Garudapurana 1.163.15

1.163.15

dūṣayitvā tu dīrghānuvṛttasthūlakharātmikām /
granthīnāṃ kurute mālāṃ saraktāntīvrarugjvarām //

And corrupting them, produces a garland of nodules that are elongated, rounded, thick, and rough,
accompanied by blood, intense pain, and fever;