West Nile virus-associated optic neuritis and chorioretinitis

TitleWest Nile virus-associated optic neuritis and chorioretinitis
Publication TypeJournal Article
Year of Publication2003
AuthorsAnninger WV, Lomeo MD, Dingle J, Epstein AD, Lubow M
JournalAm J Ophthalmol
Pagination1183 - 5
Date PublishedDec
ISSN0002-9394 (Print) 0002-9394 (Linking)
Accession Number14644244
KeywordsChorioretinitis / diagnosis / *etiology, Eye Infections, Viral / diagnosis / *etiology, Female, Fluorescein Angiography, Humans, Middle Aged, Optic Disk / pathology, Optic Neuritis / diagnosis / *etiology, Visual Acuity, Vitreous Body / pathology, West Nile Fever / *complications / diagnosis, West Nile virus / *isolation & purification

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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