P. Gambade et al., Post weaning multisystemic wasting syndrome: clinical and histopathological findings in a follow up of sick animals isolated in a lazaret, REV MED VET, 151(4), 2000, pp. 351-360
Post weaning multisystemic wasting syndrome is a new infectious disease com
plex of swine wasting of growing pigs is the major clinical sign associated
with a tremendous increase of the mortality rate. PCV2 is at the moment re
cognised as the main agent of the disease. In a 200 sows farrow to finish u
nit where the disease exists for 2 years, in a batch of 300 piglets 2 six w
eeks old not sick yet are euthanasied and are considered as negative contro
l. 3 weeks later 9 sick pigs of the same batch are isolated and identified
in a confortable lazaret on the farm. At do all the 9 pigs are bled and 2 a
re euthanasied for post mortem examinations. Between d0 and d42 Living pigs
are bled at d21 and d42 and the 3 living pigs are euthanasied on d42. (Pig
s numbers 1, 2 and 7). Post mortem and lab examinations are : gross lesions
, histology in situ hybridization (ISH) on sera urea, transaminases activit
ies, hemograms, free aminoacid concentrations, creatinine and bilirubin. PR
SS and experimental Ploufragan PCV2 serology tests are done on the last blo
od sample of the pig. All the signs described in the previous references ar
e found on these pigs : wasting, dyspenea, cough, icterus, pale and ulcers.
Surviving pigs at d21 (n degrees 1, 2, 7) have completely physically recov
er at d42. Considering the gross and histological lesions what ever the day
of the death, looking of the piglet are still the same : intersticial pneu
monia, lymphoid cuffing and lymphoid depletion, lymphoid node enlargement,
icterus, kidney enlargement with nephrititis. Pancreas lesions are frequent
.
ISH positive tests decreased with the living of sick piglets, and is negati
ve on piglets sacrified at d42 in spite of gross and histological lesions.
Biochemistry on transaminases, bilirubin urea, seems to be of a limited val
ue. Hemograms are more interesting, with an inversion on sick pigs with a d
eep lymphopenia. For the surviving pigs with a normal look, we have noticed
and increase of beta and gama globulins, and a slight sere conversion on P
RSS and PCV2.
In conclusion this study shows that sick piglets isolated in a lazaret can
recover a physical normal look in 40 % of cases, in spite of specific lesio
ns still present on euthanasied pigs. ISH is a useful tool on early diagnos
is on the opposite PCV2 Elisa test is late and not complete. Deep lymphopen
ia is a bad pronostic, but when the number is above 8000 lymphocits/mm(3) p
ronostic is good. Are the pigs at d42 negative on ISH carriers of the virus
? What are the mechanisms which save apparently the pig ? These questions
need to be deepened in a further study.