Abstract
Recurrent pleural effusions are associated with significant morbidity and mortality. Pleural effusions are well known in chronic renal failure patients due to fluid retention. Pleural effusions in renal transplant patients are usually related to secondary pulmonary infections, surgical complications, drug toxicities and post-transplant lymphoproliferative disorder (PTLD). We describe an unusual cause of recurrent pleural effusion attributed to fungal infection in transplanted kidney due to activation of renin-angiotensin-aldosterone system (RAAS), successfully treated with antifungal medications that lead to complete resolution of pleural effusion.
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