title: Philemon and Baucis Death? Two cases of double deaths of married couples.
abstract: When two human corpses are found in temporal and locational context the assumption of a non-natural cause of death is close at hand. Suicide, extended suicide, homicide or accident (particularly with carbon monoxide) come to mind. When, however, a natural cause of death emerges for both after autopsy and further examinations, this provokes the question whether this incidence is coincidental. In our two presented cases, a married couple each was found dead together. In both cases, the wife needed nursing and was being cared for by a husband who died of cardiac disease shortly before the wife died. In one case, the wife died of acute uncompensated chronic congestive heart failure. In the other case, the cause of death of the wife was hypovolemic shock due to acute gastrointestinal bleeding from recurrent gastric mucosal erosion. It is to be discussed for both cases whether, given the pre-existing illness, the acute stress of the situation in view to the husbands' death may at least have favored the occurrence of death and may, thus, have led to the criminologically conspicuous situation of finding.
authors.affiliation: Department of Legal Medicine, University of Giessen, Frankfurter Strasse 58, D-35392 Giessen, Germany.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Ciesiolka
authors.forename: Manfred
authors.initials: M
authors.lastname: Risse
authors.forename: Bernd
authors.initials: B
authors.lastname: Busch
authors.forename: Marcel A
authors.initials: MA
authors.lastname: Verhoff
mesh_terms: D000368:Aged; D003328:Coronary Thrombosis / Q000150:complications / Q000473:pathology; D005260:Female; D049429:Forensic Pathology; D005753:Gastric Mucosa / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000473:pathology; D006333:Heart Failure / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D012598:Sclerosis; D012769:Shock / Q000209:etiology; D018454:Spouses; D013315:Stress, Psychological / Q000150:complications