Proliferation of epithelioid cells and lymphocytes in ileum propria (hematoxylin and eosin, ×200). https://doi.org/10.1371/journal.pone.0256628.g003

Proliferation of epithelioid cells and lymphocytes in ileum propria (hematoxylin and eosin, ×200). https://doi.org/10.1371/journal.pone.0256628.g003

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Paratuberculosis a contagious and chronic disease in domestic and wild ruminants, is caused by Mycobacterium avium subspecies paratuberculosis (MAP). Typical clinical signs include intractable diarrhea, progressive emaciation, proliferative enteropathy, and mesenteric lymphadenitis. Paratuberculosis is endemic to many parts of the world and respons...

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... cheese-like lesions were observed on the surface and the cut section (Fig 2). Observation under the microscope revealed a large number of epithelioid cells and lymphocyte proliferation in the lamina propria of the intestinal mucosa (Fig 3) without significant necrosis or intestinal gland atrophy. The proliferation of substantial epithelioid cells in the mesenteric lymph node cortex and lymph sinuses led to the formation of epithelioid cell nodules (Fig 4). ...

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... Paratuberculosis is endemic in many parts of the world [9]. Previous studies reported that in most countries with substantial dairy businesses, the prevalence of MAP infection at the herd level is expected to reach 50% [10]. ...
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... Paratuberculosis (Ptb) also known as Johne's Disease (JD), is a chronic granulomatous gastroenteritis of ruminants worldwide [1] caused by Mycobacterium avium subspecies paratuberculosis (Map), a member of the Mycobacterium avium complex (MAC). However, substantial asymptomatic infections have been reported from many farm and wildlife animal species including non-human primates and non-ruminants [2]. Map has been implicated in the pathobiology of human Crohn's disease though despite a strong association, causality remains controversial [3]. ...
... Map has been implicated in the pathobiology of human Crohn's disease though despite a strong association, causality remains controversial [3]. In food industry the rising awareness of Map presence in the food-chain has induced application of on-farm control measures against Ptb [2]. ...
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Paratuberculosis (PTB) is a contagious and chronic enteric disease of ruminants and many non-ruminants caused by Mycobacterium avium subsp. paratuberculosis (MAP), and is characterised by diarrhoea and progressive emaciation with consequent serious economic losses due to death, early culling, and reduced productivity. In addition, indirect economic losses may arise from trade restrictions. Besides being a production limiting disease, PTB is a potential zoonosis; MAP has been isolated from Crohn’s disease patients and was associated with other human diseases, such as rheumatoid arthritis, Hashimoto’s thyroiditis, Type 1 diabetes, and multiple sclerosis. Paratuberculosis in sheep and goats may be globally distributed though information on the prevalence and economic impact in many developing countries seem to be scanty. Goats are more susceptible to infection than sheep and both species are likely to develop the clinical disease. Ingestion of feed and water contaminated with faeces of MAP-positive animals is the common route of infection, which then spreads horizontally and vertically. In African countries, PTB has been described as a “neglected disease”, and in small ruminants, which support the livelihood of people in rural areas and poor communities, the disease was rarely reported. Prevention and control of small ruminants’ PTB is difficult because diagnostic assays demonstrate poor sensitivity early in the disease process, in addition to the difficulties in identifying subclinically infected animals. Further studies are needed to provide more insight on molecular epidemiology, transmission, and impact on other animals or humans, socio-economic aspects, prevention and control of small ruminant PTB.