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Leonard J. Paulozzi, MD, MPH
Epidemiology Program Office Centers for Disease Control Atlanta Washington Department of Social and Health Services Olympia, Wash

Ron Munger, MPH, PhD
University of Washington Seattle

JAMA. 1985;253(18):2645.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Since July 1977, at least 80 sudden, unexplained nocturnal deaths (SUND) have been reported nationwide among young, previously healthy Southeast Asian male refugees in the United States. A series of the cases was recently described,¹ but the etiology of the problem remains unknown. We are writing to report an unusual presentation of this phenomenon, the sixth such case reported to date in the state of Washington.

Report of a Case.—

The victim was a previously healthy 30-year-old Laotian man who had emigrated to this country four years previously. Around 3 AM his wife noted that he was unresponsive and had tonic, clonic contractions in all four extremities. The contractions ceased after a few minutes, and the family was able to arouse him by shaking him and pouring water on his head. He woke up enough to carry on a conversation. When paramedics, who had been called . . . [Full Text PDF of this Article]

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