Abstract
Saudi Arabia is an endemic area of cutaneous leishmaniasis with L. major and L. tropica being the causative species. A 47-year-old patient presented to the clinic with large plaque of cutaneous leishmaniasis and sporotrichoid nodules. After 20 days of treatment with intravenous meglumine antimoniate, his leishmania improved but he developed large plaques of herpes zoster on the same limb of the leishmania lesion. Herpes zoster has been reported to be induced by systemic treatment with pentavalent antimonials in leishmania patients. In our patient, herpes zoster plaques were localized but involved multiple dermatomes in the same area of the leishmania lesion.