Swine erysipelas:
Syn: Diamond skin disease
- It is an infectious disease of pig characterized by the appearance of diamond shaped skin in acute form and suppurative and vegetative endocarditis in chronic form.
- Word ‘erysipelas’ denotes ‘red skin’.

Etiology:
- Erysipelothrix rhusiopathiae (insidiosa)
- Gram +ve bacillus
- Bacilli are slender, straight or slightly curved rods measuring 0.2-0.4 µm x 0.8-0.25 µm
- Organism are non-motile, non-capsulated and non-acid fast.
- Organism is relatively resistant to drying and may remain alive for several months in animal tissues, decaying carcasses, dried blood or fish meal.
- 22 serotypes are present, out of which serotypes 1 and 2 are commonly isolated from clinical erysipelas, 69 strains from tonsil of healthy pigs.

Epidemiology:
- Disease is worldwide in distribution.
- It is disease of economic importance throughout Europe, Asia, Australia, and America.
- The domestic pig is the primary reservoir of E. rhusiopathiae, and probably 30–50% of conventional swine are carriers
- Swine older than 3 months and younger than 3 years of age are most likely to develop clinical disease.
- Erysipelas occurs in swine, lambs and turkeys.
- Many healthy carrier pigs disseminate the organism in their feces and oronasal secretions.
- Contaminated soil probably does not remain infective for more than 35 days.
- Swine erysipelas can have highly variable morbidity and mortality rates, with morbidity often high (40-100%) and mortality ranging from 0-100%, depending on herd susceptibility, the causative bacterial strain, and the age of the animals.
- Unvaccinated herds or those with poor hygiene and sanitation may experience higher morbidity and mortality rates.
Transmission:
- Infection occurs mainly through ingestion of infected food and water.
- Natural infection takes place from infected skin wounds.
- Experimental infection is possible by inoculation of organism through scarified skin
- Biting flies may introduce the disease.
- Man is also susceptible and got public health importance. Veterinarians are exposed to infection when vaccinating with virulent culture.
Pathogenesis:

Clinical Findings:
- Incubation period ranges from 3 to 5 days. Disease can be divided as acute, sub-acute and chronic.
- Acute Form:
- Sudden death of animal without any prior signs.
- High rise of temperature (104-108°F) and signs of chilling.
- Animals isolate themselves from rest of animals and remain in lateral recumbency.
- Stiffy gait and animals get up with difficulty.
- Partial or complete loss of appetite, suspended bowel movement and hard feces.

- Abortion may take place followed by infertility problem.
- Conjunctivitis and vomiting
- Cutaneous lesion develops as a characteristic sign. It is known as diamond skin lesion which appears 24 hours following the onset of signs.
- Skin lesion appear as small slightly pink to dark purple areas which are raised and firm to touch.
- In acute fatal cases, extensive dark purplish discoloration occurs over the belly, ears, tail, throat, neck and posterior aspect of thighs.

- Course of acute erysipelas is 2-4 days. After which pigs may recover or die.

- Sub-acute form:
- Less severe manifestation
- Temperature is not high.
- Appetite is unaffected.
- Occasionally skin lesions may appear.
- Chronic Form:
- Arthritis is main sign. Joints are stiff and enlarged.
- Movement of animals are restricted due to pain.
- Joints are hot and painful.
- Arthritis syndrome may occur in spinal vertebrate leading to paralysis.
- Some tips may develop alopecia, sloughing of the tip of the tail and ear.
- Systemic or Endocarditis Form:
- Endocarditis occurs in chronic form.
- Animal may die suddenly.
- Dyspnea and cyanosis
- Vegetation forms on the valves of heart called as ‘vegetative endocarditis’.
PM Findings:
- Characteristic rhomboid urticarial lesion (diamond skin lesion) appears on affected pig.
- Hyperemia, intravascular fibrin coagulation or thrombosis in smaller vessel of dermis and hypodermis.
- Bacterial emboli are present within the vessels of the skin, spleen, liver, kidney, loose alveolar tissue of the dermis and hypodermis.
- Cauliflower-like growth on the valves of heart known as vegetative endocarditis seen in chronic cases. Infarction of kidney and spleen

- Venous congestion of lungs with edema.
- Joints shows clear, amber to straw colored fluid. Capsular ligaments are thickened.
- Ankylosis of joints may be evident.
Diagnosis:
- Based on history: sudden death of pigs with no premonitory signs.
- Based on clinical findings; skin lesion in different parts of body, dry feces followed by diarrhea.
- Based on PM findings
- Isolation of organism through bacterial culture. Organism can be cultured from heart, spleen, liver, kidney, lungs and joints.
- Animal inoculation test: Pigeons may be inoculated with visceral organs suspension. Infected pigeons will die in 3-5 days.
- Serological test: ELISA, Gel diffusion precipitation test, agglutination test
Differential Diagnosis:
- Swine Fever:
- Pigs of all ages are affected.
- Cauliflower lesion donot appear on heart valves
- Diamond skin donot occur
- More sudden onset
- Salmonellosis:
- Gross skin discoloration
- Evidence of enteritis
- Culture of feces for isolation of infecting agent.
- Glasser’s disease:
- Severe painful dyspnea
- Evidence of serositis
- Meningitis
- Foot rot:
- Swelling of hooves
- Discharge from coronet
- No involvement of visceral organs.
Treatment:
- Penicillin is the drug of choice. Massive dose of penicillin @ 50,000 IU per kg b.wt. may be required for effective response.
- Tetracycline @500 mg/gallon may be added in drinking water on herd basis.
- Drugs like lincomycin and tylosin can also be used.
- Corticosteroid (betamethasone) may be tried to relieve arthritis lesion.
- Anti-serum may be used @5-10 ml, SC for pig weighing less than 50 lbs.; 20-40 ml SC for pig weighing more than 100 lbs.
Control Measures:
- Pigs should be raised with adhering husbandry practices. Care should be given in housing, feeding, watering, etc.
- Recently purchased stock should be kept in isolation from rest for at least a month with adequate monitoring.
- House and premises should be strictly disinfected following an outbreak. Disinfectants like phenol, alkali, hypochlorite and quaternary ammonium compounds are effective.
- Chronically affected carrier pigs should be excluded from the farm.
- Pasture should be kept vacated following outbreak for a month or so.
- Dead carcass should be burnt properly.
- Pigs are vaccinated with attenuated vaccine @6-10 weeks. Second booster dose is given 2-4 weeks later after first vaccination.