In the present study, we compared the utility of immunohistochemistry with
serological and histological results for the characterization of Mycobacter
ium avium ssp. paratuberculosis (M. paratuberculosis) in tissues of affecte
d red deer. Bacterial isolation was considered the standard reference. Samp
les were taken from seven clinically affected animals with typical macrosco
pic lesions. The enzyme linked immunosorbent assay (ELISA) and the gel diff
usion tests (GD) were used for serological determinations. Samples from int
estine and mesenteric lymph nodes were processed for bacterial isolation an
d histology. M. paratuberculosis was isolated from all the animals. Histolo
gically, lymph notes displayed necrosis and mineralization at the cortical
and medullar areas. Ziehl-Neelsen stained bacteria were numerous inside mac
rophages and Langhans-type giant cells. Giant and epithelioid cells and lym
phocytes were prominent at the ileal mucous membrane. The immunostaining of
M. paratuberculosis was very clear inside epithelioid and giant cells. Ima
ge analysis was carried out to determine the immunostained area. There was
total agreement among the methods employed. Immunohistochemistry can be ver
y useful when the microorganism cannot be recovered from tissues or faeces.