Swine Diagnostic Manual
Swine Diagnostic Manual
Swine Diagnostic Manual
Table of Contents
Helpful Tools
Swine Diagnostic Submission Guide 4
Tissue Submission Guidelines 6
Dx-REPORTS - Diagnostic Reporting Software 8
Major Pig Organs 9
Nursery Pig Necropsy Instructions 10
Grower/Finisher Pig Necropsy Instructions 12
Respiratory Diseases
Glässer’s Disease - Haemophilus parasuis 14
Mycoplasma Pneumonia – Mycoplasma hyopneumoniae 15
Pneumonic Pasteurellosis - Pasteurella multocida 16
PRRSV – Porcine Reproductive and Respiratory Syndrome 17
IAV-S - Influenza A Virus in Swine 18
Swine Pleuropneumonia - APP 19
Gastrointestinal Diseases
Clostridial Enterocolitis - C. perfringens & C. difficile 20
Coccidiosis 21
E. coli - Intestinal Colibacillosis and Edema Disease 22
Gastric Ulcers 23
Hemorrhagic Bowel Syndrome – HBS 24
Ileitis - Lawsonia intracellularis 25
PEDV - Porcine Epidemic Diarrhea Virus 26
TGEV - Transmissible Gastroenteritis 27
Rotavirus Enteritis 28
Salmonellosis: Enteritis and Septicemia 29
Swine Dysentery - Brachyspira hyodysenteriae 30
Multisystemic Diseases
Erysipelas 31
Hemagglutinating Encephalomyelitis Virus 32
Polyserositis & Polyarthritis (Mycoplasma hyorhinis) 33
Porcine Circovirus Associated Disease (PCVAD) - PCV2 34
Strep - Streptococcus suis 35
Miscellaneous Diseases
Mulberry Heart Disease 36
Polyarthritis - Mycoplasma hyosynoviae 37
Reproductive Diseases
Leptospirosis 38
Parvo 38
PRRSV 38
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Swine Diagnostic Submission Guide
Sample
Disease Suspected Specimen Laboratory Procedure
Preparation
Culture-sensitivity,
Actinobacillus Refrigerate
Lung Serotyping (via PCR)
pleuropneumoniae
10% Formalin Histopathology
Refrigerate Culture-sensitivity
Arthritis Joint Fluid, Joint Swab, Synovium
10% Formalin Histopathology
Anaerobic Culture-sensitivity,
Refrigerate
Clostridium perfringens Duodenum, Jejunum, Ileum, Colon Toxin PCR
10% Formalin Histopathology
Duodenum, Jejunum, Ileum, Colon, Fecal Culture, A/B Toxin ELISA,
Clostridium difficile Refrigerate
Swabs, Colon Content A/B Toxin PCR
Escherichia coli (E. coli) Duodenum, Jejunum, Ileum, Colon, Refrigerate Culture-sensitivity, PCR, Toxin PCR
Colibacillosis Brain with Brainstem, Fecal Swabs,
Edema Disease Colon Content
10% Formalin Histopathology
Culture-sensitivity,
Enteritis Duodenum, Jejunum, Ileum, Colon, Refrigerate Anaerobic culture/typing,
(non-specific) Fecal Swabs, Colon Content TGEV PCR, Rotavirus qPCR
10% Formalin Histopathology
Mycoplasma hyorhinis
Lung with Pleura, Pericardium, Culture,
(Polyarthritis and Refrigerate
Pericardial Fluid, Synovium, Joint Fluid Mycoplasma Multiplex PCR
Polyserositis)
Mycoplasma
hyosynoviae Synovium, Joint Fluid Refrigerate Mycoplasma Multiplex PCR, Culture
(Polyarthritis)
Sample
Disease Suspected Specimen Laboratory Procedure
Preparation
Pasteurella Pneumonia 10% Formalin
Culture-sensitivity,
and Rhinitis Lung, Turbinates If Investigating Rhinitis
Serogrouping PCR
(P. multocida) Refrigerate
Reproductive Diseases/
Fetus, Mummies, Stillborns, Culture-sensitivity,
Abortions (Parvo, Refrigerate
Weakborns, Serum IgG, PCR, etc.
Lepto, PRRS, etc)
Swine Dysentery
(Brachyspira Feces, Cecum, Spiral Colon 10% Formalin Histopathology
hyodysenteriae)
For bacterial culture, we recommend swabs with transport media to prevent desiccation. For virus isolation, swabs
should be placed into viral transport media; see tissue submission guidelines on next page or call the lab for information.
