Systemic allergic reaction to tree processionary caterpillar in children

Pediatric Emergency Care
Vered ShkalimYael Levy

Abstract

Contact with the tree processionary caterpillar or ingestion/inhalation of its airborne toxin-containing hairs and spines may cause a direct histamine-releasing or IgE-mediated allergic reaction in humans. The most common manifestations are urticaria and dermatitis; systemic manifestations such as respiratory involvement and anaphylaxis have been reported mainly in foresters. We describe a 12-year-old child who was presented to the emergency department with systemic allergic reaction (pruritic rash, conjunctival hyperemia, dyspnea, and wheezing), which eventually proved to be due to exposure to the pine tree processionary caterpillar. The diagnosis was made only after the child's repeated exposure to the caterpillar. Tree processionary caterpillar should be added to the list of causes of systemic allergic reactions in children, especially in endemic areas, and medical staff should be alerted the range of clinical manifestations to ensure prompt diagnosis and treatment.

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Citations

Mar 4, 2011·Journal français d'ophtalmologie·I FournierC Speeg-Schatz
Jan 20, 2010·Journal of the American Academy of Dermatology·Eric W Hossler
Mar 4, 2010·Annals of Tropical Paediatrics·Y Ramesh BhatS Sushma
Jul 8, 2009·Dermatologic Therapy·Eric W Hossler
Jan 15, 2010·Nursing in Critical Care·Eva AkermanIngegerd Bergbom
Nov 20, 2016·Annual Review of Entomology·Andrea BattistiAlain Roques

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