Analyze Diet

Topic:Nematodes

Nematodes are parasitic worms that can infect horses, affecting their health and well-being. These parasites typically inhabit the gastrointestinal tract of equines, where they can cause a variety of health issues. Common nematodes affecting horses include strongyles, ascarids, and pinworms. The presence and load of nematodes in horses can lead to symptoms such as weight loss, colic, and diarrhea, and can impact overall performance and health. Monitoring and managing nematode infections is an important aspect of equine veterinary care. This page compiles peer-reviewed research studies and scholarly articles that explore the biology, epidemiology, and management strategies of nematode infections in horses.
Surgical extraction of an intraocular infection of Parelaphostrongylus tenuis in a horse.
Journal of the American Veterinary Medical Association    July 17, 2010   Volume 237, Issue 2 196-199 doi: 10.2460/javma.237.2.196
Reinstein SL, Lucio-Forster A, Bowman DD, Eberhard ML, Hoberg EP, Pot SA, Miller PE.A 4-year-old Hanoverian gelding was evaluated because of a mobile worm-like structure in the right eye. Results: Ophthalmologic examination of the right eye revealed a white, thin, coiled, mobile parasite, which was presumed to be a nematode, located in the ventral portion of the anterior chamber of the eye; there also were vitreal strands located temporally and inferiorly near the margin of the pupil. Results of ophthalmologic examination of the left eye were unremarkable. Results: The horse was treated with a neomycin-polymyxin B-dexamethasone ophthalmic solution applied topically (1 drop, q...
In vitro predatory activity of nematophagous fungi and after passing through gastrointestinal tract of equine on infective larvae of Strongyloides westeri.
Parasitology research    April 6, 2010   Volume 107, Issue 1 103-108 doi: 10.1007/s00436-010-1841-y
Araujo JM, Araújo JV, Braga FR, Carvalho RO.Three isolates of predator fungi Duddingtonia flagrans (AC001), Monacrosporium thaumasium (NF34), and Arthrobotrys robusta (I-31) were assessed in in vitro test regarding the capacity of prey infective larvae (L(3)) Strongyloides westeri. Compared to control, without fungus, there was a significant decrease (P 0.01) in vitro test. Linear regression coefficients of treated and control groups were -0.21 for control, -0.32 for D. flagrans, -0.34 for M. thaumasium, and -0.22 for A. robusta. In the following, isolates AC001 and NF34 were assessed in vivo regarding the capacity of supporting the pa...
Biodiversity and distribution of helminths and protozoa in naturally infected horses from the biosphere reserve La Sierra Madre de Chiapas”, México.
Veterinary parasitology    February 21, 2010   Volume 170, Issue 3-4 268-277 doi: 10.1016/j.vetpar.2010.02.016
Güiris AD, Rojas HN, Berovides AV, Sosa PJ, Pérez EM, Cruz AE, Chávez HC, Moguel AJ, Jimenez-Coello M, Ortega-Pacheco A.A cross sectional survey was performed to identify gastrointestinal helminths and protozoans in naturally infected horses from the biosphere reserve known as "La Sierra Madre de Chiapas", Mexico (El Triunfo and La Sepultura). During a three-year survey, fecal samples from 90 horses and parasites from 2 necropsied animals were collected. Five families from the Nematoda class: Ascaridae, Kathlanidae, Oxyuridae, Strongylidae and Trichostrongylidae were found, whereas, only one family from the class Cestoda, was observed: Anoplocephalidae. One family from the class Insecta, was observed: Gasteroph...
Endoparasite control management on horse farms–lessons from worm prevalence and questionnaire data.
Equine veterinary journal    February 4, 2010   Volume 42, Issue 1 79-83 doi: 10.2746/042516409X471485
Fritzen B, Rohn K, Schnieder T, von Samson-Himmelstjerna G.Increasing prevalence of anthelmintic resistance in equine nematodes calls for a reexamination of current parasite control programmes to identify factors influencing control efficacy and development of resistance. Objective: To investigate if associations occur between prevalence of parasitic nematodes and management practices. Methods: German horse farms (n = 76) were investigated in 2003 and 2004. Information on farm and pasture management with respect to endoparasite control measures obtained using a questionnaire survey. Faecal examinations were performed in parallel. Results: Horses (n = ...
[The case of the nematode Setaria equina found in the vaginal sac of the stallion’s scrotum].
