title: Simultaneous sudden infant death syndrome.
abstract: The simultaneous sudden deaths of twins rarely occur and therefore it has received limited attention in the medical literature. When the deaths of the twins meet the defined criteria for sudden infant death syndrome (SIDS) independently and take place within the same 24 h range it can be called as simultaneous SIDS (SSIDS). The case(s): Twin girls (3.5-month-old) were found dead by their mother in their crib, both in supine position. The infants were identical twins and delivered at a hospital by cesarean section. Both infants were healthy and did not have any serious medical history. Two days prior to the incident, the twins had received the second dose of oral polio, DPT and the first dose of hepatitis B vaccines and they had fever on the first day of the vaccination and been given teaspoonful of acetaminophen. Death scene investigation, judicial investigation, parental assessment, macroscopic and microscopic autopsy findings and the toxicological analysis did not yield any specific cause of death. The case(s) were referred to a supreme board composed of multidisciplinary medical professionals at the Institute of Forensic Medicine, Ministry of Justice, in Istanbul. The Board decided that the available data was consistent with SIDS. These SIDS case(s) are presented because twin SIDS are rare and this is the first time that a simultaneous twin SIDS have been reported in Turkey. Simultaneous SIDS cases have many implications regarding definition, diagnosis and medico-legal approach.
authors.affiliation: Department of Forensic Medicine, Medical Faculty, Osmangazi University, Eskişehir, Turkey. ybalci@ogu.edu.tr
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Balci
authors.forename: Mehmet
authors.initials: M
authors.lastname: Tok
authors.forename: B Kenan
authors.initials: BK
authors.lastname: Kocaturk
authors.forename: Cinar
authors.initials: C
authors.lastname: Yenilmez
authors.forename: Coşkun
authors.initials: C
authors.lastname: Yirulmaz
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D015721:Diphtheria-Tetanus-Pertussis Vaccine / Q000008:administration & dosage; D005260:Female; D005334:Fever / Q000188:drug therapy; D005554:Forensic Medicine; D017325:Hepatitis B Vaccines / Q000008:administration & dosage; D006801:Humans; D007223:Infant; D007668:Kidney / Q000473:pathology; D008099:Liver / Q000473:pathology; D008168:Lung / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D011055:Poliovirus Vaccine, Oral / Q000008:administration & dosage; D013398:Sudden Infant Death; D014421:Turkey; D014427:Twins
chemical_list: D018712:Analgesics, Non-Narcotic; D015721:Diphtheria-Tetanus-Pertussis Vaccine; D017325:Hepatitis B Vaccines; D011055:Poliovirus Vaccine, Oral; D000082:Acetaminophen