Can deep tooth decay lead to death if gone untreated?

Technically yes: An infection is an infection regardless of the cause. If the deep decay cause a major infection that spreads and compromises the rest of the body, death can result. Before antibiotics, tooth infections were one of the leading causes of death. That's why so many teeth were extracted at that time.

Very rare: This can happen but is is very rare. Tooth decay is caused by bacteria and if left untreated there is usually pain and swelling that is localized around the tooth. But it can have systemic effects if it is not treated. See a dentist asap.

Yes: Extensive decay can lead to serious infection. In the upper jaw that infection can get to your brain. In the lower jaw an infection can progress under your jaw closing off your throat. This is called ludwig's angina. Just recently an untreated boy died in baltimore.

Tooth decay: Tooth decay is an infection. Any infection can and will spread via your blood stream to other organ systems. Yes, people have died from untreated infections, including tooth infections. Please seek competent (as opposed to bargain) treatment. You need to see a Dentist immediately.