This rare medical combination occurs when a bacterial infection arises as a complication of a viral respiratory illness, and it is often fatal if not treated promptly.
Paeniclostridium sordellii is a highly aggressive bacterium capable of rapidly entering the bloodstream, leading to widespread infection and multi-organ failure.
The coroner’s report detailed that Koonce’s left lung exhibited acute inflammation and fluid buildup consistent with severe pneumonia.
The bacterial infection was found both in her lung tissue and bloodstream, confirming the development of sepsis — a life-threatening systemic response in which the body’s immune system, overwhelmed by infection, begins to damage its own tissues and organs.
Dr. Baden noted that Avery likely displayed classic pneumonia symptoms for several days, including persistent coughing, fatigue, shortness of breath, and fever.

She attended Thrall High School in Taylor, Texas, where she excelled as a track and field athlete, specializing in sprint events.
Her coaches praised her discipline, determination, and natural talent, and she earned recognition both on the track and in the classroom.
At USAFA, she continued her athletic pursuits as a member of the women’s track and field team, balancing the demanding combination of military training, academic rigor, and competitive athletics — a feat that demonstrated her resilience and commitment.
Coaches and fellow cadets described her as focused, disciplined, and warm-hearted, someone who embodied the core values of the Academy while inspiring those around her.
Lieutenant General Tony Bauernfeind, Superintendent of the USAFA, reflected on Avery’s dedication and character, stating, “Avery was an incredible teammate and cadet, and her loss will be felt across the entire Academy.
Her parents, Eric and Kelly Koonce, described their daughter as “an incredible bright light in this broken world,” noting that her absence leaves a void that no one can fill.
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