Atypical Presentation of Painless Herpes Zoster in an Elderly Male: A Case Report

Shingles, also known as herpes zoster, is a reactivation of the chickenpox virus that causes a painful, blistering rash. After a chickenpox infection, the virus lies dormant in nerve cells. When reactivated, usually in older adults or those with weakened immune systems, it travels along nerves, typically affecting a single strip of skin called a dermatome. Shingles usually presents as a painful, one-sided rash that may involve nerves in the head, face, and body. While it typically resolves on its own, it can lead to complications, especially in older adults. Antiviral medications are effective in reducing the severity and duration of shingles and should be started as soon as the rash appears. This report describes an unusual case of an elderly patient who developed shingles on their face after a wound, notably without experiencing any pain.