Researchers Diagnose Herod the Great (2024)

ByABC News

January 24, 2002, 11:52 AM

Jan. 25 -- He was a ruthless man who died a miserable death.

More than 2,000 years after Herod the Great succumbed at age 69, doctors have now settled on exactly what killed the king of ancient Judea: chronic kidney disease complicated by a very uncomfortable case of maggot-infested gangrene of the genitals.

The clues to Herod's diagnosis were listed in ancient history books and, according to Jan Hirschmann, the lead diagnosing doctor in the case, included "intense itching, painful intestinal problems, breathlessness, convulsions in every limb and gangrene of the genitals."

Rare Affliction

Hirschmann, who is a physician at the Veterans Affairs Puget Sounds Health Care System in Washington state, said chronic kidney disease could explain nearly all of Herod's symptoms. However, he said the king's case of gangrene (now a rare condition known as Fournier's gangrene) could not be explained by kidney disease and was "unusual."

Hirschmann suspects one of three conditions likely introduced Fournier's gangrene to the leader's "privy parts." An infection in Herod's abdomen could have spread to his groin and rectal areas (Herod is said to have complained of abdominal pain).

He may have sexually contracted gonorrhea, which could have led to an infection of the urethra — the tube connecting the bladder to the outside world. This infection could have cause urine to leak inside the king's body, spreading bacteria.

Finally, since reports indicate the king "had a terrible desire to scratch himself," this scratching could have introduced gangrene directly into the area.

Records also indicate the swelling at the leader's groin was further wracked by an infestation of worms. Hirschmann says what may have looked like "worms" could have actually been shredded pieces of skin, although, he says there is a possibility they were real.

"There could have been maggots feeding on the tissue," said Philip Mackowiak, chief of the Medical Care Clinical Center at the Veterans Affairs Maryland Healthcare System, who oversees an annual conference at the center to diagnose historical figures. "It's tough to know how long he was suffering but it was probably months, possibly a couple years."

Researchers Diagnose Herod the Great (2024)

FAQs

Researchers Diagnose Herod the Great? ›

A medical explanation for his death is attempted. A parasitism caused by Schistosoma haematobium is suggested as the etiology for chronic renal failure (edema, halitosis and orthopnea) and a "gangrene of genitalia that engendered worms" in the words of Josephus.

What illness did Herod the Great suffer from? ›

A medical explanation for his death is attempted. A parasitism caused by Schistosoma haematobium is suggested as the etiology for chronic renal failure (edema, halitosis and orthopnea) and a "gangrene of genitalia that engendered worms" in the words of Josephus.

What was the skin disease of King Herod? ›

Only about 500 cases of Fournier's gangrene have been recorded in the medical literature. It is caused when Staphylococcus, Streptococcus or E. coli bacteria infects and starts to rapidly kill cells, turning tissue black. Historical texts record Herod's 36-year reign as brutal and ruthless.

How do we know when Herod the Great died? ›

Scholars believe Herod died in the year 4 BC. The Jewish historian Flavius Josephus recorded details of his death, telling of symptoms that included intense itching, intestinal pain, shortness of breath, convulsions, and gangrene of the genitalia. Hirschmann used these texts to make his diagnosis.

What did Herod do that was so bad? ›

Tricked by the Magi, the wise men whom Herod had sent to determine where the infant was, a raging Herod decreed that all children 2 and under who live near Bethlehem are to be killed. The Gospel of Matthew contains the famous account of this “slaughter of the innocents,” and of Mary, Joseph and Jesus' flight to Egypt.

Who died of worms in the Bible? ›

On the appointed day Herod, wearing his royal robes, sat on his throne and delivered a public address to the people. They shouted, "This is the voice of a god, not of a man." Immediately, because Herod did not give praise to God, an angel of the Lord struck him down, and he was eaten by worms and died.

What were the atrocities of Herod? ›

Biblical narrative

When Herod realized that he had been outwitted by the Magi, he was furious, and he gave orders to kill all the boys in Bethlehem and its vicinity who were two years old and under, in accordance with the time he had learned from the Magi.

How old was Jesus when Herod the Great died? ›

Subtracting 30 years, it appears that Jesus was born in 1-2 BC. However, if the phrase "about 30" is interpreted to mean 32 years old, this could fit a date of birth just within the reign of Herod, who died in 4 BC.

How did Joseph find out that Herod had died? ›

“19 When Herod died, an angel of the Lord appeared in a dream to Joseph in Egypt. 20 “Get up!” the angel said. “Take the child and his mother back to the land of Israel, because those who were trying to kill the child are dead.” 21 So Joseph got up and returned to the land of Israel with Jesus and his mother.

Who was alive at the same time as Jesus? ›

The existence of John the Baptist within the same time frame as Jesus, and his eventual execution by Herod Antipas is attested to by 1st-century Roman-Jewish historian Josephus and the overwhelming majority of modern scholars view Josephus' accounts of the activities of John the Baptist as authentic.

Who was the king at the time of Jesus' crucifixion? ›

Judea was divided between his three sons: Herod Antipas, Archelaus, and Philip. Herod Antipas took control of Galilee, and is the ruler responsible for the deaths of both John the Baptist and Jesus Christ in the Christian Bible.

What happened to King Herod's son? ›

The marriage served to strengthen the position of Antipater among Herod's many sons as future King of the Jews. Antipater was killed by his father five days before Herod's own death according to Josephus. (Some records indicate a period of two years between Antipater's death and Herod the Great's death).

Who was the emperor of Rome when Jesus was born? ›

When Jesus was born, Caesar Augustus was the emperor of Rome. He was the adopted son of Julius Caesar, and he ruled as the emperor of Rome for 45 years. The word "Augustus" means "the exalted".

Was King Herod ill? ›

Herod died in Jericho, after an excruciatingly painful, putrefying illness of uncertain cause, known to posterity as "Herod's Evil". Josephus states that the pain of his illness led Herod to attempt suicide by stabbing, and that the attempt was thwarted by his cousin.

What was King Herod's reaction? ›

King Herod's Response

When King Herod heard of this star he was “troubled, and all Jerusalem with him.” King Herod became so angry at the possibility of a King greater than himself, he ordered, according to verse 16, “that all the boys in Bethlehem and the surrounding vicinity, under the age of two be killed.”

How old was Jesus when Herod died? ›

Subtracting 30 years, it appears that Jesus was born in 1-2 BC. However, if the phrase "about 30" is interpreted to mean 32 years old, this could fit a date of birth just within the reign of Herod, who died in 4 BC.

What happened to King Herod after Jesus died? ›

After an unsuccessful attempt at suicide, Herod died. His final testament provided that, subject to Augustus's sanction, his realm would be divided among his sons: Archelaus should be king of Judaea and Samaria, with Philip and Antipas sharing the remainder as tetrarchs.

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