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Meningitis kills girl told she had upset tummy

 A girl of eight died of meningitis hours after a GP said she had an upset tummy.

Courtney Guy was given the all-clear by her family doctor despite her mother telling him she had a sore neck, which is a classic symptom of the illness.

Lisa Williams also told the GP that Courtney's 13-year-old brother Kristian had been treated for suspected meningitis weeks earlier.

But it was only after Dr Alistair Graham came to their home for the second time in six hours that he called for an ambulance to take Courtney to hospital after her condition deteriorated.

However, he still did not think it was meningitis and it was not treated as an emergency call despite Mrs Williams telling the GP that Courtney had by then developed rashes, another warning sign of meningitis.

Mrs Williams was told the ambulance would arrive in an hour. When it failed to, she dialled 999 and a paramedic was sent but he too did not treat Courtney for meningitis while he waited for the ambulance.

When it did arrive it took Courtney to Nottingham City Hospital as a non-emergency.

Treated 10 hours later

She eventually was treated for meningococcal meningitis at the hospital - 10 hours after Dr Graham's first visit - when doctors there swiftly decided there was no time to waste.

But it was too late to save the youngster, of Heanor, Derbyshire, who died the next day, January 5.

Yesterday Mrs Williams, 33, said: "The hospital said the first six hours were the most important. I want to know why, if there was even the slightest inkling she had meningitis, the doctor didn't act quicker.

"I feel it's been blundered all the way. I trusted a trained expert with my daughter's life but she was let down twice by the doctor and then again by the paramedic.

"Courtney was such a loving girl, constantly smiling and loving life. She could still be alive today if the doctor had acted sooner. Given what happened to her brother, why wasn't she sent to hospital straight away?"

Mrs Williams, a secretary, and her husband David, 54, a company director, who is Courtney's stepfather, are taking legal advice and demanding an independent inquiry into her death.

Research published in the Lancet found most children had only slight symptoms in the first four to six hours after the infection took hold but key indicators such as cold hands and feet and leg pain can appear after eight hours.

Traditional symptoms such as a headache, rash and stiff neck can take more than 13 hours to appear, the study found.

Kristian was admitted to City General Hospital in Derby on November 28 after a suspected lung infection. A doctor there said he had all the symptoms of meningitis, which can be passed on by close contact, but the illness was not confirmed and he was allowed home.

Mrs Williams first called Dr Graham, of Brooklyn Medical Practice in Heanor, after Courtney woke up feeling unwell on January 4 and he visited around 12.30pm.

Doctor 'seemed to take no notice'

She said she told him about Kristian's meningitis scare and said her daughter was complaining of a sore neck and head.

She said: "He listened to her tummy and said she had a stomach bug. He told me she needed to rest. He seemed to take no notice of what we said."

They rang the doctor a second time after noticing a rash on Courtney's arm and wrist at 6.15pm but he still did not think it was meningitis.

Yesterday a spokesman for Amber Valley Primary Care Trust described Courtney's death as "regrettable" and said officials were "deeply sorry".

But he added: "Through our work on this case we are happy that the actions of the GP were entirely appropriate and in line with good practice."

A spokesman for East Midlands Ambulance Service said: "We dealt with the requests from the GP appropriately and in accordance with normal protocol."