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==Pathogenesis==
 
==Pathogenesis==
*Infects alveolar macrophages, followed by '''interstitial pneumonitis'''
+
 
*Persistent infection of '''[[Monocytes]]''' followed by '''leukopenia and thrombocytopenia'''
+
Transmission of PRRS virus to swine occurs most efficiently
*Mostly affects '''piglets'''
+
through direct contact. Blood, saliva, urine, milk
*In adults, '''cyanotic''' appearance due to '''vascular lesions'''
+
and semen from infected animals have been shown to
*Transplacental spread leads to '''abortion, mummification, or resorption'''
+
transmit PRRS virus to susceptible swine (Wills et al.,
 +
1997). Aerosol transmission may occur but has proven
 +
difficult to demonstrate even over relatively short distances
 +
(meters). Transmission by semen, either
 +
through natural service or artificial insemination is well
 +
established (Yaeger et al., 1993).
 +
Following exposure to PRRS virus, primary replication
 +
occurs in regional or mucosal macrophages (Rossow,
 +
1998; Rossow et al., 1996a). Typically macrophages of
 +
the tonsil, nasal and respiratory epithelium are sites of
 +
primary replication after oronasal exposure. Viremia
 +
can occur within 12 hours following exposure resulting
 +
in systemic dissemination of the virus. Lymphatic transport
 +
of PRRS virus and virus-infected macrophages to
 +
regional lymph nodes is also thought to occur.
 +
Secondary replication of PRRS virus occurs in monocyte/
 +
macrophages in many tissues. While other cell
 +
types, including fibroblasts, endothelial cells, seminiferous
 +
epithelium and smooth muscle, have been reported
 +
to be PRRS virus-positive by in situ hybridization and/or
 +
immunohistochemistry, only cells of macrophage lineage
 +
have been unequivocally shown to support PRRS
 +
virus replication (Sur et al., 1997).
 +
In most swine, viremia resolves within 4-6 weeks following
 +
infection. However, PRRS virus can persist in
 +
lymphoid tissues, such as tonsil, for extended periods of
 +
time and be transmitted to susceptible swine (Zimmerman
 +
et al., 1992). PRRS virus has been detected for up
 +
to 225 days following inoculation, though the proportion
 +
of positive animals appears to drop off between 80 and
 +
100 days (Albina et al., 1994; Allende et al., 2000; Wills
 +
et al., 2003). Persistence occurs in the face of neutralizing
 +
and other antibodies, and cell mediated immune
 +
responses, as indicated by gamma-interferon producing
 +
cells. Studies indicate that a low T cell response
 +
contributes to prolonged PRRS clearance (Xiao et al.,
 +
2004). Persistence is of epidemiologic significance
 +
since persistently infected animals are capable of transmitting
 +
PRRS virus to susceptible pigs via direct contact
 +
(Albina et al., 1994). This is likely an important mechanism
 +
by which PRRS virus is maintained within, and
 +
transmitted between, swine herds.
    
==Diagnosis==
 
==Diagnosis==
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