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 retinopathy662 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 retinopathy466 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 retinopathy491 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 retinopathy455 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 retinopathy447 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 retinopathy475 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 retinopathy443 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 retinopathy456 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 retinopathy525 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 retinopathy552 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 retinopathy445 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 retinopathy495 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 retinopathy436 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 retinopathy428 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 retinopathy398 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 retinopathy454 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 retinopathy382 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 retinopathy421 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 retinopathy406 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 retinopathy429 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 retinopathy518 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 retinopathy472 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 retinopathy553 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 retinopathy1013 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 retinopathy726 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 retinopathy643 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 retinopathy671 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.
