<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602021000200020</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Unusual toxic accident caused by Calosoma alternans, Fabricius 1792 (Coleoptera: Carabidae) in a Venezuelan patient]]></article-title>
<article-title xml:lang="es"><![CDATA[Accidente tóxico inusual provocado por Calosoma alternans, Fabricius 1792 (Coleoptera: Carabidae) en un paciente venezolano]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil-Zambrano]]></surname>
<given-names><![CDATA[Gisselle C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Lugo]]></surname>
<given-names><![CDATA[Rafael M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salvi]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez-Acosta]]></surname>
<given-names><![CDATA[Alexis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Central de Venezuela Instituto de Inmunología &#8220;Dr. Nicolás Bianco&#8221; ]]></institution>
<addr-line><![CDATA[ Caracas]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Central de Venezuela Instituto de Medicina Tropical Sección de Entomología &#8220;Dr. Pablo Anduze&#8221;]]></institution>
<addr-line><![CDATA[ Caracas]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Central de Venezuela Instituto Anatómico &#8220;Dr. José Izquierdo&#8221; Laboratorio de Inmunoquímica y Ultraestructura]]></institution>
<addr-line><![CDATA[ Caracas]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>73</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602021000200020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602021000200020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602021000200020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Coleopteran insects can produce toxic substances containing multiple components which have so far not been properly described. To report an unusual case of intoxication by excretion from Calosoma alternans Fabricius 1792 (Coleoptera: Carabidae) in a Venezuelan patient from a periurban neighborhood near the mesothermal raining forest. The toxic activity caused a clinical status characterized by digestive symptoms such as nausea, vomiting, epigastralgia, an increase in bowel movements and probable kidney inflammation with intense pain in both lumbar regions, which did not correspond to the classic dermal damage. In conclusion, a unique case is presented of intoxication by a coleopteran species, with a clinical description not previously reported.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los insectos coleópteros pueden producir sustancias tóxicas que contienen numerosos componentes que aún no han sido descritos adecuadamente. Presentar un caso inusual de intoxicación por excreciones de Calosoma alternans Fabricius 1792 (Coleoptera: Carabidae) en un paciente venezolano residente en un barrio periurbano cercano a la selva tropical mesotérmica. La actividad tóxica provocó un cuadro clínico caracterizado por síntomas digestivos como náuseas, vómitos, epigastralgia, aumento del número de deposiciones y probablemente inflamación renal, con dolor intenso en ambas regiones lumbares, lo que no se corresponde con el daño dérmico clásico. En resumen, se presenta un caso singular de intoxicación provocada por una especie de coleóptero, con una descripción clínica no reportada anteriormente.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Adephaga]]></kwd>
<kwd lng="en"><![CDATA[intoxication]]></kwd>
<kwd lng="en"><![CDATA[Carabidae]]></kwd>
<kwd lng="en"><![CDATA[coleopteran]]></kwd>
<kwd lng="en"><![CDATA[Calosoma alternans]]></kwd>
<kwd lng="es"><![CDATA[Adephaga]]></kwd>
<kwd lng="es"><![CDATA[intoxicación]]></kwd>
<kwd lng="es"><![CDATA[Carabidae]]></kwd>
<kwd lng="es"><![CDATA[coleóptero]]></kwd>
<kwd lng="es"><![CDATA[Calosoma alternans]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leech]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
<name>
<surname><![CDATA[Sanderson]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coleoptera]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Edmondson]]></surname>
<given-names><![CDATA[WT]]></given-names>
</name>
</person-group>
<source><![CDATA[Fresh Water Biology]]></source>
<year>1959</year>
<edition>2</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley &amp; Sons, Inc]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>Carabidae Taxa</collab>
<source><![CDATA[Carabidae of the World]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aneshansley]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Biochemistry at 100 °C Explosive Secretory Discharge of Bombardier Beetles (Brachinus)]]></article-title>
<source><![CDATA[Science]]></source>
<year>1969</year>
<volume>165</volume>
<page-range>61-3</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dean]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Aneshansley]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Edgerton]]></surname>
<given-names><![CDATA[HE]]></given-names>
</name>
<name>
<surname><![CDATA[Eisner]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defensive Spray of the Bombardier Beetle A Biological Pulse Jet]]></article-title>
<source><![CDATA[Science]]></source>
<year>1990</year>
<volume>248</volume>
<page-range>1219-21</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eisner]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Swithenbank]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Meinwald]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defense mechanisms of arthropods VIII. Secretion of salicylaldehyde by a carabid beetle]]></article-title>
<source><![CDATA[Ann Entomol Soc Am]]></source>
<year>1963</year>
<volume>56</volume>
<page-range>37-41</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schildknecht]]></surname>
<given-names><![CDATA[HK]]></given-names>
</name>
<name>
<surname><![CDATA[Holoubek]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Weis]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kramer]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defensive substances of the arthropods, their isolation and identification]]></article-title>
<source><![CDATA[Angew Chem Int Ed]]></source>
<year>1964</year>
<volume>3</volume>
<page-range>80</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<source><![CDATA[Calosoma (castrida) alternans (Fabricius 1792)]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ewel]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Madriz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tosi]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<source><![CDATA[Zonas de vida de Venezuela. Memoria explicativa sobre el mapa ecológico]]></source>
<year>1976</year>
<publisher-loc><![CDATA[Caracas, Venezuela ]]></publisher-loc>
<publisher-name><![CDATA[Fondo Nacional de Investigaciones Agropecuarias, Ministerio de Agricultura y Cría]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fajardo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Nassar]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Lacabana]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Portillo]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Carrasquel]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tropical Dry Forests of Venezuela characterization and current conservation status]]></article-title>
<source><![CDATA[Biotropica]]></source>
<year>2005</year>
<volume>37</volume>
<page-range>531-46</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karras]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Farrell]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Harrigan]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Henretig]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Gealt]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Poisoning from &amp;raquo;,» &amp;reg;,® &amp;sect;,§ &amp;shy;,­ &amp;sup1;,¹ &amp;sup2;,² &amp;sup3;,³ &amp;szlig;,ß &amp;THORN;,Þ &amp;thorn;,þ &amp;times;,× &amp;Uacute;,Ú &amp;uacute;,ú &amp;Ucirc;,Û &amp;ucirc;,û &amp;Ugrave;,Ù &amp;ugrave;,ù &amp;uml;,¨ &amp;Uuml;,Ü &amp;uuml;,ü &amp;Yacute;,Ý &amp;yacute;,ý &amp;yen;,¥ &amp;yuml;,ÿ &amp;para;,¶ Spanish fly &amp;raquo;,» &amp;reg;,® &amp;sect;,§ &amp;shy;,­ &amp;sup1;,¹ &amp;sup2;,² &amp;sup3;,³ &amp;szlig;,ß &amp;THORN;,Þ &amp;thorn;,þ &amp;times;,× &amp;Uacute;,Ú &amp;uacute;,ú &amp;Ucirc;,Û &amp;ucirc;,û &amp;Ugrave;,Ù &amp;ugrave;,ù &amp;uml;,¨ &amp;Uuml;,Ü &amp;uuml;,ü &amp;Yacute;,Ý &amp;yacute;,ý &amp;yen;,¥ &amp;yuml;,ÿ &amp;para;,¶ (Cantharidin)]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>1996</year>
<volume>14</volume>
<page-range>478-83</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
