Detectives have released a CCTV image of a man suspected of attacking women with a hypodermic needle in Birmingham city centre.
It comes after a 30-year-old was stabbed in the thigh. The victim felt a sharp pain, which was later confirmed as a puncture wound.
Police believe a hypodermic needle may have been used in each attack The attack happened at around 3am on November 3 and was reported to police several days later.
Officers believe it may be linked to similar attacks on a 20-year-old on June 23 and a 28-year-old on October 6.
Detective Inspector Julie Woods said police had received five reports in total over the last year-and-a-half.
She said: "Although the women have not been left with any obvious physical injuries they have had to endure an agonising wait to check that they have not suffered any long-lasting health effects.
"Whilst we have been unable to confirm exactly how the injuries were caused, it is believed that a hypodermic needle may have been used on each occasion, with young women being specifically targeted.
"Due to the nature of the offences, victims have not realised they have been injured until hours or days later, which has resulted in limited lines of enquiry.
"But we now have a particularly clear image of a man we want to identify in connection with the attacks and I would appeal for him, or anyone who knows who he may be, to come forward.
"These are strange offences and the motive at this stage is unclear, which is why it's so important for us to identify the person in this CCTV image as soon as possible."
Police patrols have been stepped up in Broad Street and around the city centre.
Anyone who recognises the suspect can call police on 101 or Crimestoppers anonymously on 0800 555 111.
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