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Case Reports
. 2003 Dec;136(6):1183-5.
doi: 10.1016/s0002-9394(03)00738-4.

West Nile virus-associated optic neuritis and chorioretinitis

William V Anninger  1 , Mark D Lomeo, Jack Dingle, Avrom D Epstein, Martin Lubow
Affiliations
Case Reports

West Nile virus-associated optic neuritis and chorioretinitis

William V Anninger et al. Am J Ophthalmol. 2003 Dec.

Abstract

Purpose: To report the new ocular and neurologic features of West Nile virus (WNV) meningoencephalitis.

Design: Observational case report.

Methods: 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.

Results: Laboratory investigation indicated the patient was suffering from WNV meningoencephalitis with neuro-ocular involvement.

Conclusion: 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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