Atypical Manifestation of VZV Infection in a Vaccinated Immunocompetent Adult

Table 1

Physical examination findings.

General	The patient was lying in a dark room with the eyes closed and was distressed due to pain
Head	Atraumatic and normocephalic
Eyes	Anicteric sclera, no conjunctival pallor, or injection
Neck	Nuchal rigidity noted
Respiratory	Unlabored, symmetric chest rise, on room air, no wheezing noted, and chest clear to auscultation bilaterally
Cardiovascular	Tachycardic, patient in sinus rhythm, and no murmurs appreciated on auscultation
Abdomen	Soft, nontender, nondistended, and no hepatosplenomegaly
Neurological	Alert, attentive, and oriented to time; place person, and situation; cranial nerves two to twelve grossly intact; no loss of muscle bulk or tone; sensations to light touch symmetrical and intact in all extremities; strength 5/5 in all extremities, reflexes 2+ at biceps, triceps, knees, and ankles; normal gait; coordination tested by rapid alternating movements intact in all extremities
Skin	Warm, dry, and no mucocutaneous rash noted