A 14-year-old boy presented with fever, malaise, and myalgia followed one day later by sudden eruption of generalized rash involving mainly the face and trunk. O/E, polymorphous rash with many vesicular lesions on red base assuming an appearance of “dew drops on rose petals) the characteristic of chicken pox. Varicella occurring in late childhood or adulthood may present with more severe prodromal symptoms and rash.