Hungarian pig study finds sharp decline in EP-like lung lesions

Bottom line

A new study in Animals analyzed 13,499 slaughter pig lungs from 38 Hungarian farms across 174 slaughterhouse examinations conducted between 2018 and 2022, using the Madec scoring system and zero-inflated mixed-effects models to track enzootic pneumonia-like lesions. The researchers found that 25.3% of lungs had EP-like lesions overall, but prevalence fell sharply during the study period, from 57.4% in 2018 to 8.6% in 2022. Mean lesion scores also dropped, from 2.7 to 0.3. Lesions were concentrated in the apical and cardiac lobes, with greater involvement on the right side, and farm size was not significantly associated with lesion occurrence or severity. (mdpi.com)

Why it matters: For veterinary professionals working in swine health, the paper reinforces slaughterhouse lung scoring as a practical herd-level surveillance tool for porcine respiratory disease complex, especially for monitoring Mycoplasma hyopneumoniae-associated patterns over time. That matters because enzootic pneumonia can be clinically subtle, yet still reduce growth performance and delay time to market, while gross lesions at slaughter may help flag herd-level disease trends even when on-farm signs are limited. At the same time, experts note that EP-like lesions are not pathognomonic and can heal before slaughter, so lesion scoring works best alongside herd history, PCR, and production data. (msdvetmanual.com)

What to watch: The next question is whether similar multi-year slaughterhouse datasets in other countries, or paired lesion-plus-PCR surveillance, show the same downward trend and help explain what management or biosecurity changes drove it. (msdvetmanual.com)

Key facts

Study
Published in Animals
Species
Slaughter pigs
Sample size
13,499 lungs
Farm count
38 Hungarian farms
Examinations
174 slaughterhouse examinations
Study period
2018 to 2022
Overall prevalence
25.3% had EP-like lesions
Prevalence change
57.4% in 2018 to 8.6% in 2022
Mean lesion score
2.7 to 0.3

A newly published Animals study offers a detailed look at enzootic pneumonia-like lung lesions in Hungarian slaughter pigs, and its headline finding is a steep decline over five years. Reviewing 13,499 lungs collected during 174 slaughterhouse examinations from 38 farms between 2018 and 2022, the authors reported that EP-like lesions were present in 25.3% of lungs overall, but prevalence dropped from 57.4% in 2018 to 8.6% in 2022. Mean Madec scores fell in parallel, from 2.7 to 0.3. (mdpi.com)

The study sits within a long-running veterinary effort to use abattoir findings as a window into herd respiratory health. Enzootic pneumonia, most commonly associated with Mycoplasma hyopneumoniae, remains a core component of porcine respiratory disease complex worldwide. Because infection can be chronic, subclinical, and shaped by coinfections, slaughterhouse lesion scoring has become a widely used surveillance method, particularly in Europe, where Madec-style scoring is common in field and research settings. (msdvetmanual.com)

In this Hungarian dataset, most lungs were either normal or only mildly affected: 91.0% scored between 0 and 4, while 9.0% had moderate-to-severe lesions, defined as scores from 5 to 28. The anatomical pattern also fit the classic distribution veterinarians associate with EP-like disease, with the most frequent and severe lesions in the cardiac and apical lobes and greater involvement in right-sided lobes. The authors also found no significant link between farm size and lesion occurrence or severity, suggesting that factors other than simple herd scale likely drove the observed differences. (mdpi.com)

That anatomical pattern aligns with standard veterinary references. MSD Veterinary Manual describes enzootic pneumonia lesions as cranioventral consolidations, most commonly affecting the apical and cardiac lobes, while other swine health references note that lung lesion scoring is useful diagnostically but imperfect because similar lesions can have multiple causes and some lesions heal before slaughter. In other words, the Hungarian findings are biologically plausible, but they should still be read as EP-like surveillance data rather than definitive pathogen confirmation. (msdvetmanual.com)

Direct outside commentary on this specific paper appears limited so far, which is not unusual given that it was published on September 26, 2026. Still, the broader literature supports the paper’s practical framing: recent work has emphasized that post-mortem lung scoring remains valuable for herd health management, and newer research is exploring ways to standardize or automate scoring, including artificial intelligence-based image analysis and comparisons between visual-only and visual-palpation systems. That points to an industry trend toward making slaughterhouse respiratory surveillance more scalable and more consistent across sites. (mdpi.com)

Why it matters: For swine veterinarians and production teams, the study is useful less because it identifies a new pathogen and more because it shows what structured, repeated slaughter surveillance can reveal. A five-year decline of this magnitude raises practical questions about whether vaccination programs, pig flow, ventilation, gilt acclimation, antimicrobial strategy, or broader biosecurity improvements changed during the period. Since M. hyopneumoniae infection can depress daily gain and prolong days to market even when mortality is low, trend data like this can help veterinarians test whether respiratory control programs are actually translating into healthier lungs at finish. (msdvetmanual.com)

The study also underscores the limits of relying on a single surveillance stream. MSD Veterinary Manual and swine diagnostic references both note that PCR is now the most commonly used detection tool for M. hyopneumoniae, while lesion scoring provides herd-level pattern recognition rather than definitive etiologic diagnosis. For practicing veterinarians, the takeaway is familiar but important: slaughter checks are most powerful when paired with farm records, clinical observations, and targeted diagnostics from the lower respiratory tract. (msdvetmanual.com)

What to watch: The next step will be whether follow-up work links these lesion trends to specific interventions, pathogen testing, or production outcomes, and whether similar analyses from other European or North American systems confirm that the decline seen in Hungary reflects a broader shift rather than a local management effect. (mdpi.com)

How this developed

  1. Study period begins, with EP-like lesion prevalence at 57.4%.

  2. Study period ends, with EP-like lesion prevalence at 8.6%.

Common questions

  • What did the study find overall?
    EP-like lesions were present in 25.3% of the 13,499 lungs examined.
  • How did lesion prevalence change over time?
    Prevalence fell from 57.4% in 2018 to 8.6% in 2022, and mean Madec scores dropped from 2.7 to 0.3.
  • Were certain lung areas affected more often?
    Yes. Lesions were concentrated in the apical and cardiac lobes, with greater involvement on the right side.
  • Was farm size linked to lesion severity?
    No significant association was found between farm size and lesion occurrence or severity.

Like what you're reading?

The Feed delivers veterinary news every weekday.