Envenomation by caterpillars (erucism): proposal for simple pain relief treatment
© Haddad and Lastória; licensee BioMed Central Ltd. 2014
Received: 16 April 2014
Accepted: 22 April 2014
Published: 12 May 2014
To the editor
Treatment for such injuries is based on cold water compresses and oral analgesics (dipyrone is the rule, but the use of potent analgesics, such as tramadol hydrochloride may be required). When painkillers do not control the pain, nerve anesthetic blockade (lidocaine 4.0 mL for adults) may be employed [1–4]. Based on our past experience, we suggest using serial application of topical commercial anesthetics with 0.25% lidocaine and 0.25% prilocaine in order to greatly decrease or eliminate the pain, these drugs take effect in about half an hour and last for several hours [1, 4]. They are easy to apply, does not interfere with the approach adopted for this kind of accident, and it is especially useful for children and patients whose lesion sites do not allow blockades.
- Haddad V Jr, Cardoso JLC: Erucismo e lepidopterismo. In Animais peçonhentos no Brasil: biologia, clínica e terapêutica dos acidentes. Edited by: Cardoso JLC, Franca FOS, Wen FH, Malaque CMS, Haddad VJr. São Paulo: Sarvier; 2003:236–239.Google Scholar
- Goldman L, Sawyer F, Levine A, Goldman J, Goldman S, Spinanger J: Investigative studies of skin irritations from caterpillars. J Invest Dermatol 1960, 34: 67–79.PubMedGoogle Scholar
- Cardoso AEC, Haddad V Jr: Acidentes por lepidópteros (larvas e adultos de mariposas): estudo dos aspectos epidemiológicos, clínicos e terapêuticos. An Bras Dermatol 2005, 80(6):571–578. 10.1590/S0365-05962005000700002View ArticleGoogle Scholar
- Haddad V Jr, Cardoso JL, Lupi O, Tyring SK: Tropical dermatology: venomous arthropods and human skin: part I: insecta. J Am Acad Dermatol 2012, 67(3):331. e1–14View ArticlePubMedGoogle Scholar
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