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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: 704Multifocal 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: 661Multifocal 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: 745Multifocal 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: 1035Multifocal 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: 578Multifocal 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: 511Multifocal 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: 547Multifocal 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: 454Multifocal 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: 427Multifocal 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: 452Multifocal 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: 409Multifocal 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: 476Multifocal 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: 419Multifocal 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: 468Multifocal 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: 459Multifocal 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: 544Multifocal 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: 463Multifocal 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: 589Multifocal 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: 553Multifocal 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: 492Multifocal 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: 466Multifocal 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: 501Multifocal 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: 508Multifocal 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: 478Multifocal 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: 489Multifocal 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: 534Multifocal 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: 500Multifocal 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: 689Multifocal 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.