Porcine proliferative enteropathy can manifest in either of four forms: por
cine intestinal adenomatosis, necrotic enteritis, regional ileltis or proli
ferative hemorrhagic enteropathy. The infectious agent of this worldwide oc
curring disease was identified for the first time in Hungary in 1998 by BIK
SI et at who detected the presence of Lawsonia intracellularis bacteria wit
h PCR technique in several swine herds.
In this paper the authors report the diagnosis of proliferative haemorrhagi
c enteropathy in Hungary.
Sporadic occurrences of tarry diarrhoea were detected among finishing pigs
beetwen 80-100 kg in weight on a pig farm with 700 sows.
At necropsy, there was marked thickening of the heal wall. The serosal surf
ace of this section of intestine showed a cerebriform or gyrate pattern (Fi
gure 1.). The mucosa was thrown into deep longitudinal and transverse folds
. The lumen of the ileum contained fluid blood and blood clots. Black tarry
feces was present in the colon (Figure 2.).
Histologically, the mucosa showed proliferative inflammation and adenomatou
s changes of the mucosal glands (Figures 3-4.). Glands became elongated, di
lated, branching, and, in some places, atrophic. Villi had undergone progre
ssive atrophy. Masses of silver-stained, curved, rod-like bacteria were in
the cytoplasm of intestinal glands (Figure 6.). The organisms stained red w
ith the modified Ziehl-Neelsen method.
Ultrastructurally, bacteria were found free in the apical cytoplasm of the
enterocytes (Figure 7.). The outer wall of the bacteria was a wavy trilamin
ar membrane. Their measure was 1,25-1,75 mm in length and 0,25-0,43 mm in w
idth. On the basis of their morphological and staining features, these bact
eria were proved to be Lawsonia intracellularis (Figure 8). The presence of
Lawsonia intracellularis has been confirmed with PCR method as well (Figur
e 3.).