title: Massive pleural effusion in a renal transplant recipient on tacrolimus.
abstract: Fluid and salt retention have been described as a side effect of tacrolimus therapy. We report a case of unexplained massive fluid retention with pleural effusion and ascites in the immediate post-transplant period. The patient recovered immediately on conversion from tacrolimus to sirolimus.
authors.affiliation: Department of Nephrology, SB Hospital, Thanjavur, Tamil Nadu, India.
authors.forename: L S
authors.initials: LS
authors.lastname: Nayagam
authors.affiliation: Department of Urology, SB Hospital, Thanjavur, Tamil Nadu, India.
authors.forename: B
authors.initials: B
authors.lastname: Vijayanand
authors.affiliation: Department of Urology, SB Hospital, Thanjavur, Tamil Nadu, India.
authors.forename: S
authors.initials: S
authors.lastname: Balasubramanian
keywords: Fluid retention; sirolimus; tacrolimus