A Creepy Fact of the Day: bulge

bulge - to stick out in a rounded shape, especially because something is very full or too tighte.g. Within three days of death, the enzymes that once digested your dinner begin to eat you. Ruptured cells become food for living bacteria in the gut, which release enough noxious gas to bloat the body and force the eyes to bulge outward.

Question: Is the girl in the picture below dead or not? If not, why is she still alive?