Wiadomosci parazytologiczne    January 1, 2010   Volume 56, Issue 4 319-321 
Kornaś S, Pozor M, Okólski A, Nowosad B.The nematode Setaria equina usually reside in body cavities and do not cause clinical symptoms. From time to time, however, these parasites can be located in the scrotum and spermatic cord inflicting pain and edema in these body parts. The aim of the study was to describe the case of the nematode Setaria equina found in the vaginal sac of the stallion's scrotum. During the study, thorough examination of 50 isolated testicles of 25 stallions was conducted. The horses were obtained post-slaughter from the local slaughterhouse near Krakow. In one of examined stallions, two females of Setaria equi...
Parascaris and cyathostome nematodes in foals: parasite in transit or real infection?
Polish journal of veterinary sciences    January 1, 2010   Volume 13, Issue 4 713-717 doi: 10.2478/v10181-010-0010-7
Kornaś S, Cabaret J, Nowosad B.Faecal egg counts were performed in 187 foals of a large Polish stud farm between February and September 2007. Eggs of Parascaris equorum were present in faeces of 7% and those of cyathostomins in 13% of the foals aged less than 194 days. Information dealing with age of foals and/or efficiency of ivermectin treatment as well as the nematode parasite prepatent periods, it can be conducted that most of the infections recorded on the basis of faecal egg counts were false-infections in animals up to the age of six months, probably due to the ingestion of infected faeces of their dam or some other ...
Viability of the nematophagous fungus Pochonia chlamydosporia after passage through the gastrointestinal tract of horses.
Veterinary parasitology    December 2, 2009   Volume 168, Issue 3-4 264-268 doi: 10.1016/j.vetpar.2009.11.020
Braga FR, Araújo JV, Silva AR, Carvalho RO, Araujo JM, Ferreira SR, Carvalho GR.The predatory capacity of the nematophagous fungus Pochonia chlamydosporia (isolate VC4) embedded in sodium alginate pellets after passage through the gastrointestinal tract of horses was assessed in vitro against Oxyuris equi eggs. Twelve previously dewormed crossbred mares, average weight of 362.5kg (+/-21) were used in the experiment. Each animal of the treated group received an oral dose (100g) of sodium alginate pellets containing P. chlamydosporia mycelial mass. The control group received pellets without fungus. Faecal samples from fungus-treated and control groups were collected at inte...
Clinical trial of efficacy of ivermectin pour-on against gastrointestinal parasitic nematodes in silvopasturing horses.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 713-715 doi: 10.2746/042516409x447275
Francisco I, Sánchez JA, Cortiñas FJ, Francisco R, Mochales E, Arias M, Mula P, Suárez JL, Morrondo P, Díez-Baños P, Sánchez-Andrade R....The aim of this study was to assess, by a clinical trial, the efficacy of an ivermectin-based pour-on treatment against gastrointestinal parasitic nematodes in naturally infected horses using 2 groups of mature indigenous Pura Raza Galega grazing mares. Faecal and blood samples were collected individually over a 21 week period. Faeces were analysed by the coprological flotation, sedimentation and migration techniques. Changes in circulating blood cells were monitored over the study period. The administration of the ivermectin suppressed the egg-elimination of ascarids and pinworms throughout t...
Distribution and species-specific occurrence of cyathostomins (Nematoda, Strongylida) in naturally infected horses from Italy, United Kingdom and Germany.
Veterinary parasitology    November 10, 2009   Volume 168, Issue 1-2 84-92 doi: 10.1016/j.vetpar.2009.10.006
Traversa D, Milillo P, Barnes H, von Samson-Himmelstjerna G, Schurmann S, Demeler J, Otranto D, Lia RP, Perrucci S, Frangipane di Regalbono A....A broad scale study was carried out in 2008 to evaluate the distribution and species-specific occurrence of cyathostomin populations in horse yards from Europe. In total 102 properties and 3123 horses were included in Italy (60 yards and 1646 animals), United Kingdom (22 yards and 737 animals) and Germany (20 yards and 740 animals). Individual faecal samples were examined with a McMaster technique while pooled samples were subjected to the microscopic examination of in vitro cultured larvae and to a Reverse Line Blot (RLB) assay able to molecularly identify the most diffused 13 species of cyat...
Determination of genomic DNA sequences for beta-tubulin isotype 1 from multiple species of cyathostomin and detection of resistance alleles in third-stage larvae from horses with naturally acquired infections.
