April 4, 1889, Karam suffered from pneumonia worse than the first one. He called his private doctor Paul Shanize who examined him and declared that our hero's life is in danger. After two days he had a heart attack. It was his last hours. Doctors asked his friends to stay next to him. Karam knew that he was going to die, but what hurt him the most was that he was going to die away from his homeland. He thought of his funeral, thus he revealed to his confessor, the Father Karoubim, that he wants a decent funeral and burial. He gave him an amount of money for this purpose, he gave as well the Baroness Vetry another amount in order to buy candles and flowers and put them on his coffin and tomb.