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Systemic mycobacteriosis caused by Mycobacterium avium subspecies hominissuis in a sheep
Nagaraja Thirumalapura1, Susan Bender2, Manoj K Sekhwal3
1Wisconsin Veterinary Diagnostic Laboratory, University of Wisconsin-Madison, Madison, WI, USA.
Abstract:
Mycobacterium avium subsp. hominissuis (MAH) causes pulmonary and disseminated infections in immunocompromised humans. In pigs, MAH commonly causes subclinical infections that lead to granulomatous lesions in the mesenteric lymph nodes, liver, spleen, and jejunum. MAH infections have been reported less commonly in other animal species and in birds. Here, we report a case of systemic mycobacteriosis caused by MAH in a sheep. The affected animal had a history of hypoproteinemia, weight loss, and fever. Gross pathology findings included serous fluid accumulation in the peritoneal and pleural cavities, patchy dull granular light-red mucosa of the small intestine, diffuse orange-brown discoloration of the liver, and noncollapsing lungs that were mottled pink to dark-red. Histologically, granulomas were present in the intestines, mesenteric lymph nodes, liver, spleen, kidneys, lungs, and brain. MAH was isolated from the liver, spleen, and feces. Whole-genome sequencing revealed a mobile genetic element-an ISMAP02-like sequence-in the MAH genome. An ISMAP02-like sequence in mycobacteria other than Mycobacterium avium subsp. paratuberculosis (MAP) may interfere with the detection of MAP by PCR assays targeting ISMAP02.
Insights
Mycobacterium avium subsp. hominissuis (MAH) caused systemic mycobacteriosis in a sheep, presenting with granulomatous lesions. This finding highlights MAH as a potential pathogen in sheep and its implications for diagnostics.
Area of Science:
- Veterinary Pathology
- Infectious Diseases
- Genomics
Background:
- Mycobacterium avium subsp. hominissuis (MAH) is known to cause infections in humans and pigs.
- MAH infections are less commonly reported in other animal species, including sheep.
Purpose of the Study:
- To report a case of systemic mycobacteriosis caused by MAH in a sheep.
- To characterize the MAH isolate and identify potential diagnostic interferences.
Main Methods:
- Clinical case reporting and gross pathology.
- Histopathological examination of tissues.
- Bacterial isolation and whole-genome sequencing.
Main Results:
- A sheep presented with hypoproteinemia, weight loss, fever, and disseminated granulomatous lesions.
- MAH was isolated from multiple tissues and feces.
- Whole-genome sequencing identified an ISMAP02-like sequence, potentially interfering with MAP PCR detection.
Conclusions:
- This case demonstrates systemic mycobacteriosis caused by MAH in a sheep.
- The presence of an ISMAP02-like sequence in MAH may affect diagnostic accuracy for Mycobacterium avium subsp. paratuberculosis (MAP).
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