Larvae in relation to horses refers to the immature stages of various parasitic organisms that can infect equine hosts. These larvae can originate from different species of internal and external parasites, such as gastrointestinal nematodes and bots. The presence and development of larvae in horses can lead to various health issues, including digestive disturbances, weight loss, and colic. Common parasitic larvae affecting horses include those of Strongylus vulgaris, Parascaris equorum, and Gasterophilus spp. Understanding the life cycle, transmission, and impact of these larvae is essential for effective parasite management and control in equine populations. This page compiles peer-reviewed research studies and scholarly articles that explore the biology, pathology, and management strategies related to larval parasitism in horses.
Hadlow WJ, Ward JK, Krinsky WL.Acute neurologic disease associated with intracranial migration of a first instar larva of a warble fly, Hypoderma bovis (Linnaeus), was observed in a 14-year-old Quarter Horse gelding in western Montana. The disease was characterized by incoordination of gait, circling to the left, head tilt to the right, partial paralysis of the right side of the face, and impaired vision in the right eye. Two and one-half hours after it was first noticed sick, the horse collapsed and was euthanized. Massive hemorrhage unaccompanied by necrosis or significant cellular response was present in the right side o...
Lyons ET, Drudge JH, Tolliver SC.Eyes from 114 (30.3%) of 376 dead horses, examined from 3 April 1975 to 3 April 1976, were naturally infected with adult Thelazia lacrymalis; 1 horse was also infected with 1 male Thelazia skrijabini. Adult T. lacrymalis from dead horses were successfully transferred mechanically to the eyes of 3 of 4 Shetland ponies raised helminth-free. Larvae from gravid female T. lacrymalis underwent development in experimentally infected, laboratory-raised face flies (Musca autumnalis) and third-stage larvae ranging from 1.82 to 2.94 mm in total length were recovered at 12 to 15 days postexposure. A total...
Smith HJ.A group of seven ponies naturally infected with large numbers of small strongyles and raised under conditions to minimize reinfection were treated periodically over a three year span with thiabendazole at the rate of 44 mg/kg body weight. Based on the absence of worm eggs in the feces following each treatment, thiabendazole removed the adult strongyles present with a new population subsequently developing by maturation of inhibited larvae. It took as many as four or five treatments to eliminate or reduce significantly the worm burdens present in the ponies under the conditions of this study. S...
Smith HJ.Five of seven ponies whose strongyle worm burdens had previously been removed or markedly reduced by repeated thiabendazole treatments were reinfected with doses ranging from 100,000 to 500,000 small strongyle infective larvae. Reinfection of ponies resulted in the development of clinical signs characterized by abnormal feces, marked loss of weight and delayed shedding of winter hair coats. An abrupt increase in circulating eosinophils occurred during the first three weeks following reinfection. Patent infections developed in all ponies with worm eggs appearing in the feces from 12 to 15 weeks...
Lyons ET, Drudge JH, Tolliver SC.Experimentally induced infections of Parascaris equorum in worm-free pony foals required 14 to 17 days for migration of the larvae through the liver and lungs, and 79 to 110 days to become gametogenically functional. Treatment of experimentally infected or naturally exposed foals during the parenteral phase of development, using levamisole at 8 mg/kg, a mixture of levamisole at 8 mg/kg plus piperazine at 88 mg base equivalent/kg, or dl-tetramisole at 10 mg/kg, was quite efficacious in (1) reducing the number of P. equorum larvae recovered from the small intestines of the foals at necropsy, or ...
Genchi C, Malnati G.Strongyloides westeri larvae transmission by mare milk in foals has been studied; the results show the importance of this route for parasite penetration.
Drudge JH, Lyons ET, Wyant ZN, Tolliver SC.The occurrence of 2nd and 3rd instars of Gasterophilus intestinalis and Gasterophilus nasalis was determined in 476 horses during the 22-year period from 1951 to 1973. Overall, G intestinalis infected 98.7% of the horses and averaged 168/horse; whereas G nasalis infected 80.7% of the horses and averaged 52/horse. Aggregate average total numbers for G intestinalis ranged from a low of 50 in September to a high of 229 in March, and for G nasalis, from a low of 14 in September to a high of 82 in February. Horses were infected by 2nd or 3rd instars of both species on a year-round basis. Differenti...
