Balci Yasemin, Tok Mehmet, Kocaturk B Kenan, Yenilmez Cinar, Yirulmaz Coşkun
Department of Forensic Medicine, Medical Faculty, Osmangazi University, Eskişehir, Turkey.
J Forensic Leg Med. 2007 Feb;14(2):87-91. doi: 10.1016/j.jcfm.2006.01.004.
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.
双胞胎同时突然死亡的情况很少发生，因此在医学文献中受到的关注有限。当双胞胎的死亡各自符合婴儿猝死综合征（SIDS）的既定标准，且发生在同一24小时范围内时，可称为同时性婴儿猝死综合征（SSIDS）。病例：一对3.5个月大的双胞胎女婴被母亲发现死在婴儿床里，两人均为仰卧位。这对婴儿是同卵双胞胎，在一家医院通过剖宫产出生。两个婴儿都很健康，没有任何严重病史。事件发生前两天，这对双胞胎接种了第二剂口服脊髓灰质炎疫苗、百白破疫苗和第一剂乙肝疫苗，接种第一天出现发热，并服用了一茶匙对乙酰氨基酚。死亡现场调查、司法调查、家长评估、大体和显微镜下尸检结果以及毒理学分析均未得出任何具体死因。该病例被提交给伊斯坦布尔司法部法医研究所一个由多学科医学专业人员组成的最高委员会。委员会认定现有数据符合婴儿猝死综合征的情况。之所以呈现这些婴儿猝死综合征病例，是因为双胞胎婴儿猝死综合征很罕见，且这是土耳其首次报告同时性双胞胎婴儿猝死综合征。同时性婴儿猝死综合征病例在定义、诊断和法医学处理方面有诸多影响。
