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Puss caterpillar envenomation: A 52-year- old man presented with a painful, pruritic, erythematous rash to his left anterior chest wall that occurred after he dried himself off with a towel in which a puss caterpillar was found. A puss caterpillar can cause a painful, pruritic, erythematous rash and vesicles on contact with its body hair. Here is a close-up view. Puss caterpillar (L.S.)