SIDS or Murder?
1 County of Bexar, Office of the Medical Examiner, Regional Crime Lab Building, 600 N Leona St, San Antonio, TX 78207
To the Editor.
It was with resignation that I read the paper by Oren et al1 about SIDS and familial occurrence. It is my opinion, as well as that of a number of other forensic pathologists to whom I showed the article, that the five deaths in group I of this article (infants born to families with two or more siblings who died of SIDS) are in all medical probability homicides by smothering. The individual clinical findings of these cases is not given, but from experience, I would say that one or more of these children in each family were brought to physicians and emergency rooms a number of times with a history of apneic episodes, that, if admitted, they never experienced these episodes in the hospital (unless they were alone with a parent), and that they were subsequently brought in dead after suffering a fatal apneic episode.




