ArticleCase reports in ophthalmology
A Case Report of Presumed West Nile Virus Chorioretinitis in a Non-Endemic Area: Atypical Serology and Imaging Features of Old and New Lesions.
Article in Case reports in ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: West Nile virus (WNV) infection is a recognized cause of neuroinvasive disease and chorioretinitis, typically reported in endemic regions and often associated with positive IgM serology. However, atypical presentations with discordant serology can occur, particularly in non-endemic settings, posing diagnostic challenges. Case Presentation: A 58-year-old woman developed acute encephalitis and bilateral panuveitis shortly after travel to a non-endemic region. Serum and cerebrospinal fluid testing showed positive WNV IgG and negative IgM. Multimodal retinal imaging revealed the coexistence of inactive-appearing chorioretinal scars and active full-thickness retinitis, with characteristic wedge-shaped and linear lesion patterns. Fundus autofluorescence, fluorescein angiography, indocyanine green angiography, and optical coherence tomography allowed differentiation of lesions with varying morphology and stages of activity. Although these findings do not confirm viral relapse or reactivation, they suggest prior infection with possible delayed or recurrent ocular and central nervous system involvement. Systemic and topical corticosteroid therapy resulted in rapid clinical and imaging improvement. Conclusion: This case highlights the diagnostic value of multimodal imaging in suspected WNV chorioretinitis and underscores the limitations of serology alone. Atypical serological profiles in non-endemic settings require careful interpretation, and multimodal imaging may provide critical insights into disease activity and staging.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.