Ascaris suum

• Large roundworm of pigs.
• Can cause post-hepatic jaundice.
• May cause pneumonia and be a reservoir of Swine influenza

Ascariasis

ASCARIS SUUM

• a typical ascarid worm
• grows to 40cm long
• egg has a thick brown sticky coating
• contaminated buildings therefore difficult to disinfect.

Life-Cycle

• The larvae undergo hepato-tracheal migration before establishing in the small intestine. The damage they cause in the liver is known as 'white-spot' or 'milk-spot'.

Pathogenesis

• Large numbers of migrating ascarid larvae can damage the lungs causing respiratory distress and exacerbating other pulmonary infections, as well as providing a portal of entry for pyogenic bacteria.
• Even small numbers of migrating larvae can lead to fibroplastic responses in the liver (chronic interstitial hepatitis - the 'milk-spot' lesion).
• Heavy burdens of adult worms retard growth and may even obstruct intestine and bile duct.
• The 'milk-spot' lestion is the biggest economic loss in the UK attributable to Ascaris - approximately 7% of pig livers are trimmed or condemned at the bacon factory.

Immunity and Milk-Spot

• The relationship is complex as several immune mechanisms are involved:
  • initially L4 larvae are killed as they return to the intestine having completed their hepatotracheal migration.
  • later, L2 are stopped before they reach the liver.
• Consequently:
  • milk-spot can occur in immune baconers if larvae are not killed until after they have passed through the liver.
  • milk-spot is less often seen in sows as larvae are killed before they reach the liver in highly immune pigs.

Control of Milk-Spot

• Milk-spot results from ingestion of Ascaris eggs, therefore, milk-spot can only be prevented by decontaminating the environment.
• Ascaris eggs can survive in pig pens for weeks, months or years (depending on the level of hygiene), therefore pigs will still be exposed to eggs after anthelmintic treatment (unless moved to a clean environment).
• Thus, anthelmintic treatments do not 'cure' this condition immediately - a longer term strategy is needed to control this problem.

Immunity

• Pigs do develop immunity, but it takes several months for this to become strongly protective.
• Even so, a small proportion of adults harbour small adult worm burdens.
• These 'carrier sows' are epidemiologically important as they contaminate the farrowing house with eggs, thereby providing a source of infection for the susceptible piglets.

Epidemiology

• Infection is only by ingestion of embryonated eggs.
• Adult worms produce 200,000 eggs per day which persist in the environment.
• Development of eggs is temperature-dependent and therefore seasonal.
• Young pigs most susceptible, immunity develops slowly.
• Carrier sows contaminate the farrowing house.