# Sequential Varicella and Herpes Zoster in an Immunocompetent Adult

**Authors:** Bibek Sharma, Supriya Paudel

PMC · DOI: 10.1002/ccr3.72174 · Clinical Case Reports · 2026-02-24

## TL;DR

This paper reports a rare case of an immunocompetent adult experiencing both chickenpox and shingles in different skin areas, highlighting the need for careful diagnosis.

## Contribution

The paper presents a rare sequential case of varicella and herpes zoster in noncontiguous dermatomes in an immunocompetent adult.

## Key findings

- Varicella and herpes zoster occurred sequentially in noncontiguous dermatomes.
- Clinicopathological correlation is crucial for diagnosing atypical presentations of VZV infections.

## Abstract

Varicella and herpes zoster, caused by primary infection and reactivation of varicella‐zoster virus (VZV) respectively, can present with a wide spectrum of cutaneous and systemic complications. This case highlights an uncommon sequential presentation of varicella and zoster in an immunocompetent adult in noncontiguous dermatomes and emphasizes the importance of clinicopathological correlation in atypical presentations.

## Linked entities

- **Diseases:** Varicella (MONDO:0005700), Herpes Zoster (MONDO:0005609)

## Full-text entities

- **Diseases:** Varicella (MESH:D002644), shoulder pain (MESH:D020069), postherpetic neuralgia (MESH:D051474), VZV infection (MESH:D000073618), cervical dermatomal (MESH:D002575), febrile illness (MESH:D005334), infection (MESH:D007239), cutaneous eruptions (MESH:D003875), myalgia (MESH:D063806), neuropathic pain (MESH:D009437), immune dysregulation (OMIM:614878), Herpes Zoster (MESH:D006562)
- **Chemicals:** acyclovir (MESH:D000212), glucose (MESH:D005947)
- **Species:** herpesvirus [taxon 39059], Human alphaherpesvirus 3 (Varicella-zoster virus, no rank) [taxon 10335], Human immunodeficiency virus 1 (no rank) [taxon 11676], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12930094/full.md

## References

8 references — full list in the complete paper: https://tomesphere.com/paper/PMC12930094/full.md

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Source: https://tomesphere.com/paper/PMC12930094