Abdominal pain related to adulterated opium:An emerging issue in drug addicts  

作　　者：Maryam Vahabzadeh Bruno Megarbane 

机构地区：[1]Medical Toxicology Research Center,Mashhad University of Medical Sciences,Mashhad,Iran [2]Department of Medical and Toxicological Critical Care,Lariboisière Hospital,Paris-Diderot University,INSERM UMRS-1144,Paris 75010,France

出　　处：《World Journal of Psychiatry》2020年第5期95-100,共6页世界精神病学杂志

摘　　要：Lead may contaminate opium,heroin and illicit opiates and is particularly observed in Iran.Lead,a natural heavy metal is able to interfere with several organ functions after ingestion or inhalation.Lead poisoning manifestations are non-specific and thus lead poisoning remains difficult to diagnose.Among the manifestations,abdominal pain is almost the most frequent symptom causing patients to seek medical care.In patients with a history of opium addiction presenting with moderate-to-severe abdominal pain,lack of diagnosis of lead toxicity may thus result in time-consuming and unnecessary medical work-ups that can end up in invasive surgery.This paper aims to briefly review abdominal pain as an emergency issue and the leading symptom of lead poisoning that brings most of the patients to healthcare facilities.All published adult cases and case series of opium addicts admitted with abdominal pain due to leadadulterated opium consumption have been reviewed.A trend of increasing numbers of lead poisoning cases has recently emerged among opium addicts in Iran.Due to the non-specific manifestations and hazardous effects,psychiatrists and emergency physicians should consider lead poisoning in patients with a past or present history of opium addiction referred for acute abdominal pain,particularly in case of colicky abdominal pain.

关 键 词：ADDICTION OPIUM Lead POISONING Abdominal pain TOXICITY 

分 类 号：R749.64[医药卫生—神经病学与精神病学]