That's nasty.
Although, the photo isn't proven to be a fake, only the story was proven to be fabricated.
Anyway, I saw something equally nauseating and disgusting (but in a different way) on TV the other day, on Finnish channel 4 ("Nelonen"). It was a document about AMERICAN FAT BASTARD WOMEN and their mentally ill husbands/boyfriends who kept feeding them. The fattest poor thing weighted some hefty 350-360+ kilos, and almost died. The sight of such a slob laying on a king-size double bed and hogging (pun! haha) all the space, with her fat-tissue stretching all over the bed... also, her skin was brown/black and four centimetres thick in some places. Like an elephant.