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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 retinopathy571 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 retinopathy524 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 retinopathy577 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 retinopathy885 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 retinopathy450 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 retinopathy392 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 retinopathy449 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 retinopathy351 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 retinopathy346 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 retinopathy353 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 retinopathy320 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 retinopathy382 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 retinopathy336 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 retinopathy359 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 retinopathy378 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 retinopathy419 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 retinopathy382 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 retinopathy489 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 retinopathy450 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 retinopathy402 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 retinopathy378 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 retinopathy391 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 retinopathy405 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 retinopathy367 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 retinopathy385 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 retinopathy428 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 retinopathy378 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 retinopathy522 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.