Bites Caused by Giant Water Bugs Belonging to Belostomatidae Family (Hemiptera, Heteroptera) in Humans: A Report of Seven Cases  Vidal Haddad, MD, PhD,

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Bites Caused by Giant Water Bugs Belonging to Belostomatidae Family (Hemiptera, Heteroptera) in Humans: A Report of Seven Cases  Vidal Haddad, MD, PhD, Elisabeth F. Schwartz, PhD, Carlos Alberto Schwartz, PhD, Lucélia Nobre Carvalho, PhD  Wilderness & Environmental Medicine  Volume 21, Issue 2, Pages 130-133 (June 2010) DOI: 10.1016/j.wem.2010.01.002 Copyright © 2010 Wilderness Medical Society Terms and Conditions

Figure 1 Lethocerus delpontei, one of the largest species of giant water bugs. The insect pictured was responsible for the bite in case 6. Wilderness & Environmental Medicine 2010 21, 130-133DOI: (10.1016/j.wem.2010.01.002) Copyright © 2010 Wilderness Medical Society Terms and Conditions

Figure 2 Ventral view of the insect. Note the proboscis or rostrum in the head, a short “beak” capable of injecting the toxic saliva. Wilderness & Environmental Medicine 2010 21, 130-133DOI: (10.1016/j.wem.2010.01.002) Copyright © 2010 Wilderness Medical Society Terms and Conditions

Figure 3 Local, discrete edema in a bite caused by a giant water bug. The patient experienced intense, pulsatile pain at the bite site. There is a red point in the center of an edematous papule. Wilderness & Environmental Medicine 2010 21, 130-133DOI: (10.1016/j.wem.2010.01.002) Copyright © 2010 Wilderness Medical Society Terms and Conditions