Large Right Atrial Vegetation in a Patient with Tunnelled Dialysis Catheter-Related Staphylococcal Sepsis

A 57-year-old woman who was diabetic and hypertensive, with a history of end-stage renal disease and on regular haemodialysis was referred from a regional hospital with fever and leucocytosis. She was receiving dialysis through an arteriovenous fistula (AVF), initially created 8 months prior to the present admission.