Complications of bubonic plague
Patient is displaying acral necrosis of nose, lips, fingers, and residual ecchymosis over both forearms. He is recovering from bubonic plague that disseminated to blood and lungs, and made entire body ecchymotic at one point.
**Ecchymosis is the term for a subcutaneous purpura greater than 1 cm in diameter, or a hematoma (bruise). This man’s entire body was covered in subcutaneous blood and would have looked like a giant bruise.  
Textbook of Military Medicine. Washington, DC, US Department of the Army, Office of the Surgeon General, and Borden Institute. 1997:493

Complications of bubonic plague

Patient is displaying acral necrosis of nose, lips, fingers, and residual ecchymosis over both forearms. He is recovering from bubonic plague that disseminated to blood and lungs, and made entire body ecchymotic at one point.

**Ecchymosis is the term for a subcutaneous purpura greater than 1 cm in diameter, or a hematoma (bruise). This man’s entire body was covered in subcutaneous blood and would have looked like a giant bruise. 

Textbook of Military Medicine. Washington, DC, US Department of the Army, Office of the Surgeon General, and Borden Institute. 1997:493

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