Picornaviridae
Introduction
Aphthoviruses
Foot and Mouth Disease Virus
Introduction
- Affects all cloven hoofed animals, cattle, sheep and pigs and others.
- 1967 + 2001 major outbreaks in UK.
- Controlled by slaughter policy in UK.
- Still widespread in many parts of world especially S. America, far East.
- Very infectious virus.
Clinical
- Foot and Mouth disease is not a high fatal disease - approximately 5% mortality, usually young animals, older animals recover but stop giving milk yield - i.e. production losses are important factor.
- It is very debilitating and animals take weeks or months to recover.
- Economic impact as stops export of cattle and cattle products.
- Fairly easy to diagnose in classical form - difficult in sheep.
- Animals froth at mouth, usually in more than one animal (one animal may be just sore mouth from another cause).
- Lameness in a number of animals.
- Characteristic lesions in mouth that are short lived.
- Incubation from two days up to 3 weeks in sheep.
Pathology
Gross
- Initially - hyperaemia of mucosa (e.g. catarrhal inflammation) then within 12 hours produces fluid filled vesicles on dorsum of tongue, may be other places.
- Small vesicle coalesce to produce big ones -i.e. Bullae.
- Very quickly rupture; epithelium appears dirty grey in colour because of necrosis - sloughed skin, very good for diagnosis.
- Leave painful, hyperaemic epithelium.
- Looks like "ulcer "with ragged edge but not a true ulcer as stratum germinativum retained and will rapidly heal completely in about 2 weeks unless becomes secondarily infected.
- Also produces sores in interdigital cleft, at coronet and bulbs of heals.
- These feet lesions often take a long time to heal as secondary infections may ensue and produce true deep ulceration.
- Teats on animals that are suckling may also develop vesicles.
- Sheep develop very few vesicles in mouth but foot lesions can be dramatic - like a whole flock with foot rot. N.B. Can also be very mild!
- Coronets are very red with vesicles and sores.
- Pigs have vesicles on snout, which are quickly eroded - hard to look at pig’s tongue.
- Hoof lesions like other species; hoof may come off, known as "thimbling".
- Lesions will heal eventually but is very painful (Often need euthanasia)
Microscopic lesions
- Degeneration of prickle cells.
- Cells "balloon" as fill with fluid and then die to produce vesicle containing straw coloured or clear fluid.
Diagnosis
Definitive diagnosis.
N.B. Notifiable Disease.
- Inform MAFF (and police) as soon as suspect clinical diagnosis.
- MAFF will take specimens of fluid from vesicle. Suck out fluid with syringe.
- Skin that has sloughed off vesicle also good for diagnosis.
- If the above two are not available can use scraping of base of erosion.
- May see animals that have discoloration of tongue due to having had FMD. In these cases take scraping of retropharyngeal region, put scrapings in transport medium.
- Atigen capture ELISA
- PCR
- Culture (need ph7 buffered transport media)
- Antibody capture ELISA
- In foot and mouth disease usually use ELISA to provide quick diagnosis - especially if have vesicular fluid.