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April 6, 1994

The Dental AIDS Cases—Murder or an Unsolvable Mystery?

JAMA. 1994;271(13):983. doi:10.1001/jama.1994.03510370035024

To the Editor.  —I found the interview by Mr Breo1 concerning the unsolved dental AIDS cases of David Acer interesting. It seems to me there is one much more plausible and likely scenario. Given that all six cases had identical DNA sequences in the HIV, it seems only reasonable to conclude that Acer was the source. Furthermore, given the fact that no other dental or medical patients have ever been demonstrated to have become infected by routine procedures, it seems again reasonable to presume that this was an intentional act on the part of the dentist.In the discussion by Breo, only the contaminated blood is discussed. He mentions that blood could have been transmitted or intentionally injected by the dentist to the six patients. Wouldn't a more obvious source and more infective source be semen? Semen could be more easily mixed with lidocaine or substituted for lidocaine to