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Tissue Submission Guidelines
Whenever possible, animals selected for laboratory analysis should be free from antibiotic therapy and in an early or
acute disease stage. Selected tissues should be collected as aseptically as possible. Ideally, two or three humanely
euthanized pigs in the early stages of disease that are displaying typical clinical signs and immediately necropsied
will yield the most reliable diagnostic data. A meaningful history of the disease outbreak and a tentative diagnosis,
based upon clinical evaluation and necropsy findings, should be included. Laboratory test results are directly affected
by animal selection, necropsy technique, specimen selection, specimen handling, adequate preservation, and speed
of shipment to the laboratory. Contact Newport Laboratories if you have any questions regarding sample collection
or the diagnostic process.
For any materials submitted to Newport Laboratories for analysis, Newport Laboratories solely owns the work developed or derived from the materials submitted as unique work product and an
invention by Newport Laboratories. All written materials and other works which may be subject to copyright, and all patentable and unpatentable inventions, ideas, improvements, or discoveries
conceived or made by Newport Laboratories arising out of the developments shall be the sole and entire property of Newport Laboratories. Any and all intellectual property rights related to the vaccine
and the development of the vaccine belong solely to Newport Laboratories.
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Diagnostic Reporting & Management Software
The Dx-REPORTS is a secure site which allows veterinarians to view diagnostic testing results
where they want and when they want. This system allows veterinarians to easily organize
and distribute diagnostic results. Livestock producers receive pertinent information from their
veterinarian in a precise and understandable format.
Associated Parties:
T
Vet Practice:
POR
Veterinarian:
RE
Producer:
PLE
System User:
SAM
Reference Data:
Site:
Animal Information:
Qty: 2
Porcine
Lab Findings
Specimen Test Name NA EU
Blood swab pool - Porcine
Pool -1 PRRSV Multiplex RT PCR - Applied Biosystems (PCR - Negative Negative
(00000, Blood swab-72), (00001, Blood swab-73), M.PRRSVPCR) - 1/1/2013 3:56 PM >=37 Ct >=37 Ct
(00002, Blood swab-74)
01/01/13 BLW
Pool -2 PRRSV Multiplex RT PCR - Applied Biosystems (PCR - Negative Negative
(00003, Blood swab-64), (00004, Blood swab-65), M.PRRSVPCR) - 1/1/2013 3:56 PM >=37 Ct >=37 Ct
(00005, Blood swab-66)
01/01/13 BLW
Pool -3 PRRSV Multiplex RT PCR - Applied Biosystems (PCR - Negative Negative
(00006, Blood swab-95), (00007, Blood swab-96), M.PRRSVPCR) - 1/1/2013 3:56 PM >=37 Ct >=37 Ct
(00008, Blood swab-97)
01/01/13 BLW
Pool -4 PRRSV Multiplex RT PCR - Applied Biosystems (PCR - Negative Negative
(00009, Blood swab-27), (00010, Blood swab-28), M.PRRSVPCR) - 1/1/2013 3:56 PM >=37 Ct >=37 Ct
(00011, Blood swab-29)
01/01/13 BLW
Pool -5 PRRSV Multiplex RT PCR - Applied Biosystems (PCR - Negative Negative
(00012, Blood swab-33), (00013, Blood swab-34), M.PRRSVPCR) - 1/1/2013 3:56 PM >=37 Ct >=37 Ct
(00014, Blood swab-35)
01/01/13 BLW
1/1/2013
Brent Wassman Date
Lung
Liver
Heart
Cecum
Small Intestine
Spiral Colon
Stomach
Head
Spleen
Head Head
Kidney Urinary Bladder
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Nursery Pig - Necropsy Instructions
Important: Start with a sharp knife. Cut through the axilla to partially separate the front limb
from the rib cage. Repeat for other side.
After cutting through the axillae, the pig will lie upright Hook the knife under the cranial sternum. Cut through
on its back. the cartilage of all the ribs on both sides.
Continue this cut to remove the skin with sternum, and Most organs are now visible.
the ventral abdominal wall (belly) of the pig.
Cut between the ribs below the collar bone. Spread and crack the ribs open.
Organs are easily examined. Brain Swabs: Cut through the skin and muscle behind
the ears at the base of the skull.
