Coroner says bodybuilder's failure to wipe rubber stopper resulted in his death from a massive bacterial infection in his heart at least 24 to 48 hours after the steroid injection. Coroner dismisses history of reported chest pains:
Source: http://www.yorkpress.co.uk/news/14283599.Inquest__York_gym_instructor__34__died_after_steroid_injections_led_to_infection/ (Inquest: York gym instructor, 34, died after steroid injections led to infection (From York Press))
However, consultant pathologist Dr Andrew Clarke told the inquest that the only clue to death lay in the drug use.
Dr Clarke said although the "paraphernalia" of needles and syringes were meticulously laid out in Mr Johnson's gym bag, he could find no sign of any sterile wipes he could have used to clean the small rubber cap over the vial of steroid.
He said: "There was no form of sterilising swab, which was unusual given all the other paraphernalia there. Although he was using sterile needles, there was no mechanism of cleansing the vial or the rubber cap to the vial of liquid he was injecting himself with. It is most likely the cap got infected."
Because of this, he told the coroner that he believes Mr Johnson, who was originally from Stockton-on-Tees, contracted a dangerous bacterial infection from something as simple as dirt on his finger passing on to the bottle top.
Dr Clarke said that even though Mr Johnson was careful to change needles between drawing the liquid into the syringe and injecting himself, the infection could have got from the cap into the liquid, and from there into his blood stream and ultimately his heart tissue.
In 20 years of practice, the pathologist said he had never seen such a large growth of bacteria in a person, and once the bacteria had begun to multiply in his heart it would have interfered with the the way it worked, meaning Mr Johnson "effectively had a heart attack" and would have been unlikely to have known what was happening, Dr Clarke added.
He went on to tell Mr Johnson's parents that it was unlikely some chest pains their son felt some months earlier had anything to do with his death.
The bacteria could have circulated in his blood stream - probably for at least 24 to 48 hours before his death - causing no symptoms until it affected his heart.
Dr Clarke added: "If it had been diagnosed, it would have been treatable. The problem is that when an organism grows through the conducting tissue of the heart it interrupts the conducting mechanism of the heart and stops the natural beating and death is instant."
Source: http://www.yorkpress.co.uk/news/14283599.Inquest__York_gym_instructor__34__died_after_steroid_injections_led_to_infection/ (Inquest: York gym instructor, 34, died after steroid injections led to infection (From York Press))