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Derniers ajouts - 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.

wnv_DM_rydo_081715_30.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 746 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_28.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 546 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_27.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 564 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_26.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 527 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_24.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 524 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_23.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 548 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_22.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 547 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_21.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 505 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_20.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 536 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_19.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 604 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_18.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 632 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_17.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 499 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_16.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 595 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_15.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 496 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_14.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 524 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_13.jpg
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 virus17 Novembre 2015
wnv_DM_rydo_081715_12.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 520 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_11.jpg
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 virus17 Novembre 2015
wnv_DM_rydo_081715_10.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 501 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_09.jpg
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 virus17 Novembre 2015
wnv_DM_rydo_081715_08.jpg
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 virus17 Novembre 2015
wnv_DM_rydo_081715_07.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 605 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_06.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 560 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_05.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 628 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_04.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 1090 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_03.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 802 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_02.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 702 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
wnv_DM_rydo_081715_01.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathyvu 749 foisMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus17 Novembre 2015
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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.