Flex the nose toward the floor and the ears down to Place a swab on the exposed spinal cord toward the
open the space between the top vertebra and the skull. brain. This is an excellent way to test for strep.
This will allow room to cut between them.
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Grower/Finisher - Necropsy Instructions
With the pig on its side, hold the lower front limb down Use the knife to cut through the axilla (armpit) to
with your foot while pulling up on the upper front limb. separate the leg from the rib cage.
Hip Socket
The upper hind limb is cut and laid back likewise. As you push the hind limb back, up and over the hip by
cutting muscle in the area, the hip socket will become
exposed, cut through socket and continue pushing the
limb straight back over hip.
Cut between the skin and body wall, beginning at the Continue the cut along the ventral midline toward
pelvis, along the midline all the way to the neck. the neck.
Following the cut just made, dissect the skin away from Continuation of previous step. Note that abdominal wall
the body wall, reflecting it over the back. and back muscles are being exposed, but abdomen is
not open.
Carefully open the abdomen wall without cutting into Puncture the diaphragm near caudal sternum. Cut
intestines or urinary bladder; beginning near the pelvic through cartilage of the sternum all the way to neck.
floor working toward the head along midline. Reflect
abdominal wall over the back.
Cut muscles between ribs in pairs; break ribs by Organs are now exposed for examination.
pushing one or two at once over the back.
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Glässer’s Disease
Haemophilus parasuis
Purple tan consolidated lung without pleuritis. Note cranioventral Purple tan consolidated lung without pleuritis. Note cranioventral
involvement. involvement.
Stage of Production
MYCO
Diagnostic Tests
• Nursery • Mycoplasma
• Grow-Finish Multiplex PCR
• Mycoplasma culture
Diagnosis • Quantitative PCR
• Affected lung tissue is gray or purple, most commonly in the apical • Histopathology
and cardiac lobes (cranioventral). • Serology
• Lesions are clearly demarcated from normal lung.
• The associated lymph nodes may be enlarged.
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Pneumonic Pasteurellosis
Pasteurella multocida
Stage of Production
Tissues to Submit • Nursery
• Lung • Grow-Finish
Diagnostic Tests Diagnosis
• Culture • Diagnosis is based on necropsy findings and culture of P. multocida
• Serogrouping PCR from the lesions.
• Exudative bronchopneumonia, sometimes with pericarditis and pleuritis.
Normal lung Lungs stay upright due to diffuse interstitial pneumonia; slightly
rubbery but not consolidated
Lungs stay upright due to diffuse interstitial Ventral view of PRRSV infected lung
pneumonia.
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IAV-S Pneumonia
Influenza A Virus - Swine
Normal lung: pink, collapses uniformly, soft upon palpation Dorsal view of IAV-S Pneumonia: lungs stay upright due to diffuse
interstitial pneumonia with patchy red lobules of consolidation;
palpates rubbery compared to normal.
Stage of Production
SIV
Diagnostic Tests
• Virus Isolation • Farrowing
• Quantitative PCR • Nursery
• Sequencing • Grow-Finish
• Histopathology
• Serology (HI, ELISA)
Diagnosis
• In uncomplicated infections, lesions are usually confined to the lungs.
• HT-SN™
• Necrotizing bronchiolitis becomes proliferative in chronic cases; IAV-S is
confirmed by IHC or PCR or VI.
• The airways contain a copious mucopurulent exudate, and the bronchial
and mediastinal lymph nodes are edematous and enlarged.
Normal Lung Hemorrhagic necrotic lung lesions, with pleuritis involving dorsal lung
at small lesion. Extensive lobar consolidation in larger lesion.
Stage of Production
• Grow-Finish
Tissues to Submit
Diagnosis • Lung
• An explosive disease onset is suggestive. • Serum
• The pneumonia is usually bilateral, but often unevenly distributed with
APP
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Clostridial GI Diseases
C. perfringens & C. difficile
Intestinal distension - C. perfringens Type A Dark red intestine, gas bubbles visible beneath the serosa. Lumen will be
filled with bloody necrotic content. C. perfringens Type C
Stage of Production
• Farrowing
• Nursery
Diagnosis
• Necropsy is usually sufficient to establish the diagnosis of C. perfringens
Tissues to Submit Type C in the peracute hemorrhagic form and in the acute form with
• Small Intestine jejunal emphysema. Histologic observation of villous necrosis with
CLOSTRIDIUM
Diagnosis
• Diagnosis is by histopathological observation of sporozoites in the
diseased mucosa; or by finding sporozoites in mucosal smears via direct
microscopic examination.
