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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.

wnv_DM_rydo_081715_01.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy365 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_02.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy332 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_03.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy388 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_04.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy617 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_05.png
West Nile Virus Multifocal Choroiditis and diabetic retinopathy276 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_06.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy252 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_07.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy299 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_08.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy208 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_09.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy208 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_10.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy218 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_11.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy187 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_12.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy237 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_13.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy194 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_14.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy235 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_15.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy251 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_16.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy242 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_17.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy195 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_18.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy271 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_19.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy241 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_20.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy212 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_21.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy204 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_22.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy251 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_23.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy257 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_24.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy216 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_26.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy246 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_27.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy265 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_28.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy213 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(0 votes)
wnv_DM_rydo_081715_30.jpg
West Nile Virus Multifocal Choroiditis and diabetic retinopathy272 viewsMultifocal and clustered focal lesions are from west nile virus. The retinopathy is probably diabetic but could also be related to west nile virus00000
(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.