Parasites & vectors    September 25, 2009   Volume 2 Suppl 2, Issue Suppl 2 S6 doi: 10.1186/1756-3305-2-S2-S6
Lake SL, Matthews JB, Kaplan RM, Hodgkinson JE.Genetic resistance against benzimidazole (BZ) anthelmintics is widespread in cyathostomins, the commonest group of intestinal parasitic nematodes of horses. Studies of BZ-resistant nematodes of sheep, particularly Haemonchus contortus, have indicated that an anthelmintic resistance-conferring T/A polymorphism, encoding an F (phenylalanine) to Y (tyrosine) substitution, in beta-tubulin isotype 1 is present at two loci, codons 167 and 200 (F167Y, F200Y). Recent studies using complementary (c) DNA derived from BZ-susceptible and -resistant cyathostomins identified statistical differences in the f...
Moxidectin: a review of chemistry, pharmacokinetics and use in horses.
Parasites & vectors    September 25, 2009   Volume 2 Suppl 2, Issue Suppl 2 S5 doi: 10.1186/1756-3305-2-S2-S5
Cobb R, Boeckh A.This article reviews the current knowledge of the use of moxidectin (MOX) in horses, including its mode of action, pharmacokinetic and pharmacodynamic properties, efficacy, safety and resistance profile.Moxidectin is a second generation macrocyclic lactone (ML) with potent endectocide activity. It is used for parasite control in horses in an oral gel formulation. The principal mode of action of MOX and of other MLs is binding to gamma-aminobutyric (GABA) and glutamate-gated chloride channels. Moxidectin is different from other MLs in that it is a poor substrate for P-glycoproteins (P-gps) and ...
Identification and characterisation of an immunodiagnostic marker for cyathostomin developing stage larvae.
International journal for parasitology    August 22, 2009   Volume 40, Issue 3 265-275 doi: 10.1016/j.ijpara.2009.08.004
McWilliam HE, Nisbet AJ, Dowdall SM, Hodgkinson JE, Matthews JB.Parasitic nematodes of the group Cyathostominae are an important cause of disease in horses. This group consists of approximately 50 species, all of which have similar life cycles that involve encystment of larval stages in the large intestinal wall. Encysted larvae can persist for months to years and, occasionally, large numbers can accumulate and emerge synchronously to cause severe pathology, resulting in diarrhoea, weight loss, colic and/or oedema. This syndrome, known as larval cyathostominosis, can be fatal in up to 50% of cases, despite treatment. There is no diagnostic method that enab...
Mechanical recovery of inhibited cyathostomin larvae from equine intestinal tissue.
Parasitology research    May 29, 2009   Volume 105, Issue 2 587-589 doi: 10.1007/s00436-009-1473-2
Glover ID, Henry GM, Townsend NB, Coles GC.The Stomacher is very widely used in food and medical research for extracting tissues. To determine whether nematode larvae were disrupted by the Stomacher, L3 larvae of Haemonchus contortus were homogenised for up to 40 min at full power but no larval disruption occurred. Therefore, tissue from the mucosa and submucosa of the caecum of horses collected from a licenced abattoir was treated to determine whether inhibited cyathostomin larvae could be extracted. The optimum time on full power for a 10-g sample was 20 min, and in three out of five caecal samples from different horses, significantl...
Biological control of horse cyathostomin (Nematoda: Cyathostominae) using the nematophagous fungus Duddingtonia flagrans in tropical southeastern Brazil.
Veterinary parasitology    May 15, 2009   Volume 163, Issue 4 335-340 doi: 10.1016/j.vetpar.2009.05.003
Braga FR, Araújo JV, Silva AR, Araujo JM, Carvalho RO, Tavela AO, Campos AK, Carvalho GR.The viability of a fungal formulation using the nematode-trapping fungus Duddingtonia flagrans was assessed for the biological control of horse cyathostomin. Two groups (fungus-treated and control without fungus treatment), consisting of eight crossbred mares (3-18 years of age) were fed on Cynodon sp. pasture naturally infected with equine cyathostome larvae. Each animal of the treated group received oral doses of sodium alginate mycelial pellets (1g/(10 kg live weight week)), during 6 months. Significant reduction (p<0.01) in the number of eggs per gram of feces and coprocultures was foun...
In vitro development of cyathostomin larvae from the third stage larvae to the fourth stage: morphologic characterization, effects of refrigeration, and species-specific patterns.
