Comparison of Gross Pathology, Histopathology, and Mycobacterial Culture for the Diagnosis of Tuberculosis in Elk (Cervus elaphus)

Using the isolation of Mycobacterium bovis as the reference standard, this study evaluated the sensitivity, specificity and kappa statistic of gross pathology (abattoir postmortem inspection), histopathology, and parallel or series combinations of the two for the diagnosis of tuberculosis in 430 elk and red deer. Two histopathology interpretations were evaluated: histopathology I, where the presence of lesions compatible with tuberculosis was considered positive, and histopathology II, where lesions compatible with tuberculosis or a select group of additional possible diagnoses were considered positive. In the 73 animals from which M. bovis was isolated, gross lesions of tuberculosis were most often in the lung (48), the retropharyngeal lymph nodes (36), the mesenteric lymph nodes (35), and the mediastinal lymph nodes (16). Other mycobacterial isolates included: 11 M. paratuberculosis, 11 M. avium, and 28 rapidly growing species or M. terrae complex. The sensitivity estimates of gross pathology and histopathology I were 93% (95% confidence limits [CL] 84,97%) and 88% [CL 77,94%], respectively, and the specificity of both was 89% [CL 85,92%]). The sensitivity and specificity of histopathology II were 89% (CL 79,95%) and 77% (CL 72,81%), respectively. The highest sensitivity estimates (93- 95% [CL 84,98%]) were obtained by interpreting gross pathology and histopathology in parallel (where an animal had to be positive on at least one of the two, to be classified as combination positive). The highest specificity estimates (94-95% [CL 91-97%]) were generated when the two tests were interpreted in series (an animal had to be positive on both tests to be classified as combination positive). The presence of gross or microscopic lesions showed moderate to good agreement with the isolation of M. bovis (Kappa = 65-69%). The results show that post-mortem inspection, histopathology and culture do not necessarily recognize the same infected animals and that the spectra of animals identified by the tests overlaps.

Book Review of Stone by Stone: Exploring Ancient Sites on the Canadian Plains by Liz Bryan

Liz Bryan begins her book with a description of the Canadian Plains:" . .. a voluptuous landscape of hills and valleys and plains, of lakes and tiny twinkling potholes, of flower-filled coulees and vast sand dunes." Her emphasis throughout on the landscape of southern Saskatchewan and Alberta is necessary since the ancient monuments she describes only truly resonate within this setting. Indeed, almost every page of this attractive book is adorned with at least two color images-of scenery, stone features, artifacts, and aboriginal events. She then proceeds to an eclectic overview of the archaeological record of the Plains of Saskatchewan and Alberta, including the earliest human evidence, such as the Clovis points from the Wally's Beach site, Alberta, where the trackways of mammoths, camels, and muskoxen were miraculously and briefly exposed in the late 1990s. There is one perplexing error, however-the attribution of the extinction of the ice age bestiary, about 12,000 years ago, to the meteorite that felled the dinosaurs!