Johne's disease case demonstrates the value of submitting animals for postmortem

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A case of Johne’s disease (Mycobacterium avium subsp. paratuberculosis (MAP)) was recently diagnosed in a seven-month-old Friesian heifer submitted for postmortem examination to AFBI Stormont.

The calf was submitted for postmortem after a history off ill thrift, weight loss and death. According to the history provided, there were also several other calves on the farm with similar clinical signs.

At postmortem examination, the calf had a low Body Condition Score (BCS) of approximately 1.5 and weighed 104kg.

There was faecal staining of the perineum, and there was scant small intestinal contents with watery brown contents in the caecum and large intestine. Other findings included some ulceration of the tongue and some cranioventral lung consolidation affecting approximately 10% of both lungs.

Ziehl-Nielsen staining and histological examination of tissues from this case showing extensive acid-fast bacteria (red colonies) characteristic of Johne’s disease (MAP). (Pic: AFBI)Ziehl-Nielsen staining and histological examination of tissues from this case showing extensive acid-fast bacteria (red colonies) characteristic of Johne’s disease (MAP). (Pic: AFBI)
Ziehl-Nielsen staining and histological examination of tissues from this case showing extensive acid-fast bacteria (red colonies) characteristic of Johne’s disease (MAP). (Pic: AFBI)

Further samples were taken at postmortem for diagnostic testing including for bacteriology, parasitology, virology and histology.

Bacteriology findings were negligible. Faecal egg counts were negative for liver fluke, nematodirus, rumen fluke, stomach worms and coccidia. Lungworm larvae however were detected in faeces.

Respiratory viral testing for PI3V, BRSV and IBR were negative as was testing for BVD. Histology of the lung under the microscope showed a mild bronchopneumonia, while histological evaluation of iliocaecal junction revealed a chronic granulomatous enteritis.

Specialised histological Ziehl-Neelsen staining of the iliocaecal junction and lymph node showed extensive acid fast bacteria present consistent with Johne’s Mycobacterium avium subsp paratuberculosis (MAP) infection.

Ziehl-Nielsen staining and histological examination of tissues from this case showing extensive acid-fast bacteria (red colonies) characteristic of Johne’s disease (MAP). (Pic: AFBI)Ziehl-Nielsen staining and histological examination of tissues from this case showing extensive acid-fast bacteria (red colonies) characteristic of Johne’s disease (MAP). (Pic: AFBI)
Ziehl-Nielsen staining and histological examination of tissues from this case showing extensive acid-fast bacteria (red colonies) characteristic of Johne’s disease (MAP). (Pic: AFBI)

A faecal PCR test was performed for MAP and was positive. This animal demonstrated clinical signs of Johne’s and was positive on histological examination and faecal PCR.

Johne’s disease is an infectious bacterial gut disease of cattle and other ruminants. Cattle usually become infected during the early weeks of life following the consumption of milk or food contaminated with the bacteria, which are shed in the dung or milk of infected adult cattle. Infection develops slowly and the signs of disease vary depending upon the stage of infection but begin with reduced productivity followed by weight loss, scour and ultimately emaciation and death.

Signs of Johne’s disease are typically seen in animals that are between three and five years old, but can occasionally be seen in animals that are younger than two years of age. As the animal gets older, the signs become more obvious. An infected animal may also have increased susceptibility to other disease before the obvious signs occur.

There is no effective treatment or vaccination for Johne’s disease.

The direct economic impact on farms will vary between farms and depends upon the proportion of cattle infected and the extent to which infection has progressed in infected cattle.

Infection can contribute to reduced milk yield and increased susceptibility to other conditions such as infertility even before the more obvious signs of disease appear. Infected cattle may be culled due to poor productivity before a diagnosis of Johne’s disease. Therefore, Johne’s disease can be an unrecognised cause of excessively high cull rates.

AFBI’s CHECS Cattle Health Scheme provides a pathway to manage and control Johne’s disease at farm level, and in Northern Ireland there is also a voluntary, industry led control programme managed by Animal Health and Welfare NI.

Due to the age of this calf, Johne’s disease was not high on the list of differential diagnoses and only through submission for postmortem to AFBI was the disease confirmed, demonstrating that Johne’s disease must be kept in mind as a differential for calves of this age, especially if a known history of Johne’s on farm.

This case demonstrates the value of submitting animals for postmortem.

The diagnosis of disease and surveillance for other potential diseases, not only has value at farm level but also added value for the wider livestock sector.

For further information on Johne’s disease, the importance of control, diagnosis of Johne’s and the principles of control, contact your local veterinary practitioner, AFBI Cattle Health Scheme and Animal Health and Welfare NI.

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