Bluetongue should be suspected if multiple animals are affected. Symptoms may be mild to severe, and if severe there are usually some deaths. Clinical signs include depression, fever, inappetence, swelling of the head, and lameness.
The head, including the eyelids and ears, will be swollen with oedema. The inside of the mouth and tongue may be congested, and erosions, ulceration and haemorrhages may be present on the gums. There may be nasal discharge and crusting around the nostrils. Lameness will be in all feet similar to laminitis, and the coronary band may be a purple red.
At necropsy there will be oedema and haemorrhage in organs and tissues, especially under the skin and in muscle. There may be haemorrhage at the base of the pulmonary artery and focal necrosis of the papillary muscle of the left ventricle, which if present should raise strong suspicions. There will be excess fluid in the pericardium, thorax and abdomen.
Differential diagnoses include photosensitisation, big head and possibly bottle jaw. However, these are likely to occur at the beginning of the export process rather than at the destination.
Laboratory confirmation requires whole blood (10-20ml) collected as early as possible from febrile animals into an anticoagulant and submitted chilled for virus isolation. Specimens from dead animals should include sections of spleen, lymph nodes, and red bone marrow collected as soon as possible after death and submitted chilled. Sections of heart, lung, liver, kidney, spleen, lymph nodes and red bone marrow should be submitted in buffered formalin for histology. In long standing cases or survivors, submit chilled serum for serology.