jumper fatalities,
[url="http://www.mja.com.au/public/issues/175_12_171201/brown/brown.html"]http://www.mja.com.au/public/issues/175_12_171201/brown/brown.html[/url]
from this same article, please note that:
[i]"Serum mast-cell tryptase level was markedly raised in Patient 4, but only marginally raised in the other two patients tested. The reference range for the technique used in 1995 was < 2

Posted on: Sat, 03/04/2006 - 11:41pm
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I don't typically throw my 2 cents in until all the final hoo-ha clears, but in this I'm going to have to vote for symantics also. It seems like it would be if someone suffered a huge head injury, then fell in the river. The offical cause of death would be drowning, but that certainly would not be what precipitated the whole event.
I agree the cornoner sounded a little defensive in that sound bite. Maybe taken out of context, maybe really trying to put the whole FA community in it's place.
Either way, it is tragic. Tragic whether the PB really did it or not. Tragic for the girl's family and the boyfriend.
I also think (selfishly) that less people will pay attention to the follow up story than they did to the initial one. We were also benefitting by people finally getting it that PA is deadly.
------------------
Lori Jo,
Rose, 7-31-02, PA
Beatrice & Georgia, 8-14-99

Posted on: Sun, 03/05/2006 - 2:07am
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Maybe they were experimenting with drugs... she reacted badly, and to try to cover it up, the teens made up the story about the PB?
Maybe it is semantics...
No one will know until they give an official report. I hope they do it soon.
Tara P

Posted on: Sun, 03/05/2006 - 2:33am
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CNN had this story on last night.
No details, just worded enough so that most any layperson will now be thinking "oh, so peanut allergy is really not all that serious afterall".
GRRRRRRR. [img]http://uumor.pair.com/nutalle2/peanutallergy/mad.gif[/img]
You know they will likely NOT do a followup with any depth.
EB

Posted on: Sun, 03/05/2006 - 3:59am
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If she were experimenting with drugs, it probably would not have caused the asthma symptoms that she had. It really sounds like anaphylaxis. I agree with the head injury/drowning analogy. I also think it is bad for us. Now people will decide that pa is not so serious, after all. (CSC, yes I have left the board. Only back really on this thread and one other, because I want to know what happened. Other than that, yes, I am gone, driven away would be more accurate. I posted my final post on a thread in Off Topic after being attacked, and haven`t been back to read that thread or any other, except when someone emailed me about a couple of threads here, this being one.)

Posted on: Sun, 03/05/2006 - 5:41am
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Quote:Originally posted by Carefulmom:
[b](CSC, yes I have left the board. Only back really on this thread and one other, because I want to know what happened. Other than that, yes, I am gone, driven away would be more accurate. I posted my final post on a thread in Off Topic after being attacked, and haven`t been back to read that thread or any other, except when someone emailed me about a couple of threads here, this being one.)[/b]
Wow-I'm so sorry that happened. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
------------------
==============
[b]~Gale~[/b]

Posted on: Sun, 03/05/2006 - 6:24am
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Careful Mom, I am so sorry you feel this way. I hope that at some point, when you are ready, you come back. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]

Posted on: Sun, 03/05/2006 - 7:20am
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Thank you to both of you.
Here is another article about the death. I am not good at doing links, so I hope this works.
[url="http://abcnews.go.com/International/wireStory?id=1685736&CMP=OTC-RSSFeeds0312"]http://abcnews.go.com/International/wireStory?id=1685736&CMP=OTC-RSSFeeds0312[/url]
Notice how they don`t mention asthma or wheezing as a sign of anaphylaxis. I`ll bet in the end they will say she died due to asthma, which really means due to the pa. I just read yesterday in a medical newpaper that 10% to 20% of fatal pa reactions present as an asthma attack and never have any skin symptoms. I also don`t like the line that she did not use her epi because she was not having a pa reaction. So many people who die from peanut anaphylaxis who have asthma do not use their epi when they should because they think it is only an asthma attack when it is really due to pa. That is the reason Sabrina Shannon did not use her epi and died.

