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Paratuberculosis (Johne's Disease)
 

The Organism

The etiological agent (organism) responsible for Johne's disease is Mycobacterium avium subspecies paratuberculosis also known as Mycobacterium paratuberculosis.

Mycobacterium avium subspecies paratuberculosis or abbreviated MAP for short, is a slow growing gram positive, facultative intracellular, acid fast bacillus requiring exogenous mycobactin for growth outside of a natural host (animal).  Mycobactin, a chelating substance, provides a more efficient mode of transport for required iron through the organism's cell wall and is used as a supplement in laboratory media to culture the organism.  Outside of a natural host, MAP does not reproduce (except under laboratory conditions), but can remain viable (alive) in the environment for an extended amount of time.  MAP has been shown to survive up to a year in the environment: including stream water, pond water, black soil, and manure slurry, due to its resistance to heat, cold, and dry conditions.  The organism is also resistant to many forms of disinfectants.

The most common mode of transmission for MAP into a natural host is by oral ingestion.  Once inside a natural host, the organism readily multiplies and is no longer dependent on exogenous mycobactin for growth.  Researchers believe the organism obtains its requirement for iron by certain iron binding proteins within the host's blood stream.  Once established in a natural host, the organism readily multiplies and is intermittently shed back into the environment via the infected host's feces, beginning the transmission cycle over again by infecting new hosts.  We have calculated that an infected adult cow can excrete up to 30 trillion live MAP organisms per day.
 

Natural Host and Transmission

Although largely considered a disease of cattle, sheep, and goats, all ruminants are susceptible.  Ruminants are hoofed, four footed, cud chewing mammals that have a 3 to 4 chamber stomach.  Ruminants also include bison, deer, elk, llamas, and camels, just to name a few.  Paratuberculosis has been recognized as a problem in wildlife, exotic animals residing in zoological gardens and in non-conventional domesticated animals.

Models of transmission can occur prenatal (before birth) or postnatal (after birth).

The most common mode of transmission occurs as postnatal or after birth.  Postnatal transmission most commonly occurs when the causative organism is ingested, however, certain procedures such as rectal examination and natural bull servicing practices may also serve as possible modes of postnatal transmission.

Young animals are considered the most susceptible to infection.  The most common mode of transmission for infection is through bacteria-laden feces.  Ingestion of bacilli occurs most commonly when young animals nurse on teats, which have been contaminated with infected feces.  In addition to contaminated fecal ingestion, studies have shown the organism may also be present in colostrum and milk from infected dams and dairy cows.  Studies are currently in progress to evaluate the possibility of MAP surviving current pasteurization methods.

Prenatal transmission of the causative organism can occur within an infected cow.  The organism (MAP) can disseminate (spread) from the most commonly infected area, the gastrointestinal tract, to extraintestinal sites.  These sites include, but are not limited to, the uterus, udder, and supramammary lymph nodes.  Prenatal transmission may also occur via semen from an infected bull during natural service play and/or artificial insemination.
 

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