A patients suffering from painful vesicular eruption at t-4 dermatome, the cause is:
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Herpes zoster, caused by varicella zoster virus, most commonly presents as a unilateral dermatomal, vesicular eruption. ... Typically, the rash involves a single dermatome and does not cross the midline. The presence of the characteristic rash (Figure 1) is sufficient to allow for clinical diagnosis.
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