To the Editor.—
The cause of sudden, unexplained death in infancy remains unanswered despite extensive investigation. According to Beckwith,1 approximately 85% of infants who die suddenly and unexplainedly fall into this category of the sudden infant death syndrome, in which no acceptable causes of death are uncovered by postmortem study. Less frequently, a specific cause of death can be found by careful autopsy. We describe a case of a 3-month-old infant whose sudden death could be attributed to adrenal insufficiency from old hemorrhage of both adrenal glands.
Report of a Case.—
A 3-month-old male infant was dead on arrival at the emergency room of the Methodist Hospital of Gary, Ind. The baby was said to have been in good health. He weighed 3,200 g at birth and had an uneventful neonatal course, with weight gain of 2,880 g in three months. According to his mother, on the night of