{"id":5565,"date":"2021-05-05T12:42:54","date_gmt":"2021-05-05T11:42:54","guid":{"rendered":"https:\/\/sesc.cat\/an-atypical-case-of-pdns-that-set-off-the-alarms\/"},"modified":"2022-03-24T19:04:51","modified_gmt":"2022-03-24T18:04:51","slug":"an-atypical-case-of-pdns-that-set-off-the-alarms","status":"publish","type":"post","link":"https:\/\/sesc.cat\/en\/an-atypical-case-of-pdns-that-set-off-the-alarms\/","title":{"rendered":"An (atypical) case of PDNS that set off the alarms"},"content":{"rendered":"<p>Samples were submitted of a 6-month-old hybrid male pig carcass with widespread petechial haemorrhagic lesions of lymph nodes, skin, kidneys, spleen, and other viscera, as well as gallbladder oedema.<!--more--> No signs of disease were observed in any of the pigs during the ante-mortem inspection. The veterinary service believed this to be a septicaemic process, but they wanted to rule out<a href=\"https:\/\/sesc.cat\/african-swine-fever-lesions\/?lang=en\"> <u>ASF<\/u><\/a>\/<a href=\"https:\/\/sesc.cat\/detection-of-swine-fever-lesions-in-slaughterhouses-and-game-meat-processing-facilities\/?lang=en\"><u>CSF<\/u><\/a> because the lesions were compatible with these diseases. The possibility was unlikely since only one animal was affected in a batch of 48 animals.<\/p>\n<p>After recovering from the inicial fright when looking at the images and the samples, the laboratory of virology at IRTA-CReSA performed the PCR and RT-PCR to detect ASF and CSF, respectively, on a weekend, with a a negative result. Once calmed down, histopathology was performed to clarify the nature of the lesions. We sent samples of lymph nodes, stomach, kidney, spleen, and tonsil to the pathology diagnostic lab.<\/p>\n<p>The lesions observed microscopically are typically those of a generalized <a href=\"https:\/\/sesc.cat\/haemorrhages-in-a-pig-carcass-dont-panic\/?lang=en\">haemorrhagic diathesis<\/a>, with the presence of variable amounts of blood in the medullary sinuses of all evaluated lymph nodes and haemorrhages of variable extent in the gastric submucosa. In addition, the kidney showed fibrinous exudative glomerulonephritis as well as interstitial haemorrhages of limited extension. This kidney lesion is morphologically classified as\u00a0<strong>porcine dermatitis and nephropathy syndrome (<a href=\"https:\/\/sesc.cat\/porcine-dermatitis-and-nephropathy-syndrome-pdns\/?lang=en\">PDNS<\/a>). <\/strong>But in this case, the skin lesions are haemorrhagic, not necrotizing lesions as seen in typical PDNS cases.<\/p>\n<p>In this case, since only one animal was affected, it would have been rare that ASF\/CFS was involved. Even so, the images of the lesions may be so similar that laboratory analyses are essential to establish a definitive diagnosis. In the current epidemiological context, we further encourage veterinarians to refer any ASF\/CSF suspicion to the SESC as soon as possible to rule out such infections. Early detection is one of the key pieces to control teh disease in case of an eventual entry in the country. The preferred samples for viral detection are lymph nodes, spleen, tonsil or blood, but we recommend that any altered viscera are sent in order to facilitate the task of reaching a definitive diagnosis. (AC)<\/p>\n<div id=\"attachment_4665\" style=\"width: 457px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4665\" class=\"size-large wp-image-8579\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-1-447x600.jpg\" alt=\"Canal a escorxador amb presencia de pet\u00e8quies cut\u00e0nies generalitzades.\" width=\"447\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-1-447x600.jpg 447w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-1-223x300.jpg 223w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-1.jpg 547w\" sizes=\"auto, (max-width: 447px) 100vw, 447px\" \/><p id=\"caption-attachment-4665\" class=\"wp-caption-text\">Pig carcass showing cutaneous generalized petechiae.<\/p><\/div>\n<div id=\"attachment_4666\" style=\"width: 630px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4666\" class=\"size-large wp-image-8581\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-2-800x600.jpg\" alt=\"Limfonode gastrohep\u00e0tic envermellit. A la secci\u00f3 (insert) es pot observar que la lesi\u00f3 es localitza a la perif\u00e8ria, indicatiu de reabsorci\u00f3 de sang extravasada als teixits que drenen cap a aquest limfonode. Tamb\u00e9 es poden observar hemorr\u00e0gies a la serosa del tracte digestiu.\" width=\"620\" height=\"465\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-2-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-2-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-2-768x576.