Guillain-Barré syndrome following bee sting

Abstract

Guillain-Barre syndrome is an acute demyelinating disease of peripheral nerves characterized clinically by progressive weakness [1]. Herein, we report on a child with Guillain-Barre syndrome, which developed following bee sting because of very rare presentation. A previously healthy 4-year-old girl was admitted with unable to walk. Firstly, the symptoms of viral upper respiratory tract infection were initiated 10 days before admission to our hospital. Three days after initiating of the symptoms of infection a bee stung her left heel region. Weakness on the lower extremities, particularly on the left lower extremity was initiated 2 days after bee sting and then progressed to upper extremities, bilaterally within 3 days. The personal and family history was unremarkable. On physical examination her vital signs and body measurements were normal. Her general condition was good. Muscle strength was 3/5 and 1/5 on the upper and lower extremities, respectively. Deep tendon reflexes were diminished on the upper extremities and absent on the lower extremities. Fundoscopic examination and eye movements were normal. Plantar response was flexor, bilaterally. Additionally, an evaluation showed no evidence of sexual abuse in the patient. On laboratory investigation, urinary analysis, complete blood count, serum electrolytes, renal and liver function tests were