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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 retinopathyvu 671 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 641 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 724 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 1008 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 551 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 470 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 516 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 427 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 404 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 419 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 380 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 452 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 397 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 427 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 433 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 492 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 444 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 551 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 523 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 454 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 441 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 468 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 473 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 445 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 453 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 489 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 463 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 661 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
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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.