Excerpt of Germ by Robert Liparulo

Hardly resembling a man anymore, the thing on the bed jerked and thrashed like a nocturnal creature dragged into the light of day. His eyes had filled with blood and rolled back into his head, so only crimson orbs glared out from behind swollen, bleeding lids. Black flecks stained his lips, curled back from canted teeth and blistered gums. Blood poured from nostrils, ears, fingernails. Flung from the convulsing body, it streaked up curtains and walls and streamed into dark pools on the tile floor.

Despesorio Vero, clad in a white lab coat, leaned over the body, pushing an intratrachael tube down the patient's throat; his fingers were slick on the instrument. He snapped his head away from the crimson mist that marked each gasp and cough. His nostrils burned from the acidic tang of the sludge. He caught sight of greasy black mucus streaking the blood and tightened his lips. Having immersed his hands in innumerable body cavities--of the living and the dead--few things the human body could do or produce repulsed him. But this . . . He found himself at once steeling his stomach against the urge to expel his lunch and narrowing his attention to the mechanics of saving this man's life.

Around him, patients writhed on their beds. They howled in horror and strained against their bonds. Vero ached for them, feeling more sorrow for them than he felt for the dying man; at least his anguish would end soon. For the others, this scene would play over and over in their minds- -every time an organ cramped in pain; when the fever pushed beads of perspiration, then blood, through their pores; and later, during brief moments of lucidity.

The body under him abruptly leaped into an explosive arch. Then it landed heavily and was still. One hand on the intratrachael tube, the other gripping the man's shoulder, Vero thought mercy had finally come--until he noticed the patient's skin quivering from head to toe. The man's head rotated slowly on its neck to rest those pupil-less eyes on the doctor. With stuttering movements, as if a battle of fierce wills raged inside, the eyes rolled into their normal position. The cocoa irises were difficult to distinguish from the crimson sclera.

For one nightmarish moment, Vero looked into those eyes. Gone were the insanity of a diseased brain and the madness that accompanies great pain. Deep in those bottomless eyes, he saw something much worse.

He saw the man within. A man who fully realized his circumstances, who understood with torturous clarity that his organs were liquefying and pouring out of his body. In those eyes, Vero saw a man who was pleading, pleading . . .

The skin on the patient's face began to split open. As a gurgling scream filled the ward, Vero turned, an order on his lips. But the nurses and assistants had fled. He saw a figure in the doorway at the far end of the room.

"Help me!" he called. "Morphine! On that cart . . ."

The man in the doorway would not help.

Karl Litt. He had caused this pain, this death. Of course he would not help.

Still, it shocked Vero to see the expression on Litt's face. He had heard that warriors derived no pleasure from taking life; their task was necessary but tragic. Litt was no warrior. Only a monster could look as Litt did upon the suffering of the man writhing under Vero. Only a monster could smile so broadly at the sight of all this blood.