(351) One of the cases Hoti infected was a thirty-year-old teacher named Ljatif Muzza, who contracted an especially virulent form of hemorrhagic smallpox
. (352) Muzza was seen in no fewer than four medical institutions, exposing dozens of medical-care personnel with whom he came in close and prolonged contact, although no one suspected he had smallpox.
Is Early Hemorrhagic Smallpox Disseminated Intravascular Coagulation?
Results of studies of bleeding time, clotting time, and tourniquet tests in patients with early hemorrhagic smallpox were consistent with what might be expected with DIC (6).
Evidence is presented in four chapters concerning the 1763 introduction of smallpox (Variola major) via tainted blankets to Native groups around Fort Pitt; the 1832 forced transport of Choctaw people into the midst of a cholera (Vibrio cholerae) epidemic; an 1837 epidemic of hemorrhagic smallpox
(Variola vera) along the Upper Missouri River; and the 1847 poisoning of Native people in the Oregon territory.
Seneca elder and activist in Ohio and Native American studies scholar Mann describes deliberately giving smallpox to the Ohio Indians in 1763, marching the Choctaws into a cholera plague zone during their already genocidal Removal in 1832, sending hemorrhagic smallpox
to the High Plains peoples in 1837, and the poisoning of the Cayuses.
Less common, flat-type smallpox and hemorrhagic smallpox
had fatality rates that approached 100%, historically.
has a shorter incubation period with the
Pregnant women, for instance, and persons with compromised immunity are more likely than others are to develop hemorrhagic smallpox
, a severe and almost always fatal form of the disease.
, a rarer form involved massive internal bleeding and was almost uniformly fatal.
The daughter, unvaccinated since childhood and exposed to hemorrhagic smallpox
, developed an infection so mild as to produce no symptoms, yet developed serologic evidence of infection.
Pregnant women are more likely than nonpregnant women to have hemorrhagic smallpox
(purpura variolosa), a severe variety of the disease (30).
A well-known college athlete dies of hemorrhagic smallpox
. The rumor is reported that he was the victim of a new biological attack using a different organism since he did not develop the rash associated with classic smallpox.