West Nile virus-associated optic neuritis and chorioretinitis.
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.
Anninger
William V
WV
Department of Ophthalmology, William Havener Eye Center, Ohio State University, Columbus, Ohio 43214, USA. wva.dma01@dartmouth.org
Lomeo
Mark D
MD
Dingle
Jack
J
Epstein
Avrom D
AD
Lubow
Martin
M
D002825:Chorioretinitis / Q000175:diagnosis / Q000209:etiology*; D015828:Eye Infections, Viral / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008875:Middle Aged; D009898:Optic Disk / Q000473:pathology; D009902:Optic Neuritis / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity; D014822:Vitreous Body / Q000473:pathology; D014901:West Nile Fever / Q000150:complications* / Q000175:diagnosis; D014902:West Nile virus / Q000302:isolation & purification*