Fodstad F H, Gunnarsson E
Acta Vet Scand. 1979;20(2):157-67. doi: 10.1186/BF03546608.
Post-mortem examinations play an important role in Johne’s disease programmes in Norway. The results of such examinations of samples of viscera from 2997 goats carried out during the 5-year period 1972–1976 are given. The investigations show that the demonstration of macroscopical changes in mesenteric lymph nodes and small intestine has only limited value as a guideline in the post-mortem diagnosis of Johne’s disease in goats. Often macroscopical changes were not seen or they were non-specific. Caseous and/or calcified foci in mesenteric lymph nodes in infected animals were demonstrated quite often whilst observed intestinal changes were strikingly few. Corrugation of the mucosa was rare. However, in sections of macroscopically unchanged intestine marked epithelioid cell infiltrations and abundant acid-fast bacilli were not uncommon. In sporadic cases productive inflammation with tubercle formation was seen in lymph nodes in infected animals. Bacteriological culture was by far the most reliable post-mortem diagnostic method. By this method 92% of the infected goats were detected. The corresponding figures for histological examination and microscopy were 54% and 47%, respectively.
尸检在挪威的副结核病防治计划中发挥着重要作用。本文给出了1972年至1976年5年间对2997只山羊的内脏样本进行此类检查的结果。调查表明,肠系膜淋巴结和小肠宏观变化的显示作为山羊副结核病尸检诊断的指导价值有限。宏观变化往往未见,或者是非特异性的。感染动物的肠系膜淋巴结中经常出现干酪样和/或钙化灶,而观察到的肠道变化却极少。黏膜皱襞很少见。然而,在宏观上无变化的肠道切片中,明显的上皮样细胞浸润和大量抗酸杆菌并不罕见。在散发病例中,感染动物的淋巴结出现了伴有结核结节形成的增生性炎症。细菌培养是迄今为止最可靠的尸检诊断方法。通过这种方法检测出了92%的感染山羊。组织学检查和显微镜检查的相应数字分别为54%和47%。