First reports of envenoming by South American water snakes Helicops angulatus and Hydrops triangularis from Bolivian Amazon: a one-year prospective study of non-front-fanged colubroid snakebites. Toxicon. 2021;202:53-9. 8. da Silva AM, Mendes VKDG, Monteiro WM, Bernarde PS. Non-venomous snakebites in the Western Brazilian Amazon. Rev Soc Bras Med Trop. 2019;52:e20190120. 9. Ministry of Health of Brazil. How is Brazil taking care of tourists' health? Available at: https://bvsms.saude.gov.br/ bvs/publicacoes/como_cuidar_saude_brasil_ingles.pdf. Accessed July 20, 2021. 10. de Medeiros CR, Duarte MR, de Souza SN. Differential diagnosis between venomous (Bothrops jararaca, Serpentes, Viperidae) and "Nonvenomous" (Philodryas olfersii, Serpentes, Dipsadidae) snakebites: is it always possible?
On the French island of Corsica, a 57-y-old woman without significant medical history was stung on the left thumb while she was taking care of an ornamental Ficus benjamina plant. Immediately, she felt intense pain in her hand. She saw a strange caterpillar, later identified by the local poison center as Acharia stimulea. The pain in her hand was evaluated as 8 of 10 using the numerical pain rating scale; only a slight erythema was visible on her skin. Symptoms disappeared within 2 h with use of local anti-inflammatory ointment and oral painkillers. Three other caterpillars emerged out of the soil of the potted plant during the following week. This sting by a saddleback caterpillar is exceptional in Corsica. French garden store owners and healthcare professionals should be informed that caterpillars can be imported across the oceans to Europe on different plants.
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