Hypoxanthine concentrations in vitreous humor were determined in 107 c
ases of sudden infant death syndrome (SIDS) and compared with levels i
n 4 cases of borderline SIDS, 26 cases of infectious death and 16 case
s of sudden violent death. The hypoxanthine measurements were made usi
ng a highperformance liquid chromatography method. The hypoxanthine le
vels were significantly (p < 0.01) higher in SIDS than in violent deat
hs, while no significant difference was found between SIDS and infecti
ous deaths. The present report demonstrates a similar distribution pat
tern of hypoxanthine levels in vitreous humor in SIDS and infectious d
eath. We have previously described signs of immune stimulation both in
peripheral organs and in the central nervous system in these conditio
ns. This indicates that the death mechanism in SIDS has some similarit
ies with infectious death,