Difference between revisions of "Treat a Caterpillar Sting"

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{{fa}}More than 50 species of [[Care for a Caterpillar|caterpillars]] in the United States are capable of inflicting a painful sting.<ref>emedicine, Caterpillar Envenomation, http://emedicine.medscape.com/article/772949-overview</ref> Caterpillars, the adolescent forms of moths and butterflies, often have stinging fibers and hairs as a form of protection against predators; sometimes these also contain toxins as well as being penetrating when released.<ref>DermNet NZ, Skin problems due to caterpillars and moths, http://dermnetnz.org/arthropods/caterpillars.html</ref>  
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{{fa}}More than 50 species of [[Care for a Caterpillar|caterpillars]] in the United States are capable of inflicting a painful sting.<ref name="rf16044">emedicine, Caterpillar Envenomation, http://emedicine.medscape.com/article/772949-overview</ref> Caterpillars, the adolescent forms of moths and butterflies, often have stinging fibers and hairs as a form of protection against predators; sometimes these also contain toxins as well as being penetrating when released.<ref name="rf16045">DermNet NZ, Skin problems due to caterpillars and moths, http://dermnetnz.org/arthropods/caterpillars.html</ref>  
  
 
The slightest brush can cause contact dermatitis, pain, and itching. Being actively attacked by a caterpillar and stung can be very painful, depending on the species. Luckily, this injury is usually not serious in most people, but the pain and itching should be treated promptly, and if you have any allergy problems, it is wise to pay careful attention to your reactions.
 
The slightest brush can cause contact dermatitis, pain, and itching. Being actively attacked by a caterpillar and stung can be very painful, depending on the species. Luckily, this injury is usually not serious in most people, but the pain and itching should be treated promptly, and if you have any allergy problems, it is wise to pay careful attention to your reactions.
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[[Category:Stings Bites and Burns]]
 
[[Category:Stings Bites and Burns]]
 
== Steps ==
 
== Steps ==
# Understand the types of reactions that are possible with a caterpillar sting:<ref>emedicine, Caterpillar Envenomation, http://emedicine.medscape.com/article/772949-overview</ref>  
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# Understand the types of reactions that are possible with a caterpillar sting:<ref name="rf16044" />  
 
#*Caterpillar dermatitis: itchiness and contact dermatitis, [[Treat a Blister|blisters]], weals(welts), small red bumps, pain.
 
#*Caterpillar dermatitis: itchiness and contact dermatitis, [[Treat a Blister|blisters]], weals(welts), small red bumps, pain.
 
#*Acute [[Prevent the Spread of Pinkeye|conjunctivitis]], if hairs penetrate the eyes.
 
#*Acute [[Prevent the Spread of Pinkeye|conjunctivitis]], if hairs penetrate the eyes.
 
#*Lepidopterism: urticaria (itchy skin rash/hives), upper airway inflammation, nausea, vomiting, headache, and bronchospasm.
 
#*Lepidopterism: urticaria (itchy skin rash/hives), upper airway inflammation, nausea, vomiting, headache, and bronchospasm.
 
#*Contact with the Asian Dendrolimus pini caterpillar can cause an itchy rash, and even lead to forms of [[Recognize Arthritis Symptoms|arthritis]] (polyarthritis/polychondritis,chronic osteoarthritis).
 
