The following is the official Coroner's report on the death of EJ Scovill, the late daughter of Mr. & Mrs. Robin Scovill (Christine Maggiore).  This document is public record;  a hard copy may be obtained by calling the Public Services Division of the Los Angeles County Department of Coroner at 323-343-0512.

 

I have appended brief footnotes after the document, commenting on one or two medical points that have been raised in public commentary.

 

 

 

Footnote 1:

EJ's lymphocyte count.  One lay commentator has claimed that it was high, and that this somehow refutes the diagnosis of AIDS.  Both of those statements are complete nonsense.  As is well known to pediatricians, the normal peripheral lymphocyte count in young children is much higher than that in adults;  in fact, the normal lymphocyte count does not come down to the adult level until the age of six.  Before that, normal peripheral lymphocyte counts in children of EJ's age are far above those of adults, because of the normal lymphocytosis of infancy.  See Nelson's Textbook of Pediatrics, 16th edition, Chap. 268, p. 1025 (2000) and Nelson's Textbook of Pediatrics, 17th edition, Chap. 254, p. 113 (2004).

 

Footnote 2:

Lack of inflammation in the lungs.  One lay commentator has claimed that the lack of inflammation in EJ's lungs "proves" that she did not have Pneumocystis carinii pneumonia.  This is nonsense.  In profoundly immunosuppressed patients, the absence of inflammatory infiltrates in PCP is normal and expected.  Interested readers will wish to consult Pediatric Pathology, by J. Thomas Stocker, MD and Louis P. Dehner, MD.  Philadelphia:  J.B. Lipincott Co., 1992, Chap. 11, p. 377, and Ackerman's Surgical Pathology, Seventh Edition.  St. Louis:  C. V. Mosby, 1989, p. 287, and later editions.