Posted on: Sun, 03/05/2006 - 7:42am
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Thank you CarefulMom. I too will miss you. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
Just wanted to add to the fatality list where this "anaphylaxis presenting as asthma" contributed to a delay in appropriate treatement-- Nathan Walters. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
I agree that this sounded very strange coming from a coroner-- he wanted to PREVENT an educational outreach effort?? Kind of came across as grandstanding, but then again, he couldn't have anticipated that the international media would leap on the story a second time. *sigh*
Hopefully this will get some press again when the real story comes out. But I'll bet not.

Posted on: Sun, 03/05/2006 - 7:58am
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Among other concerns - and I'm not sure if this has been mentioned above - there is no such body as the "Canadian Association of Food Allergies" that he mentions in the article. Such a lot in that piece making those savvy about food allergies go, "Huh?"
Nevertheless, the allergic community will continue - through media and support groups like this - to get the word out that a kiss can still be dangerous, as other mentioned above, regardless of the coroner's findings. Yes, death from anaphylaxis is often attributed to other causes and I, too, question whether that coroner is familiar with the mechanism behind cascading body system failures (i.e., allergic reactions can trigger fatal asthma attacks). Cayley and I were sent home from the ER after her second serious reaction with no EpiPen prescription and the doctor's words ringing in my ears - "It wasn't anaphylaxis because there was no swelling." even though her reaction involved multiple body systems. Just because a doctor is a doctor does not mean he is also fully competent with regard to allergy. The coroner may be just such a doctor, but we'll have to wait and see.
Will update with any news asap.

Posted on: Sun, 03/05/2006 - 10:04am
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Carefulmom, I was genuinely disappointed and a bit sad when I read that you have decided to leave the board. I know things can get nasty here sometimes. I don't remember to whom some nasty things were directed, but I'm sorry to read that you feel you were the victim of it. Hopefully one day you'll be comfortable coming back. I found your comments to be extremely knowledgeable and helpful. While things sometimes get unpleasant here, most of the time things are good. Hopefully you'll feel at some point that the good again outweighs the bad.
[This message has been edited by Mookie86 (edited March 05, 2006).]

Posted on: Sun, 03/05/2006 - 11:17am
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Quote:Originally posted by Kim M:
[b]I'm going to suspend judgment until we hear further. I'm troubled by his statements about the allergy associations using this case as an example, and his statement strikes me as rather hostile. It seems strange that he isn't stating the actual cause of death at this point.[/b]
My interpretation is that he didn't want the allergy groups to spread information. Think about how foolish they would look and how much credibility is lost if they mount an awareness campaign on an incident that didn't happen as the groups describe? I think it is right that he lets them know.
I am not concerned that he is not giving the full story (I am annoyed, though) I am sure it is a matter of red tape & approvals needed from certain people in the bureaucracies.
Quote:Originally posted by nomorenutz:
[b]I also thought it was interesting that numerous earlier reports said that she had died even though she was given emergency epinephrine immediately. His report says that it was not administered properly if at all. [/b]
People magazine stated that the epi-pen was not given but the ambulance administered epinephrine. All other articles I read were vague but most indicated that she was given epinephrine at some point.

Posted on: Sun, 03/05/2006 - 11:42am
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I read this article on CNN.com although nothing new. I think they are hiding the exact cause of death to protect both the family and the family of the boyfriend. Hopefully it was not drugs that the girlfriend reacted to. Sometimes illegal and legal drugs can cause analyptic recations for instance an allergy to Tylenol. Don't always think it's food that causes reactions. Read the label on any bottle and it says"if symptoms of a reaction are present to get Medical attention quickly". Why this did not happen is beyond my belief. If she had an Epipen she could have saved herself and gotten her boyfriend to call 911. It did not list if the death was at night or during the day. She could have taken the medicine before bed thinking she would not react and then died in her sleep(hard to prevent). Or she thought she had a flu when in reality it was a reaction.
Just my 2 cents. Sad to say nontheless. I shed a few tears because this young lady had a long life ahead of her.

