The Major Medical Complications of Heroin Addiction
Authors: DONALD B. LOURIA
Journal: Annals of Internal Medicine (1967)

Article1 July 1967The Major Medical Complications of Heroin AddictionDONALD B. LOURIA, M.D., F.A.C.P., TERRY HENSLE, B.S., JOHN ROSE, B.S.DONALD B. LOURIA, M.D., F.A.C.P.Search for more papers by this author, TERRY HENSLE, B.S.Search for more papers by this author, JOHN ROSE, B.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-1-1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAn estimated 60,000 to 120,000 persons in the United States are addicted or habituated to opiates, the former defined as physical dependence on the drugs, the latter as chronic use without actual physical dependence. Additional thousands use opiates illicitly, intermittently or occasionally. Approximately 90% of the narcotic addicts or habitués take heroin, almost all the rest using hydromorphone (Dilaudid®), meperidine (Demerol®), metopon, morphine, codeine, or methadone (1). The heroin that reaches the illicit user usually originates in the mid-East or Far East, is converted into morphine, and then in illegal laboratories is acetylated to diacetylmorphine (heroin). From these laboratories, usually...References1. Traffic in Opium and Other Dangerous Drugs for the Year Ended Dec. 31, 1964. U. S. Government Printing Office, Washington, D. C., 1965. Google Scholar2. HELPERN M: Interim report on narcotic program, Aug. 12, 1963. Summarized in NAPAN (National Association for the Prevention of Addiction to Narcotics) Newsletter 2: no. 2, 1964. Google Scholar3. COHENKAYE DND: Staphylococcal endocarditis in a heroin addict with Marfan's syndrome. Report of a case. New York J. Med. In press. Google Scholar4. HELPERNRHO MY: Deaths from narcotism in New York City. 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Addict. 1: 99, 1966. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, New YorkFrom the Infectious Disease Laboratory, Second (Cornell) Medical Division, Bellevue Hospital, and the Department of Medicine, Cornell University Medical College, New York, N. Y.This study was supported by grants U-1136 and U-1515, The Health Research Council of The City of New York, by grant AI-05281-04 and training grant AI 255, the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md., and by the Dr. Phillip Hanson Hiss, Jr., Memorial Fund, New York, N. Y.Dr. Louria was the recipient of investigatorship I-111, The Health Research Council of The City of New York.Requests for reprints should be addressed to Donald B. Louria, M.D., Second (Cornell) Medical Division, Bellevue Hospital, First Ave. at 26th St., New York, N. Y. 10016. 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