Greatorex JC.The clinical manifestations of a diarrhoeic syndrome of horses with ulceration of the mucosae of the colon and caecum are described. Patients could be divided into three groups according to their presenting symptoms and the disease is probably caused by the thrombo-embolism associated with migrating larvae of Strongylus vulgaris. The differential diagnosis, prognosis and treatment are outlined with particular reference to the use of antithrombotic agents.
Pauli B, Althaus S, Von Tscharner C.Migrating fourth-stage larvae of Strongylus vulgaris, a parasite of equines, damage the intima of the anterior mesenteric artery and its larger branches and induce thrombus formation on the injured sites. As the time of larval passage through each of these branches has been exactly determined in earlier experiments, the aim of the present studies is to contribute to a more complete understanding of repair mechanisms in the process of time after thrombotic vascular injuries. Methods: five foals were separated individually to specially cleaned stables and given anthelmintic treatment till the ag...
Slocombe JO, McCraw BM.Four pony foals were inoculated with Strongylus edentatus infective larvae and on days 3 and 4 postinfection two of the ponies were treated with thiabendazole, each at the rate of 440 mg/kg of body weight. Total circulating eosinophil counts in untreated ponies increased to over 1700 per cu mm after the second week postinfection. In the treated ponies as well as in an uninfected untreated pony eosinophil counts did not increase beyond 100 per cu mm. At necropsy on day 35 postinfection the cecum, colon and omentum of treated ponies were normal and few tracks were present on the surface of the l...
Duncan JL, Dargie JD.The migratory route of infective Strongylus vulgaris larvae was determined: penetration of small and large intestine into the lumina of submucosal arteries, migration up the arterial tree, reaching the cranial mesenteric site by three weeks, where the larvae develop to the mature 4th stage. After 3-4 months they exsheath and the young adults migrate down the arteries towards the intestines, to the limit of arterial narrowing, from where they rupture from nodules into the lumen of the intestine. The prepatent period is about 6 months. The clinical syndrome was similar to, but less severe than t...
Drudge JH, Lyons ET, Tolliver SC.Controlled tests of the efficacy of bot-active compounds, dichlorvos, trichlorfon, trichlorfon butonate, and carbon disulfide on the larvae of Gasterophilus intestinalis and Gasterophilus nasalis during their migratory period in the tissue of the mouth of horses and ponies were completed on experimentally induced and naturally acquired infections. Against the experimental parasitisms in pony foals, the resin-pellet formulation of dichlorvos given on the feed at the dose level of 37 mg/kg, 2 formulations of trichlorfon given by stomach tube at the dose level of 40 mg/kg, another of trichlorfon ...
Duncan JL, Pirie HM.The clinical signs, pathology and clinical pathology associated with single experimental infections of Strongylus vulgaris in worm-free pony foals are described. The major clinical signs which became apparent in the infected foals during the first three weeks were pyrexia, anorexia, dullness and abdominal pain. Within the first two weeks of infection lesions were confined to the intestine and terminal branches of the intestinal arteries and consisted of mucosal, submucosal and serosal haemorrhage together with arteritis of submucosal and serosal arteries and also a marked inflammatory reaction...
McCraw BM, Slocombe JO.Pony foals inoculated with infective Strongylus edentatus larvae were monitored for clinical signs and selected blood changes and were examined at necropsy from two to 56 days postinfection. Larvae penetrated the intestine and reached the liver intravenously before 40 hours postinfection. Occasional thrombi and larval tracks associated with the intima of cecal and colic veins suggested aberrant paths. Larvae in the liver doubled in width between seven and 15 days postinfection and a sudden increment in circulating eosinophils occurred between 11 and 15 days. These changes were probably associa...
Dong J, Bao H, Mang L.Rhinoestrus sp. (Diptera: Oestridae) is an economically important parasite that can cause severe nasal myiasis in equids and can also affect humans. The ultrastructure of all Rhinoestrus sp. larval instars from Mongolian horse was examined by light and scanning electron microscopy to characterize the features of Rhinoestrus. The structure of the anterior region, posterior region, and the spines of the third segment was analyzed for 10 specimens in each larval stage. Additionally, 34 third-instar (L3) larvae of Rhinoestrus sp. from Mongolian horse were subjected to molecular characterization by...
