Shingles caused by varicella-zoster was regarded as rare disease, mostly related to childhood chickenpox. However, meningoencephalitis caused by varicella-zoster is increasingly recognized as a predominant cause of ME among immunocompetent adults in non-epidemic circumstances. Diagnosis of complications of varicella-zoster, particularly in cases where the disease reactivates after years or decades of latency, are difficult. A rash (shingles) can be present or absent. Symptoms vary, and there is significant overlap in symptoms with herpes-simplex symptoms. Although DNA analysis techniques such as polymerase chain reaction (PCR) can be used to look for DNA of herpesviruses in spinal fluid or blood, the results may
Riggs' disease Riggs' disease Riggs' disease, also known as pyorrhea of a toothsocket or gingivitis expulsiva, is a historical term for periodontitis (gum disease), The condition was described as a purulent inflammation of the dental periosteum. It was named after American dentist John Mankey Riggs (1811–1885). Riggs' disease was said to produce the progressive necrosis of the alveoli and looseness of the teeth. The teeth may become very loose and fall out of the sockets. Mark Twain wrote briefly about Riggs' disease in his short essay, "Happy Memories of the Dental Chair", in which he claims to have been examined by Dr.