Continuity mistake: This is in the same universe as the other Arkham games yet Poison Ivy's gone from being green in Arkham Asylum and Arkham City to being just regular looking in this game.
Batman: I am vengeance. I am the night. I am Batman.
Question: How could Batman be infected if he cured himself of the Joker's poisoned blood in Arkham City?
Answer: He was exposed to the fear toxin when it was unleashed on Gotham City.
How does that explain him being still being infected? The four people he had at Panessa studios were infected by a blood transfusion but Batman cured himself of his. Plus, the fear toxin only makes a person see their worst fear.
Answer: He was infected through a blood transfusion.
The Joker infected Batman with a blood infusion in Arkham City but Batman cured himself so, it would make no sense for him to still be infected.
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Answer: He was exposed to a toxin bomb, so he probably got a bigger dose of the fear toxin.
The fear toxin only makes a person see their worst fear. It doesn't make them physically transform into it.