Borgsteede FH, Bruin G, Smolders EA.In 1983 and 1984 the effect of a deworming scheme, in which horses were treated at turn out and 4 and 8 weeks later, on the egg output, larval differentiation, weight gain, herbage infestation and in 1984, the percentages of some serum proteins were tested. In 1983 the experiment was done with 42 mares, 54 two year old male horses and 42 male yearlings, kept in groups with permanent or rotational grazing. In 1984 only 90 male yearlings were investigated. In 1983 albendazole and ivermectin were used, 1984 ivermectin. The results of the faecal examinations showed that after ivermectin treatment ...
Karanth S, Holbrook T, MacAllister C, Pope CN.The organophosphate insecticide tetrachlorvinphos (TCVP, Rabon) is the active ingredient in "feed-through" larvacides (e.g., Equitrol) for fly control around horse stables. As with other organophosphates, TCVP elicits toxicity by inhibiting acetylcholinesterase, leading to accumulation of the neurotransmitter acetylcholine and cholinergic signs. Relatively little is known, however, on the effects of TCVP-containing larvacides on acetylcholinesterase or other esterases in horses. Previous in vitro studies indicated that horse plasma cholinesterase activity was substantially (>10,000-fold) mo...
Hopfer SM, Van Kruiningen HJ, Daniels WH.Twelve horses were divided into three groups and given various doses of a mixed species strongyle inoculum, representing light, moderate, and heavy infections. Three weeks after the larval inoculations, three animals from each group were given larvicidal doses of thiabendazole (TBZ) (440 mg kg-1 on two consecutive days); one animal from each group served as a non-medicated control. Treatment was repeated three weeks later. One treated animal from each group was designated for long-term study; others were necropsied to study adult and larval parasite loads. Six of the twelve animals with strong...
du Toit N, McGorum BC, Pemberton AD, Brown J, Dacre KJ.Cyathostomins (Cyathostominae) are regarded as the most pathogenic equine nematode worldwide. These nematodes are difficult to control in equine populations due to emerging anthelmintic resistance and evasion of encysted larval cyathostomins to regular modern anthelmintics. Mast cells and their proteinases have been shown to play a role in the mammalian immune response to nematode infections. Involvement of mast cells and mast cell proteinases in the equine immune response to cyathostomin infection is proposed. A technique was established to perform immunohistochemical staining using polyclona...
Hofing GL, Bennett DG.Shetland ponies (n = 4) were given diethylcarbamazine orally at a dose level of 22 mg/kg/day for 1 week before they were inoculated with 800 third-stage larvae of Strongylus vulgaris. Treatment was continued for 86 (1 pony) or 200 days (3 ponies) after the inoculation. As compared with the changes seen in a similarly inoculated group of ponies (group 2) which were not treated, diethylcarbamazine did not prevent the clinical or pathologic changes due to the migrating larvae. Fewer adult parasites were recovered at necropsy from treated ponies than from nontreated (group 2) ponies, even when tre...
French DD, Klei TR, Taylor HW, Chapman MR.Twenty-one mixed-breed pony foals, reared and maintained under parasite-free conditions, were used to test the efficacy of ivermectin in oral drench and paste formulations (200 micrograms/kg) against 11-day-old migrating larvae of Parascaris equorum. Three replicates of 4 foals and 3 replicates of 3 foals were formed on the basis of age. Foals in replicates of 4 were randomly allocated to be indicators, or to receive vehicle (control) or ivermectin paste or ivermectin liquid. Foals in replicates of 3 were randomly allocated to receive vehicle or ivermectin paste or ivermectin liquid. The recov...
Slocombe JO, McCraw BM.Sixteen pony foals were reared worm-free and inoculated with Strongylus vulgaris. On day 7 after inoculation, 12 ponies were given a fenbendazole 10% suspension at dose rate of 50 mg/kg of body weight by stomach tube. On day 8 after inoculation, 8 of these ponies were given the 2nd treatment of the anthelmintic and on day 9, 4 of these ponies were given the 3rd treatment. (The other 4 of the 16 ponies were given only tap water, as controls.) The ponies were necropsied at death or on day 28 after inoculation. Fenbendazole was effective in minimizing the appearance of clinical signs associated w...