#*Contact with the Asian Dendrolimus pini caterpillar can cause an itchy rash, and even lead to forms of [[Recognize Arthritis Symptoms|arthritis]] (polyarthritis/polychondritis,chronic osteoarthritis).
#*Bleeding and [[Treat Chronic Renal Failure|renal failure]] can occur after contact with the South American ''Lonomia'' caterpillar. Contact with this caterpillar can be dangerous, even fatal, if you handle it in numbers (such as picking up vegetation where lots of them are found). It is located in Brazil and there is an antivenin.<ref>Wikipedia, ''Lonomia'', http://en.wikipedia.org/wiki/Lonomia</ref>
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#*Bleeding and [[Treat Chronic Renal Failure|renal failure]] can occur after contact with the South American ''Lonomia'' caterpillar. Contact with this caterpillar can be dangerous, even fatal, if you handle it in numbers (such as picking up vegetation where lots of them are found). It is located in Brazil and there is an antivenin.<ref name="rf16046">Wikipedia, ''Lonomia'', http://en.wikipedia.org/wiki/Lonomia</ref>
# Calm the recipient of the sting. It's easier and less stressful to treat a sting if you're calm. Moreover, venom tends to travel faster when a patient is moving about.<ref>Web MD, Insect Bites and Stings, http://firstaid.webmd.com/tc/insect-bites-and-stings-and-spider-bites-home-treatment</ref> Understand that most caterpillar stings in North America and Europe, while painful, are benign. Deaths from caterpillar stings are rare.<ref>emedicine, Caterpillar Envenomation, http://emedicine.medscape.com/article/772949-overview</ref>
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# Calm the recipient of the sting. It's easier and less stressful to treat a sting if you're calm. Moreover, venom tends to travel faster when a patient is moving about.<ref name="rf16047">Web MD, Insect Bites and Stings, http://firstaid.webmd.com/tc/insect-bites-and-stings-and-spider-bites-home-treatment</ref> Understand that most caterpillar stings in North America and Europe, while painful, are benign. Deaths from caterpillar stings are rare.<ref name="rf16044" />
# Remove the caterpillar and/or stinger if it is still on the body. Use forceps or [[Choose Tweezers|tweezers]], not bare hands.<ref>DermNet NZ, Skin problems due to caterpillars and moths, http://dermnetnz.org/arthropods/caterpillars.html</ref>
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# Remove the caterpillar and/or stinger if it is still on the body. Use forceps or [[Choose Tweezers|tweezers]], not bare hands.<ref name="rf16045" />
# Place Scotch tape, cellophane tape, or [[Use Duct Tape|duct tape]] over the site of the sting. Strip off repeatedly. This will remove the spines, hairs, and toxins. But each time you place the tape on, use a new piece, to avoid adding to the sting. <ref>Florida Information Poison Center, Stinging Caterpillars, http://www.poisoncentertampa.org/venomous-critters/caterpillars.aspx</ref>
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# Place Scotch tape, cellophane tape, or [[Use Duct Tape|duct tape]] over the site of the sting. Strip off repeatedly. This will remove the spines, hairs, and toxins. But each time you place the tape on, use a new piece, to avoid adding to the sting. <ref name="rf16048">Florida Information Poison Center, Stinging Caterpillars, http://www.poisoncentertampa.org/venomous-critters/caterpillars.aspx</ref>
#*Commercial face peel can be used in place of tape.<ref>Web MD, Insect Bites and Stings, http://firstaid.webmd.com/tc/insect-bites-and-stings-and-spider-bites-home-treatment</ref>
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#*Commercial face peel can be used in place of tape.<ref name="rf16047" />
# Wash the injured area using [[Make Your Own Soap|soap]] and water.<ref>DermNet NZ, Skin problems due to caterpillars and moths, http://dermnetnz.org/arthropods/caterpillars.html</ref> Remove all contaminated clothing and wash in hot water.
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# Wash the injured area using [[Make Your Own Soap|soap]] and water.<ref name="rf16045" /> Remove all contaminated clothing and wash in hot water.
# Frozen food works admirably. Apply an ice pack to the stinging area after washing it. When the stinging sensation has reduced (check after 15–20 minutes), apply a paste made from baking soda and water.<ref>Florida Information Poison Center, Stinging Caterpillars, http://www.poisoncentertampa.org/venomous-critters/caterpillars.aspx</ref>, frozen food works admirably|right]]
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# Frozen food works admirably. Apply an ice pack to the stinging area after washing it. When the stinging sensation has reduced (check after 15–20 minutes), apply a paste made from baking soda and water.<ref name="rf16048" />, frozen food works admirably|right]]
 
#*Apply a topical anesthetic, if you have access to some.
 
#*Apply a topical anesthetic, if you have access to some.
 
