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== Synonyms ==
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#redirect[[Actinobacillus pleuropneumoniae]]
 
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[[Actinobacillus pleuropneumoniae]]
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== Clinical signs ==
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and epidemiology:
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Acute disease in susceptible herds with high morbidity and mortality (up to 50%)
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In acute outbreaks, pigs may be dyspnoeic, pyrexic or anorexic
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Blood-stained froth surrounding nose and mouth
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Cyanosis
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Pregnant sows abort
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Causes [[Respiratory Bacterial Infections - Pathology#Actinobacillus_pleuropneumoniae|pneumonia]] in pigs
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Carrier herds have some immunity, protecting from acute disease, where lesions are often subclinical, and deaths sporadic
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Lung scarring and pleural adhesions in many recovered animals
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Solid immunity develops in recovered animals to all serotypes
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The disease is spread between herds by carrier pigs
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*Diagnosis:
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**Haemorrhagic consolidation close to the main bronchi and fibrinous pleuritis may be suggestive
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**Specimens are cultured on chocolate agar and blood agar in 5-10% carbon dioxide for 2-3 days
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**Small colonies surrounded by clear haemolysis
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**No growth on MacConkey agar
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**Positive CAMP reaction with ''[[Staphylococcus aureus]]''
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**Most strains are NAD-dependent (grow on Heated Blood agar)
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**Immunofluorescent- or PCR-based techniques
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**The bacteria on the [[Tonsils - Anatomy & Physiology#Palatine|palatine tonsil]] may remain undetected by serological tests and swabbing, and can therefore cause an outbreak in naive pigs
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*Treatment:
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**Antibiotics depending on the strain of bacteria
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**Prophylactic antibiotics for in-contact pigs
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*Control:
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**Killed and polyvalent bacterin vaccines as well as a subunit vaccine are available
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**Improve ventilation, avoid chilling and overcrowding
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*Caused by [[Haemophilus pleuropneumonia|''Haemophilus (Actinobacillus) pleuropneumonia'']]
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*Seen mainly between 6wks-6mths of age but will affect any age
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*Highly pathogenic strains are capable of initiating disease on their own with high mortality in young pigs
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*A fibrinonecrotic [[Bronchitis#Infectious_causes_of_bronchitis_or_bronchiolitis|broncho]][[Pneumonia Overview#Infectious_causes_of_pneumonia|pneumonia]] with [[Pleuritis|pleurisy]]
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*Foci of haemorrhagic consolidation or necrosis, mainly around major bronchi, tend to sequestrate
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*Tending to spread throughout all lung lobes: therefore a cranioventral distribution may not be particularly evident
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*Contagious Porcine Pleuropneumonia especially of pigs under 6 months
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*Endemic in UK
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*12 serotypes causing the same disease
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*Different serotypes in different regions, with serotypes 3,6 and 8 the most common in the UK
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*Pathogenesis and pathogenicity:
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**Virulent strains possess capsules which are antiphagocytic and immunogenic
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**Fimbriae allow the bacteria to attach to cells of the respiratory tract
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**Damaged [[Neutrophils|neutrophils]] in the lungs produce lytic enzymes
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**The sustained inflammatory response causes tissue necrosis
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**Lungs consolidated and necrotic with fibrinous pleuisy at post mortem
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**Produce three cytotoxins which belong to the repeats-in-structural-toxin (RTX)  cytolysin family
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**RTX toxins:
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***Several peptide repeats within the molecules
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***Produced by various Gram-negative bacteria
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***Possess four contiguous genes, A, B, C and D
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***A is the structural gene; B and D are required for secretion; C allows post-translational activation of the gene product of A into a functional product
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***ApxI is a strong haemolysin with cytolytic activity
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***ApxII is a weak haemolysin
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***ApxIII is a cytotoxin
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***Different ''Actinobacillus pleuropneumonia'' serotypes secrete a particular combination of toxins; American serotypes secrete ApxI and II; European serotypes secrete ApxII and III
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***Toxins introduce pores into cell membranes
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*Causative agent: ''[[Actinobacillus pleuropneumoniae]]''
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*Expolsive outbreaks of [[Pneumonia Overview#Infectious causes of pneumonia|pneumonia]]
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*Spread by direct contact and aerosol
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*Lesions
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**Largely from toxin produced
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**In diphragmatic lobes of the lungs
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*Haemorrhage with [[Pleuritis|fibrinous pleuritis]]
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*Usually localised, sometimes generalised
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[[Category:Actinobacillus_species]][[Category:Pig Bacteria]]
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[[Category:Respiratory_Bacterial_Infections]]
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[[Category:Respiratory_Diseases_-_Pig]] [[Category:To_Do_-_Kate]]
 
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