Bauer C, Bürger HJ.A paste formulation containing 14.3 per cent of oxibendazole and 44 per cent of trichlorfon was administered to 33 ponies and horses. The dose rate used was equivalent to 10 mg and 30 mg/kg bodyweight, of oxibendazole and trichlorfon respectively. After treatment 25 animals passed between one and 82 third stage larvae of Gasterophilus intestinalis in their faeces. Dosing with 0.2 mg ivermectin/kg bodyweight three weeks later resulted in six animals expelling between one and four bots. The efficacy of the oxibendazole-trichlorfon paste was on average 96.2 per cent. This drug combination given t...
Zynda HM, Scare JA, Steuer AE, Anderson HP, Nielsen MK.Cyathostomins are pervasive equine parasites in horses across the world, and larval stages are known to cause the deadly disease larval cyathostominosis. The mucosal digestion technique is widely used for enumeration of encysted larval stages. Previous studies have investigated the spatial variation of encysted larvae, however current protocols lack a description of a standardized area from which to take the tissue sample. This study sought to evaluate spatial variation in encysted cyathostomin larval counts among the large intestinal organs and their subsections. Following humane euthanasia, ...
Reinemeyer CR, Herd RP.Haustral portions of intestine of 6 horses were isolated by excising the taeniae coli from the cecum and the ventral colon. Uniform 5-cm X 5-cm sections were cut from the haustra and were illuminated from the serosal side with a strong light source (mural transillumination). Cyathostome larvae encysted in the mucosa and submucosa were observed at 15 X magnification and counted. Two separate counts of the larvae in 80 replicates of tissue by the mural transillumination technique (MTT) revealed no significant (P less than 0.05) difference between sample means. Larvae in tissue sections were coun...
Brocard P, Pfister K.The combined drug Mebendazole plus Trichlorfon (Telmin plus Trichlorfon, Janssen Pharmaceutica, Beerse/Belgium) has been tested in a field trial against naturally acquired Gasterophilus spp. infestations in horses. 44 foals (1 to 1.5 years old, 350-450 kg body-weight) originating from different endemic areas of Switzerland, have been randomly allocated to two groups as follows: 28 foals were treated with Mebendazole plus Trichlorfon, 16 animals served as untreated controls. The drug (paste) was administered and dosed according to the user's instruction. Macroscopic examinations of the digestiv...
The development of a nodule is a fairly common reaction pattern in the skin and subcutaneous tissues of the horse. In many such nodules, the inciting aetiologic agent or antigen is unknown, but in some equine cases there is significant evidence for insect bite origin. The pathogenesis of some equine nodular diseases appears to involve marked collagen degeneration which varies from hyalinization to lysis and can become mineralized. The exact role the lytic collagen has in the pathogenesis of these lesions is still unknown. Vascular changes may be present in some entities. Other nodules may be c...
Presson BL, Hamm D, Yazwinski TA, Pote LM.Critical tests were performed on 6 horses to evaluate the antiparasitic effectiveness of oxfendazole given in combination with trichlorfon in a paste formulation. Treatments were given orally as a single dose. The rates of active ingredient administration were 2.5 and 40 mg/kg of body weight for oxfendazole and trichlorfon, respectively. The combined activities of the 2 antiparasitic compounds proved 100% efficacious in the removal of adult Strongylus vulgaris, S edentatus, Oxyuris equi, and Parascaris equorum. Fourth stage O equi, and 2nd and 3rd instars of Gasterophilus nasalis also were com...
Ramos ICDN, Ramos RADN, Lima VFS, Giannelli A, López IYT, Alves LC.The FLOTAC technique represents a highly sensitive method for the isolation of oocysts, eggs, and larvae of parasites in faeces. This assay could be used for detecting free-living stages of nematodes in the pasture but no attempt has been assessed so far. Therefore, the performance of FLOTAC technique for isolating infective larvae of nematodes in the environment was investigated and compared with the spontaneous sedimentation (SST) and centrifugal sedimentation (CST) techniques. The study was conducted in a horse farm located in northeastern Brazil, where the occurrence of strongyle larvae ha...
Ibrahim M.Rhinoestrus species larvae are considered obligatory parasites of the nasal cavities of equine. This type of myiasis is characterised by sneezing, coughing, olfactory nerve damage and encephalomyelitis. Also, it has a zoonotic importance as the larvae might cause ophthalmomyiasis and conjunctivitis in human. While few studies describing R. purpureus adult fly antennal sensillae are available, the R. usbekistanicus antennal sensillae have never been described. Also, scanty data are available on the adult flies of Rhinoestrus species morphology. For this reason, the current study aimed at identi...
