West Nile virus-associated optic neuritis and chorioretinitis.

Anninger, William V; Lomeo, Mark D; Dingle, Jack; Epstein, Avrom D; Lubow, Martin · Am J Ophthalmol · 2003

case_report · Level V

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Abstract

To report the new ocular and neurologic features of West Nile virus (WNV) meningoencephalitis. Observational case report. A 55-year-old woman presented with headache, stiff neck, visual loss, and fever 10 days after a weekend camping trip. Examination revealed vitritis, creamy yellow circular chorioretinal lesions, and peripheral visual field loss. Laboratory investigation indicated the patient was suffering from WNV meningoencephalitis with neuro-ocular involvement. Ophthalmologists and infectious disease specialists should recognize that the WNV infection spectrum may include ophthalmic findings, specifically optic neuritis and multifocal chorioretinitis.

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