Varicella-zoster virus (VZV) infection is common in HIV seropositive patients, but disseminated VZV infection with pneumonia is rare in adult HIV seropositive patients. We report a case of disseminated VZV infection in a 28 year-old female patient with acquired immunodeficiency syndrome. The patient presented with dyspnea and disseminated cutaneous lesions. Chest radiograph showed multiple patchy lesions on the whole lung field. VZV was isolated from vesicular fluid of the cutaneous lesions. The patient was successfully treated with intravenous acyclovir.