A Nearly Fatal Case of Bacteremia Secondary to a Naturopathic Intravenous Vitamin Infusion.

In this article, we report a case of a 52-year-old female with no past medical history who presented with nausea, vomiting, and diarrhea following a naturopathic intravenous vitamin infusion that was administered in her home. She was found to have bacteremia, which is not commonly found in humans. We discuss when to suspect contamination, choosing the proper antibacterial regimen, and the potential risks of naturopathic medicine.

Isolated mycotic hypogastric artery aneurysm.

Isolated iliac artery aneurysms are rare and commonly associated with aortic aneurysms. Hypogastric artery aneurysms (HAAs) are exceptionally rare. The general approach to HAAs has been exclusion and bypass, although when this is complicated by mycotic disease, endovascular techniques can provide unique approaches to management.

Improving Patient Safety Communication in Residency Programs by Incorporating Patient Safety Discussions Into Rounds.

Background: Engaging residents in patient safety and quality improvement initiatives is sometimes difficult. The primary goal of the current study was to develop a standardized learning experience designed to facilitate patient safety discussions during rounds.

Methods: Residents who were on inpatient rotations during a 2-month period in 2014 were exposed to patient safety discussions on rounds.

Graduate Medical Education as a Lever for Collaborative Change: One Institution's Experience with a Campuswide Patient Safety Initiative.

Background: The 2013 closure of a public hospital in Baton Rouge, LA transformed graduate medical education (GME) at Our Lady of the Lake Regional Medical Center (OLOL). Administrators were tasked with incorporating residents into patient safety and quality improvement initiatives to fulfill regulatory obligations. This report outlines our experiences as we built these patient safety and quality improvement initiatives in a rapidly expanding independent academic medical center.

Herpes zoster ophthalmicus in an otherwise-healthy child.

Herpes zoster ophthalmicus, although not uncommon in adults, is rarely found in children. Herein we present a case of pediatric herpes zoster ophthalmicus that is unique in 2 ways. First, the child had been vaccinated against varicella and otherwise had no known exposure to varicella-zoster virus.