“…Briefly, in the early stage of infection, the host response is predominantly a cell-mediated immune response (CMI), where the infection remains latent but MAP proliferates in the jejunum and ileum and spreads to local lymph nodes. The cow may shed MAP in feces at low levels, often below the detection limit, and possibly also in milk if disseminated infection has occurred (Sweeney et al, 2006;Stabel et al, 2009). The latter is still uncertain.…”