American Journal of Ophthalmology 2003-Dec
West Nile virus-associated optic neuritis and chorioretinitis.
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Abstract
OBJECTIVE
To report the new ocular and neurologic features of West Nile virus (WNV) meningoencephalitis.
METHODS
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.
CONCLUSIONS
Ophthalmologists and infectious disease specialists should recognize that the WNV infection spectrum may include ophthalmic findings, specifically optic neuritis and multifocal chorioretinitis.