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-2.jpg 966w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4666\" class=\"wp-caption-text\">Gastrohepatic lymph node showing dark purple colour. The cut surface revealed peripheral distribution, indicating blood resorption from the tissues that drain to this lymph node. Also the serosa surface of the viscera showed haemorrhages.<\/p><\/div>\n<div id=\"attachment_4667\" style=\"width: 630px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4667\" class=\"size-large wp-image-8583\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-3-800x596.jpg\" alt=\"Esplenomeg\u00e0lia, augment de mida de la melsa. \" width=\"620\" height=\"462\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-3-800x596.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-3-300x224.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-3-768x572.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-3.jpg 1366w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4667\" class=\"wp-caption-text\">Splenomegaly, spleen increased in size.<\/p><\/div>\n<div id=\"attachment_4668\" style=\"width: 626px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4668\" class=\"size-full wp-image-8585\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-4.jpg\" alt=\"Pet\u00e8quies generalitzades a l\u2019escor\u00e7a d\u2019ambd\u00f3s ronyons. \" width=\"616\" height=\"508\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-4.jpg 616w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-4-300x247.jpg 300w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><p id=\"caption-attachment-4668\" class=\"wp-caption-text\">Generalized\u00a0 bilateral renal cortex petechiae.<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_4669\" style=\"width: 457px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4669\" class=\"size-large wp-image-8587\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-5-447x600.jpg\" alt=\"Pet\u00e8quies i equimosis a la superf\u00edcie epic\u00e0rdica. \" width=\"447\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-5-447x600.jpg 447w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-5-224x300.jpg 224w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-5-768x1031.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-5.jpg 1018w\" sizes=\"auto, (max-width: 447px) 100vw, 447px\" \/><p id=\"caption-attachment-4669\" class=\"wp-caption-text\">Epicardial petechiae and ecchymoses.<\/p><\/div>\n<div id=\"attachment_4670\" style=\"width: 451px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4670\" class=\"size-large wp-image-8589\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-6-441x600.jpg\" alt=\"Pet\u00e8quies a la mucosa de la bufeta de la orina. \" width=\"441\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-6-441x600.jpg 441w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-6-221x300.jpg 221w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-6.jpg 699w\" sizes=\"auto, (max-width: 441px) 100vw, 441px\" \/><p id=\"caption-attachment-4670\" class=\"wp-caption-text\">The mucosa of the urinary bladder also shows generalized petechiae.<\/p><\/div>\n<div id=\"attachment_4671\" style=\"width: 630px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4671\" class=\"size-large wp-image-8591\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-7-800x600.jpg\" alt=\"Limfonode que presenta una gran quantitat d\u2019eritr\u00f2cits lliures als sinus medul\u00b7lars, que indiquen que es tracta de reabsorci\u00f3 de sang extravasada en els teixits que drenen. \" width=\"620\" height=\"465\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-7-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-7-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-7-768x577.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-7.jpg 959w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4671\" class=\"wp-caption-text\">Lymph node showing abundant free erythrocytes within medullary sinuses, indicating blood resorption from the tissues that drain to this lymph node.<\/p><\/div>\n<div id=\"attachment_4672\" style=\"width: 630px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4672\" class=\"size-large wp-image-8593\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-8-800x600.jpg\" alt=\"Les pet\u00e8quies observades a l\u2019escor\u00e7a renal es corresponen amb hemorr\u00e0gies intersticials corticals d\u2019extensi\u00f3 variable. \" width=\"620\" height=\"465\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-8-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-8-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-8-768x577.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-8.jpg 959w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4672\" class=\"wp-caption-text\">The petechiae observed in the renal cortex are interstitial haemorrhages of variable extension.