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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 retinopathy564 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy516 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy567 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy878 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
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 virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy386 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy442 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy345 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathy340 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy347 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy314 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy376 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathy330 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy353 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy372 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	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 virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathy376 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	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 virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy444 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy396 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathy372 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy385 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy399 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy359 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
West Nile Virus Multifocal Choroiditis and diabetic retinopathy379 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	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 virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy372 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)	West Nile Virus Multifocal Choroiditis and diabetic retinopathy513 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus (0 votes)
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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.