• Internal medicine journal · Feb 2020

    Case Reports

    Lead poisoning associated with illicit opium use.

    • Joshua Wong, Elyssia Bourke, Vanessa Roberts, Seok M Lim, Douglas Johnson, Peter S Hamblin, Harin Karunajeewa, and Shaun Greene.
    • Department of General Medicine, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
    • Intern Med J. 2020 Feb 1; 50 (2): 239-242.

    AbstractLead poisoning is an uncommon and challenging diagnosis to make. In 2018, The Victorian Department of Health issued a health warning following four cases of lead poisoning associated with illicit opium use in Melbourne, Australia. We present these cases to highlight clinical features and the relevant investigations leading to diagnosis. All cases occurred in recent immigrants to Australia, who had access to non-traditional sources of opioids. Health care professionals should consider lead poisoning in patients with appropriate symptoms and a history of illicit opium use.© 2020 Royal Australasian College of Physicians.

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