Visceral leishmaniasis is a parasitic disease endemic in the Mediterranean
Basin, including Malta. Finnish-type congenital nephrotic syndrome is an au
tosomal recessive condition that presents in the first 3 months of life wit
h heavy proteinuria, hypoalbuminemia with secondary edema, and hyperlipidem
ia. We present an infant with congenital nephrotic syndrome who had had uni
lateral nephrectomy and who also developed visceral leishmaniasis. He was s
uccessfully cleared of the infection by the administration of sodium stibog
luconate, with no deterioration of renal function or other complications.