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He said she died as a result of bronchopneumonia with empyema due to invasive streptococcal infection.

A brief inquest hearing at the coroner's court in Chelmsford on Thursday heard Ms Baxter died from "combined fentanyl and promethazine toxicity with terminal bronchopneumonia".

The press secretary released a medical note stating that after a clinical evaluation, Lula was diagnosed with bacterial and viral bronchopneumonia caused by influenza A, and treatment has been initiated.

But Lenin's death certificate had said he died from bronchopneumonia.

A post-mortem examination concluded she had died from acute bronchopneumonia, but Mr Smith told the jury the pathologist was "mistaken" as Mr Monaghan had deliberately obstructed his daughter's breathing.