SAN DIEGO (AP) – A transgender woman died four days after a melee with sheriff’s deputies at the downtown jail.

The coroner’s office is awaiting toxicology results before announcing a cause of death.

“There is nothing to indicate that the use of force caused this death,” Sgt. Rick Empson said Monday.

Vanessa Facen, 35, had fought with deputies and medical personnel numerous times since she was found naked and bleeding inside her neighbor’s Spring Valley home on Nov. 17.

Facen apparently climbed onto the balcony, dived through a neighbor’s glass door and tumbled down a flight of stairs. Facen, who was “covered with blood from head to toe,” opened the door for deputies, told them she was HIV-positive and appeared to be cooperating, Sgt. Paul Robbins said.

But she became enraged en route to a hospital, broke free from her leg restraints and kicked out the window of the ambulance, the sergeant said. She was sedated, treated and released later in the day.

Empson said she became violent again after leaving the hospital and kicked out the window of a patrol car. He said an unknown number of deputies fought with Facen when she was inside the jailhouse and she stopped breathing.

Although Facen had breasts and lived as a woman, the Sheriff’s Department was treating her as a man because she had male genitalia, Lt. Tom Bennett said.