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Intestinal Colibacillosis/Edema Disease
E. coli
• Nursery
Diagnostic Tests Diagnosis
• Culture
• Confirmation is based on histologic observation of villous
• Histopathology
colonization and isolation of pathogenic E. coli.
• Toxin PCR
• Dehydration and distension of the small intestine and colon with
• Pilin PCR
yellowish, watery to cream-like fluid. Mesenteric lacteals are
• Adherence Factor
still white with milk fat, indicating absorption is still normal, but
PCR
hypersecretion is producing diarrhea.
Gastric ulcers in two stomachs. Arrows point to ulcer edges. Gut content in distal small intestine and colon is dark brown (arrow)
due to digested blood coming from the gastric ulcers.
Stage of Production
• Grow-Finish
Tissues to Submit
ULCERS
Diagnosis • Stomach
• Appearance in a pen of one or two listless, anorexic pigs that show
weight loss, anemia, and dark feces. Diagnostic Tests
• Sometimes dyspnea is suggestive of gastric ulceration, as is the • Post-mortem Exam
sudden death of an apparently healthy pig.
• The typical terminal ulcer lesion is found in the gastric mucosa near
the esophageal opening (cardia) in the rectangular area of white,
glistening, non-glandular, squamous epithelium.
• In cases of sudden death, the stomach will contain a large
hematoma (blood clot) that originates from a chronic bleeding ulcer.
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Hemorrhagic Bowel Syndrome - HBS
Mesenteric Torsion of the Small Intestine
Bright red gas distended loops of small intestine with bloody content.
Diagnostic Tests
• Sudden death of previously healthy grow-finish pigs and characteristic
• Post-mortem Exam
post-mortem findings.
• Tests to rule out
• Before manipulating the intestines, palpate the mesenteric root (tissue
Salmonellosis, Ileitis,
coming down from the lumbar back and supporting the gut mass)
and Swine Dysentery
for a twist or torsion. When present this is diagnostic for mesenteric
torsion. Smaller lesions may only involve a torsion within the
mesentery of a portion of the small intestine.
• The involved gut loops are thin-walled, gas-filled, red due to
congestion, and contain bloody fluid.
Normal intestine - can see fingers through lining Thick hyperplastic ileal mucosa with blood clot in lumen.
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Porcine Epidemic Diarrhea
PEDv
• Colon • Nursery
• Grow-Finish
Diagnostic Tests
• PCR Diagnosis
• Clinical signs with severe diarrhea begin explosively in naïve herds
leading to a presumptive diagnosis of TGEv or PEDv.
• PEDv in naïve herds affects animals of all ages.
• The most common sources of infected feces are pigs, trucks, boots,
clothing or other fomites.
• Preferred samples for diagnostic testing are live pigs in acute stages
of disease, fresh and formalin-fixed small intestine and colon.
Stage of Production
• Farrowing Tissues to Submit
• Nursery • Small Intestine
• Grow-Finish • Large Intestine
Diagnosis • Fecal Swab
TGE
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Rotavirus A
Rotavirus Enteritis
Thin-walled fluid filled small intestine and spiral colon (arrow). Evidence of diarrhea around anus of a nursery pig.
Intestine distended, edematous and thickened wall Diffuse interstitial pneumonia with congestion, edema, and
patchy consolidation (arrow).
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Swine Dysentery
Brachyspira hyodysenteriae
Edematous and hemorrhagic large intestinal mucosa (inner lining) Thick-walled, hemorrhagic and edematous large intestine
Fibrinonecrotic debris with dark blood clots on the colon mucosa Chronic Swine Dysentery: less blood but thickened mucosa covered
with adherent yellow tan necrotic membrane
• Feces
• Cecum Stage of Production
• Spiral Colon • Grow-Finish.
Lesions
• Diffuse superficial lesions, confined to cecum, spiral colon and rectum.
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Vomiting and Wasting Disease
Hemagglutinating Encephalomyelitis Virus
Lack of characteristic lesions. HEV almost exclusively affects piglets less than 4 weeks of age with vomiting, emaciation, or neurological signs such as
tremors and dog-sitting posture.
Stage of Production
Diagnostic Tests • Nursery
• Virus Isolation
• Histopathology Diagnosis
• Quantitative PCR • Isolation of virus from brain stem.
