Cases 3 and 4-A 70 year old man and his 60 year old wife were found dead by the police in a bungalow adjoining those of the patients in cases 1 and 2. It was reported that the couple had previously and simultaneously complained of headache, nausea, and dizziness. Their skin and mucosa showed pink discoloration. At necropsy the heart and great vessels were engorged by blood whose carbon monoxide saturation was 75 %O/. Multiple pinpoint
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