Atypical Generalized Zoster with Lymphadenitis Mimicking Lymphoma

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Abstract
"Decrudescent varicella zoster infection can result in either a localized dermatomic or disseminated disease.1 2 3 When disseminated zoster occurs, localized dermatomic eruption usually precedes the clinical evidence of dissemination.4 5 6 In "atypical generalized zoster" the initial presentation of disease consists of widely spaced, discrete vesicular lesions.2 , 3 We recently studied a case of atypical generalized zoster in a young woman who had a prostrating febrile illness with marked lymphadenopathy, initially thought to be lymphoma. However, varicella zoster virus was demonstrated in the lymph node by means of electron microscopy and specific immunofluorescence 2 1/2 weeks before skin lesions appeared. This report describes our . . .

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