The late stages of MVD result in one of two potential outcomes: patients either succumb to the disease or enter a prolonged phase of recuperation. Typical preagonal symptoms include restlessness, obtundation, confusion, dementia, convulsions, reduced circulation due to severe dehydration, metabolic disturbances, severe diffuse coagulopathy, multiorgan failure, shock, and coma. Fatalities typically occur 8-16 days following the onset of symptoms, with death usually the resulting of shock and multiorgan failure. Non-fatal cases are typified by an extensive convalescent period during which myalgia, exhaustion, sweating, peeling of the skin at the sites of rash, partial amnesia, and secondary infections are all common. 