A healthy 37-year-old man presented with a pruritic rash, chills, and body aches for three days. He was afebrile and had scattered vesicles on an erythematous base, on his trunk and extremities (Figs. 1 and 2). He reported never having chickenpox but had received two doses of the varicella vaccine at age 20. He worked at a nursing home where a resident had recently developed shingles. Vesicular fluid PCR testing was positive for varicella zoster, consistent with chickenpox.
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