Earlier this month, we reported on the unexplained withdrawal of a case report from the American Journal of Medicine whose authors said they had treated a man in St. Louis who used krokodil, a homemade mixture of prescription painkillers
heroin and flammable contaminants that has proven deadly in Russia.
At the time, all the journal’s publisher, Elsevier, would say about why the article was removed was that there was “a permission problem that the originating institution is working to resolve.”
The paper has now reappeared. And contrary to the notice that appeared on the withdrawal — “A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated” — the article says nothing about why it was removed.
Forensic Tox Guy, who was highly critical of the earlier version, wrote this morning that the new paper is “much cleaner and coherent” but that “not much has changed between the two versions.” He concludes:
At the end of the day, I do agree that physicians (and other people) need to be aware of this drug. This article will make people aware, but I still await some real scientific evidence that krokodil is in the USA. Until we see evidence, it is illogical to be here and I remain a skeptic.