| Causes include
Mycoplasma
hyorhinis
,
Haemophilus
parasuis
,
Streptococcus
suis
, or
Erysipelothrix
rhusiopathiae
, which are found sporadically among groups of pigs or herds. As with many infectious diseases, management or environmental factors that stress the pig or depress the immune response can precipitate infectious arthritis. Moving and mixing pigs; overcrowding; cold, damp, or drafty environments; or changing rations are major stresses and can lead to the development of infectious arthritides. In addition, active infection due to porcine reproductive and respiratory
syndrome virus (
Porcine Reproductive and Respiratory Syndrome: Introduction) often predisposes groups of nursery pigs to these infectious causes of polyarthritis. |
| The clinical signs seen in infections caused by
M
hyorhinis
,
S
suis
(
Streptococcus suis Infection), and
H
parasuis
, (Glässer’s disease,
Glässer’s Disease: Introduction) are similar, because these organisms cause polyarthritis and polyserositis. The upper respiratory tract of the sow is the source of the organism for the baby pig and, presumably, some older pigs are also carriers. Infection with
M
hyorhinis
usually results in moderate morbidity and low mortality, but
H
parasuis
and
S
suis
can cause infection in 50-75% of pigs and mortality of up to 10%. Outbreaks of Glässer’s disease have been particularly severe in SPF herds. Fever is associated with both conditions but can be highest in Glässer’s disease (>107°F). A shifting-leg lameness occurs, and joints are warm and swollen. Pneumonia develops with all 3 conditions, and sometimes
H
parasuis
and
S
suis
cause neurologic signs. Susceptible, stressed, adult pigs can succumb to
M
hyorhinis
with a higher fever and a more severe lameness than is seen in nursery pigs. Boars may develop scrotal edema and discomfort. |
| At necropsy, polyarthritis and polyserositis are seen with both mycoplasmal arthritis and Glässer’s disease, and pneumonia may have developed. In Glässer’s disease and
S
suis
, there may also be a meningitis. However, whereas the exudative response is usually serous or serofibrinous with a mycoplasmal infection, typically it is fibrinous or fibrinopurulent with Glässer’s disease and
S
suis
. Hence,
M
hyorhinis
causes a mild synovitis with villous hypertrophy and hyperplasia; an excess of clear, yellow, or brown synovia; and a serofibrinous pericarditis, pleuritis, and peritonitis.
H
parasuis
initiates a fibrinopurulent synovitis with periarticular edema and a fibrinopurulent meningitis and polyserositis with pseudomembranes. The articular surface is usually unaffected in either condition. Stunted pigs in the grower/finisher group that have chronic, severe, fibrinous, fibrinopurulent, or fibrous pleuritis, peritonitis, and arthritis could have been affected by either condition earlier in their lives and are best culled rather than kept as a source of
infection for other pigs. They are unlikely to reach market weight. |
| Diagnosis is based on clinical signs, necropsy findings, and the isolation of the organism; however, if any treatment has been instituted, the chances of finding the organisms are reduced. Treatment for either disease must be aggressive and start soon after the onset of clinical signs. The effectiveness of treating
M
hyorhinis
infections with tylosin (not labeled for this use), tetracycline, or lincomycin has been variable. Provided that the organism is susceptible to an antimicrobial compound, treatment of
S
suis
and Glässer’s disease with penicillin, ampicillin, streptomycin, tetracyclines, ceftiofur, or sulfa drugs has been more successful. Penicillin is the only drug labeled for use against arthritis caused by
S
suis
or Glässer’s disease. Appropriate changes in management to reduce stress, strict “all-in/all-out” housing, and control of porcine reproductive and respiratory syndrome help to minimize the impact of these diseases. Herds that maintain an SPF status may be free of both
M
hyorhinis
and
H
parasuis
, but if outbreaks of Glässer’s disease occur in these herds, morbidity and mortality are high and production is decreased. Vaccination with
Haemophilus
bacterin may alleviate the problem in SPF herds, and it is important to vaccinate SPF pigs that are to be shipped to conventional herds. Vaccination of sows against
H
parasuis
reduces the prevalence of the problem in nursery pigs through passive immunity. |
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