Posted on: Sun, 03/05/2006 - 3:41pm
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Quote:Originally posted by travelplus:
[b]I read this article on CNN.com although nothing new. I think they are hiding the exact cause of death to protect both the family and the family of the boyfriend. Hopefully it was not drugs that the girlfriend reacted to. Sometimes illegal and legal drugs can cause analyptic recations for instance an allergy to Tylenol. Don't always think it's food that causes reactions. Read the label on any bottle and it says"if symptoms of a reaction are present to get Medical attention quickly". Why this did not happen is beyond my belief. If she had an Epipen she could have saved herself and gotten her boyfriend to call 911. It did not list if the death was at night or during the day. She could have taken the medicine before bed thinking she would not react and then died in her sleep(hard to prevent). Or she thought she had a flu when in reality it was a reaction.
Just my 2 cents. Sad to say nontheless. I shed a few tears because this young lady had a long life ahead of her. [/b]
I am saddened as well, but at least that poor boy does not have to feel guilty about his girlfriend's death.
I just checked & the People Magazine article stated that around 3:15 a.m., Deforges & her boyfriend went upstairs to "make Out"
Quote:[i]from People Mag 12/19/05[/i]
"Within minutes of the embrace, according to [another friend in the house,] she came racing down the stairs, yelling, "I need air!" Grabbing an asthma pump from her knapsack, she inhaled deeply. When that failed to ease her breathing, she flung the front door open to gulp fresh air. Within moments she was collapsed on the front step and slipping into a coma. Though an ambulance arrived within minutes and rushed Desforges to a hospital, the teen never regained consciousness. Three days later she died a victim not of an asthma attack, as she and her friends had assumed, but of anaphylaxis, a fatal food-allergy reaction to the traces of peanut butter that lingered in Desmoreaux's mouth, nine hours after he had eaten his toast."
Most of the recent stories about Desforges all seem to be from AP and other wire services so the info at the moment all looks the same. CBC news had slightly more detail:
Quote:
"The reason Desforges didn't use her syringe to give herself a shot of adrenaline is because she didn't have an allergic reaction to peanut butter, Miron said."
Many people suffering from allergies lost confidence in the popular EpiPen when the story came out, Miron said. He says if people question the use of the auto-injector, lives might be in danger."
[url="http://www.cbc.ca/montreal/story/qc-peanut20060303.html"]http://www.cbc.ca/montreal/story/qc-peanut20060303.html[/url]
I am assuming this means the coroner believes she didn't have any allergic reaction at all.
Then I found this article, with a little bit more explanation:
Quote:
Quebec teen didn't die from kissing boy who ate peanut butter snack: coroner
Canadian Press
Published: Friday, March 03, 2006
SAGUENAY, Que. (CP) - A fifteen-year-old girl with a severe peanut allergy did not die from kissing her boyfriend after he ate a peanut butter snack, said local coroner Michel Miron.
The story made headlines around the world and Miron said he wants people to know that a peanut butter sandwich didn't cause the death of Christina Desforges last November.
Miron wouldn't reveal the cause of death in an interview with the Saguenay-Lac-St-Jean Le Quotidien newspaper because he hasn't yet submitted his final report to the provincial coroner's office. He also said he is waiting on some final test results to confirm the cause of death.
He wasn't available on Friday to comment further on the circumstances of the teen's death in this small city, about 250 kilometres north of Quebec City.
A reporter for Le Quotidien, the newspaper that first reported the story, said Friday [b]it was the media that focused on peanut butter as the culprit after ambulance attendants, an emergency room doctor, and the girl's mother suggested it could be the cause due to her allergy.[/b]
"But no one at the scientific level was able to succeed quickly at confirming the cause (of her death)," said Louis Tremblay.
"The proof has now shown that's not what happened," he added.
One media report at the time also said that, along with being allergic to peanut butter, Desforges was also asthmatic.
[url="http://www.canada.com/topics/news/national/story.html?id=a42f3195-8838-4f19-ab93-876485935503&k=42149"]http://www.canada.com/topics/news/nation...5935503&k=42149[/url]
[This message has been edited by ElleMo (edited March 06, 2006).]

