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People are usually conscious until death or shortly before. [ 42 ] Autopsy reveals petechiae and bleeding in the spleen, kidney, serous membranes , skeletal muscles, pericardium , liver, gonads and bladder. [ 40 ] Historically, this condition was frequently misdiagnosed, with the correct diagnosis made only at autopsy. [ 40 ] This form is more likely to occur in pregnant women than in the general population (approximately 16% of cases in unvaccinated pregnant women were...