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Integumentary · Cattle, pigs, sheep and goats

Foot-and-Mouth Disease

Foot-and-Mouth Disease (FMD, Aphthous fever) is a integumentary condition of cattle, pigs, sheep and goats. Key signs are vesicles on tongue, dental pad, gums and lips, vesicles on coronary band and interdigital cleft and vesicles on teats; diagnosis rests on NOTIFIABLE — report to state/national veterinary authority immediately and RT-PCR on vesicular fluid or epithelium. Low direct mortality in adults (<5%) but devastating production losses, abortions, and trade restrictions.

At a glance

Species
Cattle, pigs, sheep and goats
Body system
Integumentary
Also known as
FMD, Aphthous fever

Key clinical signs

  • Vesicles on tongue, dental pad, gums and lips
  • Vesicles on coronary band and interdigital cleft
  • Vesicles on teats
  • Profuse salivation / smacking lips
  • Severe lameness
  • Fever (40–41 °C) early

Other signs

  • Sudden drop in milk yield
  • Anorexia, depression
  • Sudden death in young animals (myocarditis — "tiger heart")
  • Abortion

Differential diagnoses

  • Vesicular stomatitis (clinically indistinguishable; affects horses)
  • Bovine viral diarrhoea / mucosal disease
  • Bluetongue
  • Rinderpest (now eradicated)
  • Orf (in small ruminants)
  • Swine vesicular disease

Diagnosis

  • NOTIFIABLE — report to state/national veterinary authority immediately
  • RT-PCR on vesicular fluid or epithelium
  • Virus isolation (BSL-3 reference lab)
  • ELISA for antigen and antibody

Treatment outline

No curative treatment. In endemic regions: supportive care (soft palatable feed, antiseptic mouth/teat washes, parenteral antibiotics for secondary bacterial infection), restricted movement. In FMD-free regions: stamping-out with movement restrictions, ring-vaccination, and disinfection. Vaccination using inactivated polyvalent vaccines is the mainstay of control in endemic areas.

An outline, not a prescription. Check each drug’s dose for the species, the patient and the product in the drug calculator before use.

Prognosis

Low direct mortality in adults (<5%) but devastating production losses, abortions, and trade restrictions. Mortality up to 50% in young calves due to myocarditis.

Frequently asked questions

What are the signs of foot-and-mouth disease in cattle, pigs, sheep and goats?

Vesicles on tongue, dental pad, gums and lips, vesicles on coronary band and interdigital cleft, vesicles on teats, profuse salivation / smacking lips, severe lameness and fever (40–41 °c) early. Less specific signs include sudden drop in milk yield, anorexia, depression and sudden death in young animals (myocarditis — "tiger heart").

How is foot-and-mouth disease diagnosed?

NOTIFIABLE — report to state/national veterinary authority immediately, RT-PCR on vesicular fluid or epithelium, Virus isolation (BSL-3 reference lab) and ELISA for antigen and antibody. Differentials to rule out include vesicular stomatitis (clinically indistinguishable; affects horses), bovine viral diarrhoea / mucosal disease, bluetongue and rinderpest (now eradicated).

How is foot-and-mouth disease treated?

No curative treatment. In endemic regions: supportive care (soft palatable feed, antiseptic mouth/teat washes, parenteral antibiotics for secondary bacterial infection), restricted movement. In FMD-free regions: stamping-out with movement restrictions, ring-vaccination, and disinfection. Vaccination using inactivated polyvalent vaccines is the mainstay of control in endemic areas.

What is the prognosis for foot-and-mouth disease?

Low direct mortality in adults (<5%) but devastating production losses, abortions, and trade restrictions. Mortality up to 50% in young calves due to myocarditis.

Sources

  • Merck Veterinary Manual, 11th edition

Last reviewed · VetMasterJi