PEDIATRICS Vol. 91 No. 4 April 1993, pp. 852-853
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Sudden Infant Death Syndrome and Sleeping Position

JOHN KATTWINKEL MD1, JOHN G. BROOKS MD2, and DAVID MYERBERG MD3

1 University of Virginia, Charlottesville, Virginia
2 University of Rochester, Rochester, New York
3 University of West Virginia, Morgantown, West Virginia

In Reply.—

Dr Nichols describes a baby who was found dead in the supine position after having been placed prone. The presence of lymphocytes and milk globules in the lung suggests that this baby may have been experiencing chronic aspiration. The relationships of these findings to the baby's death and sleeping position are thought-provoking and open to several interpretations. Is Dr Nichols proposing that the chronic aspiration was occurring in the baby's usual prone position, but that death did not occur until the baby rolled supine?


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