Diagnostic approaches for the detection of bovine viral diarrhea (BVD) virus and related pestivirusesThe detection of bovine viral diarrhea (BVD) virus infections and diseases has evolved with other areas of viral diagnosis in veterinary medicine. 2,4,7,11,14,20 Our initial concerns were to confirm that a disease process was caused by BVD virus. We have satisfactorily attained a level of diagnostic expertise whereby we can diagnose clinical forms of BVD virus infection with relative ease, but it takes a prolonged period of time to detect BVD by conventional virus isolation in cell culture and subsequent identification by immunofluorescence or immunocytochemistry. 7,8,14,23,25 The questions that have arisen over the past decade are directed at achieving a diagnosis of BVD virus infection more rapidly when faced with a clinical situation and detecting animals with subclinical forms of BVD infection.Perhaps the most subtle form of BVD infection is the case of an immunotolerant animal that appears clinically normal, but harbors and sheds BVD virus throughout its life.18 This animal is regarded as being persistently infected, in contrast to a transiently infected animal, which is undergoing a primary BVD virus infection, but is immunocompetent and capable of developing a protective immune response against the virus.2 The persistently infected animal needs to be identified for at least 2 reasons. First, the animal is at risk to develop the fatal form of BVD, referred to as mucosal disease, if it should come in contact with a heterologous strain of BVD virus either by way of vaccination with modified live From the Washington Animal Disease Diagnostic Laboratory (Evvirus vaccine or by field infection.7,23 More recent evidence even suggests that mucosal disease may result following mutation of BVD, so that contact with other animals shedding heterologous BVD may not be required. 24 Second, the animal poses a risk of infecting other susceptible cattle and small ruminants because it is shedding virus in high concentration from body secretions and excretions. 3,5,15,26 Other subtle forms of disease in which diagnostic tools may be useful in determining whether BVD virus is an important etiologic entity include diseases of the endocrine system; prolonged or intermittent forms of immunosuppression; and concurrent viral and/or bacterial infections, which may have an underlying BVD virus pathogenesis. 2,6,19,23 The purposes of this paper are to present an update on the occurrence of BVD virus infection in the northwestern United States and to present some diagnostic strategies to consider when attempting to detect BVD virus infection and related pestiviruses.Bovine turbinate (BT) cells were obtained from the American Type Culture Collection a and maintained in minimal essential media (MEM) consisting of 5% fetal bovine serum (FBS) b and 5% fetal equine serum. c The FBS was negative for BVD virus and BVD virus antibody. The FBS was heat inactivated at 56 C for 90 minutes as an added precaution against low levels of BVD virus c...