#*Over-the-counter pain relief, such as Tylenol® or Panadol®, can be helpful. Follow the instructions on the package.
 
#*Over-the-counter pain relief, such as Tylenol® or Panadol®, can be helpful. Follow the instructions on the package.
#*Swelling can be minimized by elevating the area of the sting.<ref>Web MD, Insect Bites and Stings, http://firstaid.webmd.com/tc/insect-bites-and-stings-and-spider-bites-home-treatment</ref>
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#*Swelling can be minimized by elevating the area of the sting.<ref name="rf16047" />
#*You can reapply the ice pack once every hour for 15–20 minutes for the following hours, if needed.<ref>Web MD, Insect Bites and Stings, http://firstaid.webmd.com/tc/insect-bites-and-stings-and-spider-bites-home-treatment</ref>
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#*You can reapply the ice pack once every hour for 15–20 minutes for the following hours, if needed.<ref name="rf16047" />
 
#*A wet cloth is a suitable substitute for an ice pack.
 
#*A wet cloth is a suitable substitute for an ice pack.
 
#  Monitor the sting. Watch for oozing, rash, [[Treat Swelling|swelling]], or change in coloration; if symptoms don't improve, seek medical attention.
 
#  Monitor the sting. Watch for oozing, rash, [[Treat Swelling|swelling]], or change in coloration; if symptoms don't improve, seek medical attention.
#*If the patient suffers from asthma, hay fever, or other allergies, or if allergic symptoms arise, see a doctor immediately.<ref>Florida Information Poison Center, Stinging Caterpillars, http://www.poisoncentertampa.org/venomous-critters/caterpillars.aspx</ref>
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#*If the patient suffers from asthma, hay fever, or other allergies, or if allergic symptoms arise, see a doctor immediately.<ref name="rf16048" />
 
#  Document the caterpillar that stung you. This may be important later, if you observe new or worse symptoms. If you don't have a camera on hand, quickly note down features - color, relative length, texture, approximate number and texture of spines. [[Make a Caterpillar Habitat|Caterpillars]] to be on the look out for include:
 
