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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 retinopathyvista 748 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 701 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 801 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 1090 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 627 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 559 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 605 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 492 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 463 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 500 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 440 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 520 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 465 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 524 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 495 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 594 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 499 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 631 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 604 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 536 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 505 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 547 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 547 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 524 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 527 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 564 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 545 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)	West Nile Virus Multifocal Choroiditis and diabetic retinopathyvista 744 vecesMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votos)
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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.