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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.

wnv_DM_rydo_081715_01.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy732 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_02.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy685 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_03.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy780 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_04.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy1075 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_05.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy607 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_06.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy545 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_07.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy579 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_08.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy478 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_09.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy449 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_10.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy484 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_11.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy426 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_12.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy503 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_13.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy452 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_14.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy505 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_15.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy482 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_16.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy579 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_17.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy485 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_18.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy617 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_19.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy585 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_20.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy519 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_21.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy492 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_22.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy531 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_23.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy534 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_24.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy508 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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wnv_DM_rydo_081715_26.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy514 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_27.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy551 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_28.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy528 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 Bewertungen)
wnv_DM_rydo_081715_30.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy724 x angesehenMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
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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.