Abstract Bed bugs are hematophagous arthropods that can parasitize humans. During the coronavirus disease pandemic, there has been an increase in elderly neglect. A man in his 90s came to the hospital complaining of generalized pruritus. Despite being a dependent patient, he was left alone in a home by his relatives during the pandemic. Examination revealed inflammatory nodules in addition to a live bed bug crawling over his trunk. Identifying a bed bug during consultation is an uncommon feature that can help determine a particular diagnosis. As this case shows, the need for social isolation during pandemics can contribute to elder abuse and neglect.

Abstract Insect bites and bite wounds are quite common and most often have mild repercussions in humans. Statistics on the incidence of accidents caused by insects are not available, and the skin reactions after the bites are not always known. The authors present two cases of patients with hemorrhagic blisters on their hands after tabanidae bites and discuss the factors that cause the problem and the importance of the differential diagnosis of blisters with hemorrhagic content on human skin.

AbstractLionfish are venomous fish that belong to the Scorpaenidae family. Individuals of this family and those of the Synanceiidae family comprise most of the existing venomous fish in the world. Lionfish are originally found in the Indo-Pacific, but they have received special attention in the last years for their dissemination in the Atlantic Ocean, with the emergence of large populations in the USA, Caribbean and South America. Because of its beauty, this fish has always been present in private and commercial aquariums around the world. Herein, we describe 15 envenomations in aquarists registered in a period of eighteen years (1997–2014). The stings caused excruciating pain and marked inflammation, with local erythema, edema, heat, paleness and cyanosis. In one case, it was possible to observe vesicles and blisters. There were no skin necroses or marked systemic manifestations. We discuss the possible coming of the fish to South America and the circumstances and clinical impact of the envenomations.

The frequency of jellyfish blooms is generating a world-wide discussion about medusae population explosions, mainly those associated with stings. We report over 20,000 envenomations caused by Chrysaora lactea (Scyphozoa) in the State of Paraná (southern Brazil) during the austral summer of 2011 -2012. Envenomations were considered mild, but almost 600 cases were treated in emergency services, with either toxic and allergic reactions, some with systemic manifestations. We proposed non-exclusive hypotheses to explain this large number of cases.

La frecuencia de 'blooms' de medusas está generando debate a nivel mundial sobre los incrementos de poblaciones de medusas, sobre todo lo relacionado con picaduras. Se reportan más de 20.000 envenenamientos ocasionados por Chrysaora lactea (Scyphozoa) en el Estado de Paraná (sur del Brasil) durante el verano austral 2011-2012. Los envenenamientos fueron considerados leves, pero cerca de 600 casos fueron tratados en los servicios de emergencia, ya sea con reacciones toxicas o alérgicas, algunas de ellas con manifestaciones sistémicas. Se proponen hipótesis no excluyentes para explicar este gran número de casos.

Several species of octopus are considered venomous due to toxins present in the glands connected to their “beak”, which may be associated with hunt and kill of prey. Herein, we report an accident involving a common octopus (Octopus vulgaris) that injured an instructor during a practical biology lesson and provoked an inflamed infiltrated plaque on the hand of the victim. The lesion was present for about three weeks and was treated with cold compresses and anti-inflammatory drugs. It was healed ten days after leaving a hyperchromic macule at the bite site. The probable cause of the severe inflammation was the digestive enzymes of the glands and not the neurotoxins of the venom.