• Sequencing • Histopathology of brain stem and pyloric portion of stomach has
characteristic lesions.
Fibrinous peritonitis and polyserositis over intestinal serosa, peritoneum, and liver capsule.
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Porcine Circovirus
PCV2 • PMWS • PDNS
Thin, wasting pig. Porcine Dermatitis and Nephropathy Syndrome (PDNS) Enlarged mediastinal lymph nodes.
is one manifestation of PCV2 infection. Here the skin
shows striking multifocal hemorrhagic dermatitis from
the ventral abdomen.
Diagnosis
• Diagnosis of PCV2 requires that a pig or group of pigs have a
Tissues to Submit specific set of clinical signs and microscopic lesions.
• Lung
• Spleen
PCV2 Diagnostic Criteria
• Microscopic Lesions: depletion of lymphoid tissues and/or
• Lymph Nodes
lymphohistiocytic to granulomatous inflammation in any organ
• Kidney
(predominantly lung, lymphoid tissue, liver, kidney, intestine,
• Intestine with
PCV2
Prominent valvular endocarditis lesion; typical Pus covering cerebellum and brain stem (arrow). Pig down paddling, CNS signs with head
of pigs with bacterial septicemia. Diffuse engorgement of meningeal blood vessels tilted back.
due to hyperemia of septicemia.
Stage of Production
Tissues to Submit
• Farrowing
• Brain
• Nursery
• Lung
Diagnosis • Joint
• Liver
STREP
• Definitive diagnosis depends on gross and microscopic lesions and
isolation and identification of the organism. The disease can be • Spleen
confused with other streptococcal infections, other bacterial infections
Diagnostic Tests
(such as Erysipelas, Salmonellosis, or acute Glässer’s disease), water
• Culture
deprivation, or pseudorabies.
• Histopathology
• The skin may be reddened in patches. Lymph nodes are often enlarged
• Whole Genome
and congested, and fibrinopurulent polyserositis is common.
Sequencing
• Joint capsules may be thickened and joints may contain excessive
clear or cloudy fluid.
• Affected lungs may show varying degrees of diffuse rubbery interstitial
change or patchy consolidation due to bronchopneumonia.
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Mulberry Heart Disease
Nutritional Cardiomyopathy of Pigs
Fresh heart with multiple prominent hemorrhages on the Cross sections of formalin-preserved pig heart. Heart on the left is
epicardial surface. normal. Heart on the right shows severe diffuse hemorrhage and
necrosis of entire left ventricular wall.
Stage of Production
• Farrowing House or Nursery
• 2 to 16 weeks old
Diagnosis
• Necropsy reveals pericardial effusion and marked
Tissues to Submit epicardial hemorrhages.
MULBERRY HEART
• Fresh lung and • Cross sections of the ventricles show hemorrhages extend throughout
pericardial fluid the wall.
• Formalin-fixed left • Hemorrhages are not superficial on the epicardium, as seen with
and right ventricles bacterial septicemias.
• Histopathological heart lesions are pathognomonic. Send formalin-fixed
Diagnostic Tests cross section of ventricles for definitive diagnosis.
• Culture of lung and • A Vitamin E/Selenium responsive disease.
pericardial fluid to • Diets may be low in active form of Vitamin E or selenium (Se).
rule out septicemia • Factors that may increase Se demand include low concentrations of
• Histopathology reveals dietary protein (especially sulfur-containing amino acids), diets with
diagnostic lesions an excess of selenium antagonistic compounds, and possibly genetic
influences on selenium metabolism.
• Vitamin E demand may increase with diets high in polyunsaturated fatty
acids, Vitamin A, mycotoxins, or rancid fats.
Dog-sitting pig
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Reproductive Diseases
Lepto/Parvo/PRRSV
Parvovirus infected sow litter following abortion. Note mummified fetuses, uneven sizes, and post-mortem change indicative of in utero death.
One litter from a PRRS virus associated abortion. Note litter has late
term piglets, at varying stages of in utero decomposition, typical of
the disease infecting one piglet at a time in utero.
Diagnosis
• Porcine Parvovirus (PPV) is usually asymptomatic in adults.
• Sows infected with PPV before 70 days of gestation may abort
mummified or near-term autolyzed fetuses.
• PRRS causes late-term abortions including fresh and autolyzed pigs;
or weak born piglets.