The daughter of a woman known as the "matriarch of the family" has paid tribute to her after she died from tuberculosis.

Nayana Kasan was aged 66 when she died on December 4 last year. 

Mrs Kasan has been described as a "compassionate" and "hard-working" woman who was the matriarch of her family. 

A four-day jury inquest into her death was held last week at Bolton Coroners' Court. 

The inquest heard how Mrs Kasan fell ill following a trip to her native India and deteriorated on a family holiday in Scarborough, before being admitted to the local hospital. 

A possible diagnosis of cancer was suggested and she was told to return home, where she could receive a biopsy at Royal Bolton Hospital. 

Upon arrival back in Bolton, her condition worsened until the point she was admitted into hospital at the end of November. 

Mrs Kasan's condition continued to deteriorate and she died on December 4. 

Her medical cause of death was recorded as disseminated tuberculosis, with underlying causes of ulcerative colitis and its treatment, including azathioprine and adalimumab causing immunosuppression. 

The jury deliberated on Thursday, October 17, and gave its conclusion that afternoon. 

In their summary of the circumstances around her death, they said: "It was not possible to identify exactly when the deceased's tuberculosis infection began but screening in May 2022 for exposure to tuberculosis was negative. 

"Immunosuppressant drugs taken by the deceased are known to have a specific, negative effect on the body's ability to fight a tuberculosis infection. 

"These were withheld after being discharged from Scarborough Hospital but they will have persisted in her system for some time." 

Their conclusion reads: "Nayana Kasan died as a consequence of disseminated tuberculosis, contributed to by immunosuppression arising from ulcerative colitis and its necessary treatment." 

Nayana’s daughter Cheryl Kasan, 38, gave a statement after the inquest.

She said: “My mum’s death has been devastating for all the family.

"We have lost such an integral part of our lives and will forever be in shock over the events that led to losing her.

"My mum was a hard-working woman and was the matriarch of the family.

"We miss her terribly and hope that if any lessons need to be learned from her treatment, that this is done to prevent other patients from suffering as she did.” 

Rachael Heyes, a medical negligence solicitor at JMW who is handling the family’s legal case against York and Scarborough Teaching Hospitals NHS Foundation Trust and Bolton NHS Foundation Trust, said: “We are grateful to the coroner and jury for considering the circumstances of Nayanaben’s death.

"I will be investigating whether legal action should be taken against the hospital trusts for medical negligence.” 

In response, a York and Scarborough Teaching Hospitals NHS Foundation Trust spokesperson said: “Our sympathies go to Mrs Kasan’s family at this difficult time.

“We cooperated fully with the coroner’s investigation and welcome the inquest conclusion. 

"Due to ongoing legal proceedings, it would be inappropriate for us to comment further.” 

Bolton NHS Foundation Trust has also been approached for comment.