Bilateral renal artery stenosis.

A 49-year-old Hispanic female was admitted to the hospital with sepsis and an infected upper extremity arteriovenous fistula dialysis port. Her medical history was significant for dialysis-dependent, endstage renal disease for the previous six years. Additional history was limited due to language barriers but included hypertension and hyperlipidemia. Blood cultures from admission grew Staphylococcus aureus for which intravenous vancomycin therapy was initiated. Despite aggressive therapy including fistula debridement and excision and additional broad spectrum antimicrobial coverage, she clinically deteriorated and died on hospital day 13. Full, unrestricted autopsy permission was granted under coroner authorization.