Complication of chickenpox infection without skin rashes.

Chickenpox is a highly infectious contagious disease caused by varicella zoster virus (VZV). Clinical diagnosis in children is usually made in the presence of characteristic vesicular skin rash, starting on the head or body. Prodromal symptoms (symptoms indicating disease onset) of nausea, loss of appetite, aching muscles and headache are generally seen in adolescents and adults. Absence of the typical vesicular rash (in subclinical infections) can create a diagnostic dilemma when an associated complication of the infection is the first presentation. We present a case of cerebellitis (associated complication) following a chickenpox infection without a rash.