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KMID : 0357820220460030085
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Korean Journal of Legal Medicine
2022 Volume.46 No. 3 p.85 ~ p.89
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Infantile Death by Overlaying: Report of Seven Autopsy Cases
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Ha Hong-Il
Lee Sol-A
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Abstract
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Overlaying refers to mechanical asphyxia caused by an adult sleeping on an infant due to deep sleep or external intoxication. We analyzed seven cases (6.6%) of overlaying death out of 106 sleep-related infantile death autopsy cases from January 2018 to March 2021. They were all boys, with an average age of 132.3 (63-244) days, and were sleeping with their inebriated parents. In autopsy, only non-specific findings such as facial congestion, pressure marks, scratches, and froth in the nose and mouth were noted. In the sleep-related infantile death investigation, thorough investigation of the death scene and the previous history are essential for diagnosis, because autopsy findings are minimal or non-specific in most cases. Victims of overlaying and sudden infantile death syndrome show similar clinical and autopsy findings. Therefore, special attention are required for the differential diagnosis.
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KEYWORD
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Sudden infant death, Autopsy, Asphyxia
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