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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 679 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 648 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 729 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 1016 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 557 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 479 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 532 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 437 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 413 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 429 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 391 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 404 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 438 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 447 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 506 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 450 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 567 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 537 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 466 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 455 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 479 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 484 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 460 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 508 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 473 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 666 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.