#  Document the caterpillar that stung you. This may be important later, if you observe new or worse symptoms. If you don't have a camera on hand, quickly note down features - color, relative length, texture, approximate number and texture of spines. [[Make a Caterpillar Habitat|Caterpillars]] to be on the look out for include:
#*The puss caterpillar or asp (Megalopyge opercularis): This is considered to be the most dangerous caterpillar in the United States and Central America. This is the larval form of the flannel moth and its range is from Maryland to Mexico. The bigger the caterpillar, the worse its impact. They are usually found on found various trees and shrubs, including elm, maple, hack berry, oak, sycamore, etc.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref> You are most likely to encounter it from June to September.<ref>emedicine, Caterpillar Envenomation, http://emedicine.medscape.com/article/772949-overview</ref> All patients will feel pain when stung by this caterpillar, while one in three patients will feel headaches, muscle spasms, breathing difficulties, and convulsions.<ref>DermNet NZ, Skin problems due to caterpillars and moths, http://dermnetnz.org/arthropods/caterpillars.html</ref>
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#*The puss caterpillar or asp (Megalopyge opercularis): This is considered to be the most dangerous caterpillar in the United States and Central America. This is the larval form of the flannel moth and its range is from Maryland to Mexico. The bigger the caterpillar, the worse its impact. They are usually found on found various trees and shrubs, including elm, maple, hack berry, oak, sycamore, etc.<ref name="rf16049">UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref> You are most likely to encounter it from June to September.<ref name="rf16044" /> All patients will feel pain when stung by this caterpillar, while one in three patients will feel headaches, muscle spasms, breathing difficulties, and convulsions.<ref name="rf16045" />
#*Stinging rose caterpillar: Often found on bushes and low tree branches of redbud, oak, hickory, bayberry, wild cherry and sycamore.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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#*Stinging rose caterpillar: Often found on bushes and low tree branches of redbud, oak, hickory, bayberry, wild cherry and sycamore.<ref name="rf16049" />
#*Saddleback caterpillar: Severe irritation follows a sting from this caterpillar. It is often found on deciduous trees (e.g., chestnut, cherry, oak, basswood, and plum) and sometimes on corn.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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#*Saddleback caterpillar: Severe irritation follows a sting from this caterpillar. It is often found on deciduous trees (e.g., chestnut, cherry, oak, basswood, and plum) and sometimes on corn.<ref name="rf16049" />
#*''Euclea delphinii'' caterpillar: This caterpillar is often found on oak, beech, chestnut, willow, pear, bayberry, sour wood, wild cherry and other trees.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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#*''Euclea delphinii'' caterpillar: This caterpillar is often found on oak, beech, chestnut, willow, pear, bayberry, sour wood, wild cherry and other trees.<ref name="rf16049" />
#*Buck moth caterpillar: Has poisonous spines. Found on oak and willow trees, usually spring to mid-summer.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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#*Buck moth caterpillar: Has poisonous spines. Found on oak and willow trees, usually spring to mid-summer.<ref name="rf16049" />
#*Io moth caterpillar: Has poisonous spines. Found on many plants, including corn, roses, willow, linden, elm, oak, locust, apple, beech, ash, currant, and clover, usually spring to mid-summer.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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#*Io moth caterpillar: Has poisonous spines. Found on many plants, including corn, roses, willow, linden, elm, oak, locust, apple, beech, ash, currant, and clover, usually spring to mid-summer.<ref name="rf16049" />
#*Hag moth caterpillar: This caterpillar looks like a dried leaf. It is usually found on the lower branches of trees and shrubs, including oak, chestnut, dogwood, sassafras, and ash.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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#*Hag moth caterpillar: This caterpillar looks like a dried leaf. It is usually found on the lower branches of trees and shrubs, including oak, chestnut, dogwood, sassafras, and ash.<ref name="rf16049" />
#*Spitfire caterpillar (Australia): This caterpillar can shoot a liquid as well as causing contact dermatitis if the hairs get into the skin and break off.<ref>Children, Youth, and Women's Health Services, Bites and Stings, http://www.cyh.com/HealthTopics/HealthTopicDetails.aspx?p=114&np=305&id=1813</ref>
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#*Spitfire caterpillar (Australia): This caterpillar can shoot a liquid as well as causing contact dermatitis if the hairs get into the skin and break off.<ref name="rf16050">Children, Youth, and Women's Health Services, Bites and Stings, http://www.cyh.com/HealthTopics/HealthTopicDetails.aspx?p=114&np=305&id=1813</ref>
  
 
== Video ==
 
== Video ==
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*It is possible to have an allergic reaction to caterpillar stings, and some caterpillars have particularly potent venom. Watch for symptoms like swelling of face, throat or tongue, mouth discoloration, difficulty breathing, or a quick-spreading rash. These can indicate a serious reaction, and require immediate medical attention.
 
*It is possible to have an allergic reaction to caterpillar stings, and some caterpillars have particularly potent venom. Watch for symptoms like swelling of face, throat or tongue, mouth discoloration, difficulty breathing, or a quick-spreading rash. These can indicate a serious reaction, and require immediate medical attention.
 
*Even caterpillars that don't sting can be harmful to your yard. Watch for white, cobwebby nests of caterpillars in trees; evergreen bagworms and Gypsy Moth caterpillars are parasitic and can kill trees.
 
*Even caterpillars that don't sting can be harmful to your yard. Watch for white, cobwebby nests of caterpillars in trees; evergreen bagworms and Gypsy Moth caterpillars are parasitic and can kill trees.
*Anti-histaminic drugs are reportedly not helpful with caterpillar stings.<ref>UK Ag, Caterpillar Stings, http://www.ca.uky.edu/entomology/entfacts/ef003.asp</ref>
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*Anti-histaminic drugs are reportedly not helpful with caterpillar stings.<ref name="rf16049" />
  
 
== Things You'll Need ==
 
== Things You'll Need ==