Atypical Disseminated Herpes Zoster With Rapid Spread in an Older Adult

Disseminated herpes zoster is an uncommon and severe presentation of varicella zoster virus reactivation that may involve widespread cutaneous lesions and atypical distributions. Although it is more frequently observed in immunocompromised individuals, it can also occur in immunocompetent patients, particularly in older adults, and may present with generalized eruptions that resemble varicella. We report a case of atypical disseminated herpes zoster with involvement of the gluteal region, genitalia, and bilateral lower extremities in an immunocompetent patient, highlighting an unusual clinical presentation and the importance of early recognition.