Nephrotic Syndrome Induced by Bee Sting
Manifestations of bee sting are varied ranging from local pain and swelling to anaphylaxis. Renal involvement has also been well documented in the literature. Nephrotic Syndrome is known to be triggered by various immunological stimuli including bee sting. We are reporting an 8-year-old child who developed Nephrotic Syndrome 6 days following the bee sting. The diagnosis was established on the temporal relationship of the sting and onset of anasarca. High dose of oral Prednisolone was started in the dose of 2mg/kg/day on which the child showed prompt remission. The exact cause of Nephrotic Syndrome following exposure to bee venom is not clearly stated in the literature, though it is postulated that bee venom mediated immunological disturbances lead to increased permeability of glomerular basement membrane and heavy proteinuria.