Posted on: Sun, 03/05/2006 - 9:18pm
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Careful Mom,
I wanted to send you an email, but it isn't on your profile. Would you email me?
Thanks,
Stephanie
saknjmom

Posted on: Sun, 03/05/2006 - 11:33pm
Anonymous's picture
Anonymous (not verified)

Quote:Originally posted by Carefulmom:
[b]I also don`t like the line that she did not use her epi because she was not having a pa reaction. So many people who die from peanut anaphylaxis who have asthma do not use their epi when they should because they think it is only an asthma attack when it is really due to pa. That is the reason Sabrina Shannon did not use her epi and died.[/b]
Also, didn't the paramedics give her epinephrine? I'd really like to know this coroner's *politics* when it comes to allergies.
Normally, I feel a coroner's report is a very private thing. It is for the family only. In this case, although I feel guilty feeling this way - I hope the entire report is made public. If it is not made public, I think most of us will always have doubts about it.

Posted on: Mon, 03/06/2006 - 12:23am
Anonymous's picture
Anonymous (not verified)

I don't feel the report should be made public if the COD was very clearly something other than asthma or an allergic reaction. Note: I said "very clearly".
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
------------------
"That was Polanski. Nicholson got his nose cut."

Posted on: Mon, 03/06/2006 - 3:59am
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[url="http://edition.cnn.com/2006/WORLD/americas/03/06/peanut.kiss.ap/"]http://edition.cnn.com/2006/WORLD/americas/03/06/peanut.kiss.ap/[/url]
[b][i]Coroner: Lack of oxygen, not peanut-butter kiss, killed girl[/b]
Monday, March 6, 2006 Posted: 1724 GMT (0124 HKT)
MONTREAL, Quebec (AP) -- A teenager with a peanut allergy did not die from kissing her boyfriend following his peanut-butter snack, but from a lack of oxygen to her brain, a Quebec coroner said Monday.
Coroner Michel Miron declined to disclose the exact cause of death because he has yet to submit his final report to the provincial coroner's office, but he told The Associated Press he hoped to end the "phobia" provoked by the case, which drew global media coverage.
Christina Desforges, 15, died in a Quebec hospital in November. Officials at the time had said that doctors were unable to treat her allergic reaction to a peanut-laced kiss from her boyfriend the previous weekend.
Allergists described the case as being rare and worrisome.
"Elements of the investigation tell us peanut butter was not responsible," Miron told the AP. Miron said clinical indicators have eliminated peanut as the cause for her death and said it appeared the girl suffered from "cerebral anoxia," or lack of oxygen to the brain, which caused serious damage.
Miron said he could not discuss reports that the girl suffered from asthma and believed she was having an attack before her collapse.
Symptoms of peanut allergies can include hives, plunging blood pressure and swelling of the face and throat, which can block breathing.
Miron said he felt compelled to speak out to counter incorrect claims that peanut butter was responsible for Christina's death, or that injections used to treat allergic reactions were ineffective.
"People thought the girl had not used her Epipen [Adrenalin shot] properly and families were panicking because they thought it wouldn't always work," he said, insisting that the drug's effectiveness was never in doubt.
Scientific journals also had contacted him, questioning the use of the Adrenalin shot and how it is injected.
"It was necessary to set things straight," Miron said. "The drug wasn't used at all because nobody knew she was allergic," he said, noting the first hospital she was sent to did not have her records.
Miron said the girl and her boyfriend kissed, but many hours after he ate the peanut-butter snack. By then he had ingested other foods such as popcorn and beer.
The saliva generated in the process also would have cleansed his mouth before the kiss, Miron said.[/i]
------------------
Jana
[url="http://www.seattlefoodallergy.org"]www.seattlefoodallergy.org[/url]

