Smallpox Manifestations and Survival during the Boston Epidemic of 1901 to 1903

Figure 5. The patient at day 4 ( ), day 6 ( ), and day 11 ( ) after the onset of illness. There appear to be purpuric lesions
on days 6 and 11. A diagnosis of a hemorrhagic form of smallpox had been considered by staff shortly after admission. The
patient died on day 12. (From clinical records of the Southampton Street smallpox hospital, Francis A. Countway Library of
Medicine, Boston Medical Library, Boston.).
A 23-year-old unvaccinated woman with variola vera.topmiddlebottom
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Ann Intern Med
December 17, 2002
vol. 137
no. 12
993-1000