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Systemic manifestations of erucism: a case report
Y Finkelstein1, B Raikhlin-Eisenkraft, U Taitelman
1Israeli Poison Control Center, Rambam Medical Center, Technion Facultyof Medicine, Haifa, Israel.
Veterinary and Human Toxicology
|December 1, 1988
Summary
Exposure to the pine processionary caterpillar Thaumetopoea wilkinsoni can cause erucism. A child experienced vomiting and hand swelling after touching this caterpillar, highlighting potential toxic effects.
Area of Science:
- Environmental Entomology
- Toxicology
- Pediatric Dermatology
Background:
- Lepidoptera larvae, including the pine processionary caterpillar Thaumetopoea wilkinsoni, are common in Israeli pine forests.
- Erucism, or urtication by Lepidoptera larvae, can manifest as skin, eye irritation, or toxic effects upon ingestion.
- Previous studies have documented various adverse effects from contact with different Lepidoptera species.
Observation:
- A case study involving a 4-year-old child exposed to Thaumetopoea wilkinsoni larvae is presented.
- The child experienced significant gastrointestinal distress, characterized by repeated vomiting.
- Symmetrical swelling of both hands was observed following dermal contact with the caterpillar.
Findings:
- The case illustrates a specific instance of erucism caused by Thaumetopoea wilkinsoni.
- Symptoms included both gastrointestinal toxicity (vomiting) and dermal reactions (swelling).
- This suggests a potential for systemic toxic effects beyond localized irritation from this species.
Implications:
- Increased awareness of Thaumetopoea wilkinsoni's toxic potential is warranted, especially in areas of its distribution.
- Healthcare providers should consider erucism in pediatric cases presenting with relevant symptoms after potential exposure.
- Further research into the specific toxins and mechanisms of Thaumetopoea wilkinsoni is recommended.