Posted on: Mon, 03/06/2006 - 4:25am
MommaBear's picture
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Quote: Originally posted: [b][url]http://edition.cnn.com/2006/WORLD/americas/03/06/peanut.kiss.ap/[/url]
Coroner: Lack of oxygen, not peanut-butter kiss, killed girl
Monday, March 6, 2006 Posted: 1724 GMT (0124 HKT)
[/b]
[b]COME AGAIN??????? WHAT THE ________. [/b] [i]SO PRAY TELL ME, HOW DOES (OF THE MANY WAYS) ANAPHYLAXIS CAUSE DEATH???[/i]
SEMANTICS INDEED.
my father died from blood loss, cardiovascular collapse, myocardial infarction, lack of oxygen, respiratory depression, and ultimately from acidosis, but [i]he still died from a ruptured abdominal aortic aneurism.[/i]
Possibly the end stage lung cancer detected on the same CT used to diagnose his ruptured AAA might even be considered [i]contributory[/i] to his death.
But hey, who am I?? I'm an idiot.
[i]no advice[/i]. who needs it when there are "experts".
edit to add link.
General Disclaimer: I am not offering advice in any manner or form. I do not guarantee the accuracy, currentness, or content of the link in this post.
[This message has been edited by MommaBear (edited March 06, 2006).]

Posted on: Mon, 03/06/2006 - 4:27am
Anonymous's picture
Anonymous (not verified)

Quote:it appeared the girl suffered from "cerebral anoxia," or lack of oxygen to the brain, which caused serious damage.
Is it just me? Without another cause being explained I can't help it - lack of oxygen to the brain [i]can[/i] be caused by anaphylaxis. Is it just me?
I react to my husband's sweat [i]days[/i] after he has eaten my allergens.
**********
csc, I admit my feelings probably are not proper. I admit I feel guilty about it. But, if the coroner says it is "very clearly" something else I just don't know that I will completely feel at ease about it. On the other hand, if her family (after having time to see the report and discuss with a doctor) if they publicly say "it was definitely not anaphylaxis" then I would accept it from them.

Posted on: Mon, 03/06/2006 - 4:35am
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I hope the cause of her death was NOT peanut allergy. I hope that we find out that the reason the epipen didn't work was because it was NOT used! I for one would feel a lot better than feeling that the pens don't always work and that hours after eating peanut butter my child could still be at risked from a kiss from that person.
It may be she sufferred a severe asthma attack that was not at all related to her peanut allergy.

Posted on: Mon, 03/06/2006 - 5:04am
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I'm bewildered by the coroner's statements and wondering if he has some anti-foodallergy axe to grind.
If she died from a lack of oxygen, and witnesses said she was using her asthma inhaler, and difficulty breathing/asthma is a symptom of anaphylaxis, how can we be sure the asthma attack/difficulty breathing *wasn't* from the boyfriend's peanut butter?
It sounds to me like this coroner would say someone died from bloodloss without bothering to mention the little detail of the person being beheaded...
--Debbie

Posted on: Mon, 03/06/2006 - 5:04am
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"If she were experimenting with drugs, it probably would not have caused the asthma symptoms that she had."
I disagree carefulmom (sorry if that is the wrong username), its quite a common reaction when "recreational" drug are used/abused. Not sure where you are gettin your information from but if you like I could site a number of journal articles showing this is certainly a very common reaction in those with asthma.

Posted on: Mon, 03/06/2006 - 5:19am
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Joined: 02/14/2006 - 09:00

I wasnt going to post anything, but then I changed my mind because sometimes when I read this thread it bothers me...I may be reading things in the wrong "tone", but its almost like some of you WANT this girl to have died from a PA reaction. It just seems like no matter what the coroner says now, people here will still beleive it was a PA issue. Even if that has no backing and the media blew it out of control. Maybe it really was JUST an asthma attack, and not one caused by PA????? I know I had asthma pretty bad when I was younger and I could have made myself have an attack at anytime....I'm not saying she did that, I'm just saying she was 15 and was kissing her BF....there are alot of hormones going on there and that can cause a little bit of anxiety if you know what I mean.
I'm not saying it was or wasnt a PA issue. I'm just saying people should be disappointed if its not. I also feel they shouldnt have to release the final information to the public out of respect for the family, unless they choose to do so.
This is just my little opinion..back to work.
Tim

