IMMEDIATE: Severe burning pain
LOCAL:
1. Numbness and swelling of area inflicted with severe radiating pain 2. Possible double row of parallel red punctuate marks forming a gridlike tract along the path of the caterpillar 3. Swelling of regional lymph nodes 4. Late foreign-body reaction to unremoved spines
SYSTEMIC:
1. Nausea, vomiting, fever 2. Headaches 3. Shock and convulsions (rare)
DEATHS: None reported
TREATMENT
LOCAL FIRST AID:
1. Repeated stripping using adhesive or cellophane tape to remove spines 2. Apply ice packs 3. Apply baking soda and water paste
SYSTEMIC: