Delayed-onset Facial Palsy Following Disseminated Herpes Zoster in an Immunocompetent Female

Abstract

Disseminated herpes zoster is a rare presentation in immunocompetent individuals. Neurological complications such as facial palsy usually occur early or concurrently with the rash, making delayed onset uncommon. We report a case of a 48-year-old immunocompetent female who presented with painful, widespread vesicular eruptions and was diagnosed with disseminated herpes zoster. Although she responded to antiviral therapy, she subsequently developed left-sided lower motor neuron facial palsy after resolution of the cutaneous lesions. This case highlights the potential for delayed neurological complications in disseminated herpes zoster, even among immunocompetent patients, emphasizing the importance of early recognition and close follow-up.