Tuberculosis, caused by Mycobacterium bovis, is emerging as the most i
mportant disease affecting farmed deer. While the disease is usually f
ound at a low incidence involving lesions in single lymph nodes, it ma
y present as a rapidly spreading, fulminating disease, especially in a
nimals exposed to stress. The unique susceptibility of cervidae to myc
obacteria in general has meant that diagnosis of tuberculosis in deer
using conventional intradermal tuberculin tests may be unsatisfactory.
Tuberculin testing in deer is more technically demanding than in catt
le, with the cervical region being the most sensitive area. False posi
tive skin reactions occur widely in non-diseased deer while seriously
infected animals may be ''anergic'' and fail to react (false negative)
. Comparative cervical tests have been used to improve test specificit
y but they suffer from reduced levels of sensitivity. A new blood test
for tuberculosis (BTB) has been developed specifically for deer. This
assay uses a combination of laboratory tests which measure lymphocyte
transformation, antibody and inflammation. The composite BTB has a se
nsitivity of > 95% and a specificity of > 98% for diagnosis of M. bovi
s in cervidae.