Posted on: Mon, 03/06/2006 - 5:37am
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Quote:Originally posted by TarynsDad:
[b]I wasnt going to post anything, but then I changed my mind because sometimes when I read this thread it bothers me...I may be reading things in the wrong "tone", but its almost like some of you WANT this girl to have died from a PA reaction.
[/b]
nope. can only speak for myself. my "tone" is that I'm confused. It almost sounds like the logic is anaphylaxis is being ruled out simply because someone might have died from "lack of oxygen". Maybe I'm hearing wrong. Maybe I'm off in what confuses me.
anyone?

Posted on: Mon, 03/06/2006 - 5:40am
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Quote:Originally posted by SallyL:
[b]I'll be interested in hearing what the final results are.
I hope if they declare that it wasn't from the kiss that it isn't too widely publicized. I'm all for the truth about things, but once some people hear this (and we all know someone who falls into this category) it will just help further their disbelief that trace amounts of peanuts can be deadly.
Do let us know what you find out though![/b]
Oh my...I disagree with you and I hope that if the death was not related to PA that it is given as much attention as all the media gives and contributes to what I feel is peanut allergy hysteria. I certainly agree and know that the PA issue needs to be addressed...however, I work as a nurse in a school and I absolutely don't believe that everyone that states that their child has a PA actually has one. I might add that all precautions are taken with these children per doctors instructions and the FAAN. I've had parents reveal to me well into the school year after making all the necessary accomodations and staff being an absolute wreck, that their child isn't really allergic, they just don't LIKE p-butter. I think people are getting really weird about this whole thing and sometimes the expectation for the school is simply not reasonable. The law asks us to do what is reasonable. Making a school peanut free is not reasonable. It opens the school to liability by virtue of the fact that no place can be peanut free. We can state that but we have no control over the fact that the building is used 24/7 and we don't know what's happening outside the regular school time frame. Anyway....just needed to respond!

Posted on: Mon, 03/06/2006 - 6:37am
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Joined: 03/12/2004 - 09:00

[b]I've had parents reveal to me well into the school year after making all the necessary accomodations and staff being an absolute wreck, that their child isn't really allergic, they just don't LIKE p-butter. I think people are getting really weird about this whole thing and sometimes the expectation for the school is simply not reasonable.[/b]
I'm sorry to hear you've had these experiences. Obviously, the parents who did what you described were wrong. However, I certainly hope you're not going to view every peanut allergic child through that frustrated viewpoint.
Any child who is truly peanut allergic needs some precautions in place to help them from having a potentially life-threatening reaction, and for treating one if an accident occurs. Do you agree with this?
I'm not going to debate about the term peanut-free...I don't think this is the right thread for that discussion.
Meg

Posted on: Mon, 03/06/2006 - 6:39am
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This statement of the coroner`s that it was lack of oxygen and not anaphylaxis makes no sense. One of the things that happens in anaphylaxis is that if you can`t breathe, then oxygen cannot go to your brain. So if she really did die due to lack of oxygen, then anaphylaxis cannot be ruled out as a cause. There are many causes of lack of oxygen to the brain. An asthma attack or anaphylaxis would be two of them. Corvallis Mom, I agree about Nathan. They did not use the epi until one to two hours after the reaction started because it looked like an asthma attack.
Saknjmom, I am emailing you right now.

Posted on: Mon, 03/06/2006 - 7:04am
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Joined: 05/28/2009 - 16:42

paulette816,
Can I ask why you are on this list if you don't feel peanut allergy is as serious as most people here do (and those in the medical field as well)? Just curious.
------------------
mom to Ari(5) - severe nut allergies, asthma, you name it - and Maya (8), mild excema

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