L5 Motor Paresis and Foot Drop Following Herpes Zoster Reactivation: An Unusual Presentation and Diagnostic Challenge in an Immunocompetent Patient - A Case Report

Tachy V. Hernandez Romero, Ridwan Ahmad, Carlos A. Ruiz Orasma, Zulma D. Sosa Carcamo, Sammer M. Elwasila, Bala Munipalli, Salma Iftikhar, Hector A. Robles Gonzalez, Elliot L. Dimberg, Joan Irizarry Alvarado, Juan C. Cardenas-Rosales, Division of General Internal Medicine, Mayo Clinic, Department of Internal Medicine, Palmetto General Hospital, Division of Infectious Disease, Mayo Clinic, Department of Radiology, Mayo Clinic, Department of Neurology, Mayo Clinic

Journal of Primary Care & Community Health

Published online on June 12, 2026

Abstract

Journal of Primary Care & Community Health, Volume 17, January-December 2026.
This is the case of a 67-year-old immunocompetent Hispanic male residing in Mexico who presented with acute right lower back and right lateral thigh pain. Initial imaging was unremarkable. He later developed painful vesicular lesions on the right foot and ...