The Gregorio Marañón Hospital in Madrid refuses to identify the doctor or doctors who administered a dose of mycophenolate allegedly deadly last February 4, 10 times higher than prescribed, to NN , a nine-month-old baby who died 15 days after « intestinal infarction », and whose death investigates the Court of Instruction number 10 of Madrid for alleged professional reckless homicide.

The magistrate holder of said court, Juan Javier Pérez , has been forced to reiterate the request for information to the center, in the absence of a response to his first request.

Thus, in a ruling that EL MUNDO has had access to, Judge of Instruction 10 orders, strictly: «Having seen the documentation received from the General University Hospital Gregorio Marañón , get rid of this office again, reiterating to them that they should identify the doctors who attended to the minor on February 4, 2019, since said requested information is not attached ».

"They should identify the doctors"

When the court opened proceedings on July 19 after the family's complaint, the judge literally requested, in the same act, according to the document held by this newspaper: «Get released to the Hospital so that the complete medical history is provided of the minor. They must also identify the doctors who treated the child on February 4, 2019 ».

However, Gregorio Marañón sent a box on August 30 to the court, with the baby's medical history, without at any time the identity of the person or persons who gave the baby, was sent to the magistrate, orally , one gram of the drug instead of the 100 milligrams prescribed .

On September 29, then, Gregorio Marañón was reiterated the judge's order to identify the author of the alleged reckless homicide. The Ministry of Health of the Community of Madrid , administrative head of the center, assured this newspaper, which advanced on Tuesday the ongoing judicial investigation, that the collaboration with Justice is "maximum", but precisely because the subject is sub iudice they could not make public any information about the execution of the hospital in this case.

Dose 10 times higher than necessary

NN received the allegedly fatal dose on February 4, three months after having a heart transplant, on November 18, 2018. The baby passed the postoperative period admitted to the hospital, one of the reference points throughout Spain, and on February 4, mycophenolate was administered, a common immunosuppressant for transplants. However, the dose was 10 times higher than that due, as admitted by several professionals in the clinical history of the minor, yes, to the Instruction 10 inquiries of Plaza de Castilla , and in which the word "error" is repeated on several occasions to define the overdose suffered by the baby.

"A dose 10 times higher than the corresponding oral mycophenolate dose is administered by mistake early in the morning," can be read in a passage in the medical record. "Administration error of mycophenolate 1 gram instead of 100 mg," another physician wrote elsewhere. "On day 4/02 an enteral dose is administered 10 times higher than the corresponding mycophenolate dose", can be read at another time. These allusions are included in the clinical history of NN as it was sent to magistrate Juan Javier Pérez, anonymized however, without the authors of each of the entries being identified.

"They are bound by law"

The legal representatives of the victim's family, lawyer Carlos Sardinero , of Sardinero Abogados , representing the Carmen Flores Patient Advocate Association , have also requested that the person responsible for the administered dose be 10 times the prescribed dose. be identified, to which "they are bound by law," Sardinero, one of the country's largest legal experts in medical malpractice cases, told this newspaper.

In the clinical report itself after death, death was linked to mycophenolate: «In the following hours [to the administration of the drug] it presents sudden clinical deterioration, with important metabolic and lactic acidosis. Increased abdominal distension 24 hours later. An abdominal ultrasound and CT scan is performed, deciding to perform a surgical revision of the abdomen a day later on suspicion of ischemia and intestinal perforation, and a permanent dialysis catheter is removed. From that moment until the death of the patient, an absolute diet with parenteral nutrition is maintained »

According to the criteria of The Trust Project

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