Which Caterpillars Sting? Identification & First Aid

The term “stinging caterpillar” describes certain moth larvae that cause immediate, intense pain upon contact. Unlike bees or wasps, these insects do not possess a true stinger or actively attack people. The painful reaction is a defensive mechanism involving specialized hairs or spines that deliver a toxin. Understanding this defense and how to manage an accidental encounter is important for outdoor safety. This guide focuses on identifying hazardous species and providing appropriate first aid measures.

Understanding the Irritation Mechanism

The pain results from thousands of microscopic structures known as urticating setae or spines. These are hollow, needle-like bristles connected to underlying venom glands, not simple hairs. Upon brushing against a caterpillar, these fragile spines easily break off and embed themselves into the skin, acting like miniature hypodermic needles. The embedded structures then release a chemical venom that triggers an immediate, localized reaction.

The physiological response is primarily a form of contact dermatitis, characterized by intense burning, itching, redness, and the development of raised welts. Symptoms usually remain localized and subside within several hours. However, the toxins can sometimes provoke a more severe, systemic reaction, including nausea, headache, fever, or abdominal distress. The intensity of the reaction depends on the species, the amount of venom injected, and the individual’s sensitivity.

Identifying Hazardous Species

Not all fuzzy caterpillars are dangerous, but hazardous species feature spines or dense, fur-like coats that conceal their toxic defenses. The Puss Caterpillar (Megalopyge opercularis), the most venomous species in North America, is teardrop-shaped and covered in long, silky, tan, gray, or brown fur, resembling a tuft of cotton. Its venomous spines are hidden beneath this dense coat. Contact causes immediate, severe throbbing pain that can radiate to the lymph nodes. It is found across the southeastern United States, often feeding on shade trees like oak and elm.

The Saddleback Caterpillar (Acharia stimulea) is another common threat, having a distinct, slug-like appearance. This small, approximately one-inch-long larva is bright green with a prominent brown oval patch in the center of its back, resembling a saddle on a blanket. Short, stout, branched spines and horn-like projections carry a venom that delivers a painful sting, often described as worse than a bee sting. Saddleback caterpillars are distributed throughout the eastern half of the United States and feed on many common ornamentals.

Io Moth Caterpillar

The Io Moth Caterpillar (Automeris io) is bright green, approximately 2.5 inches long when mature, and covered in clusters of sharp, stinging spines that feature red and white lateral stripes along the body. The venom it injects causes an immediate, nettling pain, along with redness and swelling that usually fades within a few hours. This species has a wide range across the eastern United States, where it feeds on host plants such as willow, maple, and hibiscus.

Buck Moth Caterpillar

The Buck Moth Caterpillar (Hemileuca maia) is dark-colored, sometimes nearly black, with small light spots and covered in groups of branched, venomous spines. Found primarily in oak woodlands across the eastern half of the country, this species delivers a painful sting that can cause localized swelling and redness lasting for up to a week.

Immediate Care and Prevention

The first and most important step after contact with a stinging caterpillar is to remove the embedded venomous spines from the skin. Immediately apply a piece of adhesive tape, such as cellophane or duct tape, to the affected area and peel it off repeatedly to pull out the fragile, broken-off setae. You should avoid rubbing the area, as this can push the spines deeper into the skin. After removing the spines, gently wash the contact area with soap and water, and dry it without rubbing using a cool setting on a hair dryer or by air drying.

To manage the pain and localized symptoms, applying an ice pack or a paste of baking soda and water can provide relief. Over-the-counter hydrocortisone cream or oral antihistamines may help reduce itching and inflammation. Seek medical attention immediately if the reaction involves severe systemic symptoms, such as difficulty breathing, swelling of the face or throat, widespread swelling, or signs of shock. Prevention is the most effective approach, involving teaching children not to handle brightly colored or fuzzy caterpillars and wearing long sleeves and gloves when working in gardens or wooded areas.