<\/p><\/div>\n<div id=\"attachment_4661\" style=\"width: 630px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4661\" class=\"size-large wp-image-8571\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-9-800x600.jpg\" alt=\"Vasculitis necrotitzant en un dels vasos renals, lesi\u00f3 caracter\u00edstica del SDNP. \" width=\"620\" height=\"465\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-9-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-9-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-9-768x577.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-9.jpg 959w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4661\" class=\"wp-caption-text\">Necrotizing vasculitis in one of the renal vessels, characteristic lesion of PDNS.<\/p><\/div>\n<div id=\"attachment_4662\" style=\"width: 630px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4662\" class=\"size-large wp-image-8573\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-10-800x600.jpg\" alt=\"Glomerulonefritis exsudativa fibrinosa. Detall d\u2019un glom\u00e8rul en el que s\u2019observa fibrina i eritr\u00f2cits lliures a la c\u00e0psula de Bowmann (punta de fletxa) aix\u00ed com necrosis segmental i pres\u00e8ncia de PMNN en els capil\u00b7lars glomerulars (fletxa).\" width=\"620\" height=\"465\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-10-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-10-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-10-768x576.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-10.jpg 960w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4662\" class=\"wp-caption-text\">Exudative fibrinous glomerulonephritis. Detail of a glomerulus showing fibrin and free erythrocytes within Bowmann\u2019s capsule (arrowhead), as well as segmental necrosis and presence of PMNN in glomerular tufts.<\/p><\/div>\n<div id=\"attachment_4663\" style=\"width: 538px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4663\" class=\"size-large wp-image-8575\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-11-528x600.jpg\" alt=\"El grup d\u2019epidemiologia de l\u2019IRTA-CReSA ha desenvolupat un software, per enc\u00e0rrec del DARP, que permet, de forma immediata, generar un mapa de la distribuci\u00f3 de les explotacions porcines a Catalunya amb les zones de protecci\u00f3 i vigil\u00e0ncia al voltant de l'explotaci\u00f3 afectada. Ambdues zones contenen un total 55 explotacions porcines, que s'haurien de visitar, i una capacitat total de 73.399 animals, que quedarien immobilitzats fins que es duguin a terme les visites. L'explotaci\u00f3 afectada t\u00e9 una capacitat total de 3.150 animals els quals s'haurien de sacrificar.&quot;\" width=\"528\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-11-528x600.jpg 528w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-11-264x300.jpg 264w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-11-768x872.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2021\/05\/SESC-039-21-11.jpg 927w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\" \/><p id=\"caption-attachment-4663\" class=\"wp-caption-text\">The IRTA-CReSA epidemiology group has developed a software, commissioned by the <a href=\"http:\/\/agricultura.gencat.cat\/ca\/ambits\/ramaderia\/sanitat-animal\/programes-sanitaris-porci\/pesta-porcina-africana\/\">DARP<\/a>, which allows, immediately, to generate a map of the distribution of pig farms in Catalonia with protection and surveillance zones around the affected farm (red circles). In this simulation, both areas contain a total of 55 pig farms, which should be visited and tested, and a total capacity of 73,399 animals, which would be immobilized until the visits were carried out. The affected farm has a total capacity of 3,150 animals which would be slaughtered.<\/p><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Samples were submitted of a 6-month-old hybrid male pig carcass with widespread petechial haemorrhagic lesions of lymph nodes, skin, kidneys, spleen, and other viscera, as well as gallbladder oedema.<\/p>\n","protected":false},"author":6,"featured_media":8577,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[231,229,233,179,225],"tags":[397,407,404],"class_list":["post-5565","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-porcine-2","category-kidney-porcine-2","category-lymphoid-porcine-2","category-porcine-2","category-skin-porcine-2","tag-infectious-en","tag-kidney-en","tag-skin-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/5565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/comments?post=5565"}],"version-history":[{"count":0,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/5565\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media\/8577"}],"wp:attachment":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media?parent=5565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/categories?post=5565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/tags?post=5565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}