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West Nile Virus Multifocal Choroiditis in Diabetic 32 year old white male. He has been sick for about 1 month and was recently diagnosed with West Nile virus. He has had a few fevers. He has had vomiting and when he is around food he gets sick. He's been sleeping all day and also had a chronic headache. He is getting percocet and naproxyn for the pain and headaches and zofran for the nausea. He had a positive blood test. His vision is blurred in the right eye. This started about 3 weeks ago. Since it started it is not getting any better. The patient was hospitalized last week and was on prednisone and imitrex for a few days for migraine. Then the prednisone started to intefere with his sleep so it was stopped after talking with the doctor. Type I diabetic diagnosed in 2009. The sugars have been good. •VA OD: sc20/50 PH20/40 NscJ1 •VA OS: sc20/63 PH20/32 NscJ1 The images show multifocal deep choroidal lesions (RPE) typical of west nile virus. There is also diabetic retinopathy. The retinopathy could be from W Nile virus but probably is not. His vision improved within about a month.
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 673Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 644Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 726Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 1013Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 554Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 474Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 524Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 429Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 407Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 421Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 383Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 455Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 399Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 428Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 438Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 497Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 445Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 552Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 526Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 457Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 444Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 471Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 477Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 447Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 456Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 496Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 467Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvaatamisi: 662Multifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 hinnangut)
28 faili 1 lehel

32 year old white male. He has been sick for about 1 month and was recently diagnosed with West Nile virus. He has had a few fevers. He has had vomiting and when he is around food he gets sick. He's been sleeping all day and also had a chronic headache. He is getting percocet and naproxyn for the pain and headaches and zofran for the nausea. He had a positive blood test. His vision is blurred in the right eye. This started about 3 weeks ago. Since it started it is not getting any better. The patient was hospitalized last week and was on prednisone and imitrex for a few days for migraine. Then the prednisone started to intefere with his sleep so it was stopped after talking with the doctor. Type I diabetic diagnosed in 2009. The sugars have been good. •VA OD: sc20/50 PH20/40 NscJ1 •VA OS: sc20/63 PH20/32 NscJ1 The images show multifocal deep choroidal lesions (RPE) typical of west nile virus. There is also diabetic retinopathy. The retinopathy could be from W Nile virus but probably is not. His vision improved within about a month.