Features I: Silent infection II: Inapparent carrier III: Clinical disease IV: Advanced clinical disease
Replication of MAP Slow proliferation in jejunal and ileal mucosa and spread to regional lymph nodes Continued replication in infected tissues Infection becoming disseminated. MAP present in extra intestinal sites Widespread proliferation and replication of MAP
Shedding Intermittent shedding of the organism atlow levels in feces Most animals shed the organism in feces and possibly in milk Shed increasing numbers of MAP in feces and milk Shedding large numbers of MAP in feces and milk - >1000 cfu/g feces=super shedders
CMI response Th1 CMI responses initiated to control infection Increasing CMI response. Gradual switch from Th1 to Th2 May be detectable Possibly energy
Humoral immune response none Increasing antibody response IgG2,IgG1 Predominantly strong antibody response Predominantly strong antibody response
Clinical signs None None Gradual weight loss and diarrhea Emaciation, profuse diarrhea, bottle jaw, cachexia
Histopathological changes None detected Detectable granulomas if multiple tissues examined Abundance of lymphocytes, epithelioid macrophages and giant cells in infected tissues, blunted villi Abundance of lymphocytes, epithelioid macrophages
Table 3: Different stages of the paratuberculosis [70].