The lack of appropriate
methods for subclinical diagnosis hampers the control and
eradication of Johne's disease in sheep. As infection is
insidious with prolonged incubation, it is usually difficult to
assess performance of diagnostic methods during progressive stages
of natural infection. In the present study, the performance of
various tests were therefore evaluated on 15 experimentally
infected sheep and 8 in-contact sheep. These animals had various
grades of infection (negative, suspected, mild, moderate and
severe) categorised on the basis of a set of diagnostic methods
(faecal smear, culture and PCR, tissue PCR, ELISA immunoperoxidase
and histopathology) over a period of 390 days. Four animals each
from the infected and incontact groups were either in the negative
or the suspected infection categories, and hence were not included
in the assessment. Thus, the performance of the diagnostic methods
was assessed on 15 sheep (11 from infected and 4 from incontact
groups). Among 15 infected sheep, 9 (67.7%) were in the mild and 3
(33.3%) each were in the moderate and the severe infection
categories. The sensitivities of the clinical diagnostic methods
were 80% for I/D johnin test, over 73% for faecal smear and faecal
PCR, 60% ELISA, over 53% for faecal culture and AGID, and 40% for
blood PCR. Among post-mortem diagnostic methods, the highest
sensitivity was obtained for immunoperoxidase test (80%), followed
by tissue PCR (~67%) and acid-fast bacilli demonstration in tissues
(40%). The study revealed that among antemortem tests, johnin test
followed by feacal PCR, and among postmortem tests,
immunoperoxidase were the sensitive test for the diagnosis of
paratuberculosis. The performance of these tests in relation to
severity of infection and its implication in the diagnosis and
control of paratuberculosis has been discussed.