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Dr Nixon's remarks raise several points regarding missing details of our case report—details that were omitted for the purpose of brevity and clarity.
The boyfriend was injecting our patient with kerosene in revenge for her attempts to leave him. This unusual act was performed in his apartment when our patient was not in control of her full senses—after being drugged with a hypnotic agent concealed in a drink and administered by the boyfriend. The boyfriend continued to inject kerosene into our patient's knees and other superficial sites, inducing superficial and deep multiple abscesses.
In addition, it was later learned that the boyfriend had murdered his wife three years earlier in a similar manner, using a mixture of wallpaper glue, shaving lotion, and kerosene, causing multiple abscesses; the cause of the abscesses was not found at that time.
Our patient's paraplegia never resolved; today, 18 months following the act, she is
Rubinstein E. Kerosene-Induced Abscesses-Reply. Arch Intern Med. 1985;145(9):1743. doi:10.1001/archinte.1985.00360090219046