Ribbeck R, Ilchmann G, Hiepe T.Research into the immunological diagnosis of gasterophilosis. So far there have been no reliable methods of diagnosing equine gasterophilosis intra vitam. Horses from the G.D.R. and the M.P.R. spontaneously infected with Gasterophilus spp. were tested for antibodies by the immunotechniques of counterimmunoelectrophoresis after Pesendorfer, passive haemagglutination and the intradermal test using antigen made from larvae of all 6 Gasterophilus spp. present in the palaearctis. All 3 techniques produced positive results. The intradermal injection produced an immediate reaction. A correlation betw...
Kozlov DP.The problem of dissimilation of larvae of strongylates of ruminants in pasture biocoenosis is discussed. A new form of their migration in horizontal direction on the basis of negative geotaxis is suggested. As a result of alternation of vertical migration of larvae on the tilting leaves of the grass and their subsequent washing off with rain or dew down on the ground proceeds their distribution on the pasture. The description of corresponding experiments is given.
Kraouchi DE, Meradi S, Bentounsi B.The composition, prevalence, and seasonal dynamic of species were studied at the slaughterhouse of Constantine region (East Algeria) in 128 horses over an 18 months period. Our survey revealed that 124 (96.9%) horses were infected with a mean intensity of 161 larvae of spp. Four species of were identified; and were by far the predominant species with 95.3% and 77.3% respectively, followed by (14.0%) and (10.1%). The age, sex, and breed of horses did not affect the distribution of the infection. Second-stage larvae (L2) of were absent between April and July and present in higher numbers...
Aref S.A study of the migration of fourth stage larvae of the parasite Strongylus vulgaris in the intestinal arteries of the horse is presented. It is established, that the larvae migrate along the arteries in almost straight lines. It is suggested that this is primarily due to their ability to sense the curvature of the vessel wall, and not, as might have been expected, because of an ability to sense the direction of blood flow. A larva will sometimes alter its direction of motion when encountering a small off-branching artery. This behaviour suggests, that the migration of S. vulgaris larvae can be...
Simões J, Sales Luís JP, Madeira de Carvalho L, Tilley P.The relationship between helminth infection and allergic diseases has long intrigued the scientific community. This interaction was previously studied in a horse family with high incidence of severe equine asthma and in non-related severely asthmatic horses from equine hospital referrals in Switzerland. Our aim was to determine if this interaction would also be observed in a group of non-related client-owned severely asthmatic horses living in a Mediterranean climate and recruited through a first-opinion veterinarian group. Fecal samples from severe equine asthma-affected and healthy horses li...
Zhanabayev A, Ibrayev B, Lider L, Ussenbayev A, Bissengaliyev R.The research relevance is predefined by the widespread distribution of parasitosis, including helminthiases, alongside constant depasture on the same areas of pastures, which annually causes massive re‑infection of horses. In this regard, the research aims to identify the age, seasonal, and territorial dynamics of infection of horses with helminthiases in the context of the districts of the northern region of Kazakhstan. The primary research method was an experimental analysis that allowing to consider the dynamics and causes of horse helminthiases, associated with the prepatent period, the ...
Tanaka Y, Watanabe K, Takeyama A, Tagami M, Hamano H, Fukumoto N, Nambo Y, Kobayashi Y.Equine testicular arteritis commonly occurs as a consequence of the migration of nematode larvae or equine arteritis virus (EAV) infection. However, testicular arteritis without evidence of these infections has been reported, and the underlying pathogenesis remains unclear. We encountered testicular arteritis without evidence of nematode or EAV infection in a 3-year-old male heavy draft horse with scrotal enlargement. Grossly, the volume of the pampiniform plexus was markedly increased due to edema. Histologically, non-suppurative and necrotizing testicular arteritis, characterized by lymphocy...
Mann DN, Hobert KT, Biddle AS, Crossley MS.Cyathostomins are common digestive tract parasites of grazing horses that spread through contact with horse feces. Horse feces are colonized by a variety of organisms, some of which could serve to reduce parasite loads in horse pastures. Black soldier fly (Hermetia illucens L.; Diptera: Stratiomyidae) larvae (BSFL) could be an ideal candidate for biological control of cyathostomins, due to their near-global distribution, low risk of pathogen transmission, ability to develop on a variety of nutrient-poor substrates (including horse manure), and dramatic effect on microbial communities that cyat...
