Last additions - 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.
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy695 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy504 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy537 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy494 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy489 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy512 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy505 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy477 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy498 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy561 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy597 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy470 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy550 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy468 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy478 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy430 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy483 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy413 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy465 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy437 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy463 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy557 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy523 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy588 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy1049 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy753 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy667 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 2015
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West Nile Virus Multifocal Choroiditis and diabetic retinopathy707 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virusNov 17, 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.
