Introduction

   

Fibrinosuppurative meningitis:

Fibrinosuppurative meningitis may be caused by a number of bacteria in the pig including Streptococcus spp, Escherichia coli, Haemophilus parasuis and Erysipelothrix rhusiopathiae. Typically it is characterised by meningeal opacity due to the presence of purulent (neutrophil containing) exudate in the leptomeninges which include the subarachnoid space. There is also hyperaemia and vasculitis with the formation of thrombi within the meningeal vessels.
Erysipelothrix was diagnosed in this case based on the occurrence of arthritis and skin lesions within the group of pigs. While none of these is definitively diagnostic of Erysipelothrix they are all commonly associated with this infection. The longevity of Erysipelothrix in the environment means that once it has entered a pig farm it is likely to remain and re-emerge in young growers. Arthritis occurs from localisation of bacteria from the blood into joints and the skin lesions are a result of vascular thrombosis in the dermal tissues.

Ancillary tests:

Bacterial culture of the CSF and blood cultures from newly infected bacteraemic animals should yield short gram positive, rod organisms.

 

Cases

Review Questions

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