Américo L, Aquino LPCT, Moura AB, Ribeiro GSN, Fonteque JH, Chryssafidis AL.Habronemosis, also known as habronemiasis or habronematidosis, is a parasitic disease of equids caused by the larval stages of Habronematidae nematodes (Habronema muscae, Habronema microstoma, and Draschia megastoma) that are transmitted by muscid flies. The presence of aberrant infective larvae in the cutaneous and conjunctival tissues of these hosts results in granulomatous, exudative, and ulcerated lesions, also known as "summer sores." In this study, we present a retrospective analysis of habronemosis cases in horses from the municipality of Lages, located on the Santa Catarina Plateau, a ...
Malsa J, Reigner F, Riou M, Gesbert A, Guégnard F, Perrot N, Serreau D, Fleurance G, Sallé G.The increasing emergence of anthelmintic-resistant parasitic isolates prompts us to reassess the management of intestinal strongylosis in horses. Additionally, societal demand is shifting toward reducing the use of chemical treatments, aligning with environmentally-friendly practices and the exploration of natural alternatives. In this context, we provide an initial view of the antiparasitic activity and the effect on immune circulating blood cells of three commercialized plant-based feed additives in ponies. Three treatments, based either on mugwort (Artemisia vulgaris), echinacea (Echinacea ...
Toft K, Honoré ML, Ripley NE, Nielsen MK, Fromm B, Mardahl M, Nielsen LN, Nejsum P, Thamsborg SM, Cirera S, Pihl TH.The equine bloodworm, Strongylus vulgaris, is a highly pathogenic parasite causing potentially fatal vascular and intestinal damage. Parasites express and release microRNAs (miRNAs) for internal regulation and to modulate host immunity. The complete set of miRNAs expressed by S. vulgaris (the S. vulgaris miRNAome) remains unannotated and the aim of this study was to annotate the miRNAome of L4 and L5 stages of S. vulgaris, and to examine differences in miRNA abundance between larval stages and sexes. Furthermore, we aimed to determine if miRNAs were detectable in excretory/secretory products (...
Toft K, Honoré ML, Ripley N, Nielsen MK, Mardahl M, Fromm B, Hedberg-Alm Y, Tydén E, Nielsen LN, Nejsum P, Thamsborg SM, Cirera S, Pihl TH.The equine bloodworm, Strongylus vulgaris, is a common and highly pathogenic parasite in horses due to its migratory life cycle involving the intestinal arteries. Current diagnostic techniques cannot detect the prepatent migrating stages of S. vulgaris, highlighting the need for new biomarkers. Parasites release microRNAs (miRNAs) into their environment, which could potentially be detectable in host blood samples. Additionally, host miRNA expression patterns may change in response to infection. This study aimed to identify miRNAs associated with S. vulgaris infection by profiling the horse's m...
Bianchi D, Santos RRD, Peleja PL, de Sousa ABB, da Silva Evangelista M, de Almeida Júnior JS, Barata LES, Moraes WP, Minervino AHH. (tropical horse tick) is a tick species commonly found parasitizing horses and other equids in the Amazon region, causing economic losses. Currently, tick control is based on chemical acaricides, usually in a power formulation for topical use. However, its indiscriminate use results in the emergence of resistant tick lineages. Several plant compounds have been tested for their acaricide activity. In the Amazon, several plants are used for oil extraction, resulting in the production of solid residue (waste) that may contain chemical molecules with biological activities. Thus, we aimed to test ...
Souto EPF, Dantas VW, Oliveira AM, Garcia DS, Vilela VLR, Neto EGM, Mota RA, Dantas AFM.Strongylus vulgaris remains a significant cause of disease in equids, especially in regions with insufficient deworming practices. Objective: To describe the epidemiological, clinical, pathological, and parasitological findings of vascular and extravascular lesions associated with S. vulgaris in equids. Methods: A retrospective analysis was conducted on necropsy reports from equids examined at the Animal Pathology Laboratory, Federal University of Campina Grande (2000-2024), targeting cases of vascular lesions associated with S. vulgaris. Epidemiological, clinical, and pathological findings we...