Veterinary parasitology    May 4, 2009   Volume 163, Issue 4 348-356 doi: 10.1016/j.vetpar.2009.04.029
Brianti E, Giannetto S, Traversa D, Chirgwin SR, Shakya K, Klei TR.A mixed population of equine cyathostomin (Nematoda, Strongyloidea) infective third stage larvae (L3) was cultured in vitro using a cell-free medium. Some L3 were cultured immediately after Baermann collection from fecal cultures, while others were kept in water at 4 degrees C for 7 days before initiating the in vitro cultures. Cultures were examined daily for viability. At days 2, 7, 14 and 21 larvae were collected for identification of developmental stage and morphological changes, using both light and scanning electron microscopy. Larvae were classified as early L3 (EL3), developing L3 (DL3...
Morphometric identification of equid cyathostome (Nematoda: Cyathostominae) infective larvae.
Veterinary parasitology    March 17, 2009   Volume 162, Issue 3-4 290-294 doi: 10.1016/j.vetpar.2009.03.018
Kornaś S, Gawor J, Cabaret J, Molenda K, Skalska M, Nowosad B.The prevalence of infection with cyathosthomes of horses is high worldwide. Identification of species on infective larvae based on available morphological keys is not fully accurate and the aim of the present study was to provide a reliable identification key of cyathostomes infective larvae. At the abattoir, horse large intestines were examined and the cyathostomes females extracted and identified. The eggs from uteruses of identified cyathostomes females were used for breeding the infective larvae. Morphological parameters of Cyathostominae infective larvae, i.e. the length of the larvae wit...
The little-known scenario of anthelmintic resistance in equine cyathostomes in Italy.
Annals of the New York Academy of Sciences    January 6, 2009   Volume 1149 167-169 doi: 10.1196/annals.1428.078
Traversa D.Cyathostomes (Nematoda, Cyathostominae) cause colic, decreased performance and growth, peripheral edema, and dysorexia in equids. Also, the synchronous emergence of cyathostome larvae encysted in the colon and cecal wall causes larval cyathostominosis, which is characterized by protein-depriving enteropathy, chronic diarrhea, edema, weight loss, colitis, and may be fatal. In the past few decades, drug resistance in cyathostomes has become widespread, especially for benzimidazoles. Resistance to tetrahydropyrimidines is still confined to a few areas, and the recent reports of reduced efficacy i...
Biotechnological advances in the diagnosis of little-known parasitoses of pets.
Parasitology research    December 6, 2008   Volume 104, Issue 2 209-216 doi: 10.1007/s00436-008-1290-z
Traversa D, Otranto D.Dogs, cats, and horses are popular pets in many countries of the World and they have lived in close proximity with human beings for thousands of years. The effect of pet ownership on human health is well known and there is significant merit in preserving the health and welfare of these animals. Some infections caused by parasitic nematodes and arthropods of dogs, cats, and horses are now spreading in several areas of the world. This is the case of canine spirocercosis, feline aelurostrongylosis, and equine gastro-intestinal and nasal nematode and botfly infections. These diseases affect animal...
Morphology and diagnosis of some fourth-stage larvae of cyathostomines (Nematoda: Strongyloidea) in donkeys Equus asinus L. from Ethiopia.
Systematic parasitology    December 2, 2008   Volume 72, Issue 1 1-13 doi: 10.1007/s11230-008-9152-8
Kharchenko V, Kuzmina T, Trawford A, Getachew M, Feseha G.Fourth-stage larvae of four species of the Cyathostominae Nicoll, 1927 parasitic in donkeys Equus asinus L. from Ethiopia were identified mainly using moulting specimens. They are Cylicocyclus asini Matthee, Krecek & Gibbons, 2001, C. auriculatus (Looss, 1900) Chaves, 1930, Cyathostomum tetracanthum (Mehlis, 1831) Molin, 1861 (sensu Looss, 1900) and Cylindropharynx brevicauda Leiper, 1911. The larva of Cylicocyclus asini is similar to those of C. nassatus (Looss, 1900) Chaves, 1930 and C. leptostomum Kotlán, 1920, but differs from the former by the shape of the dorsal tooth in the oesopha...
Application of a Reverse Line Blot hybridisation assay for the species-specific identification of cyathostomins (Nematoda, Strongylida) from benzimidazole-treated horses in the Slovak Republic.
Veterinary parasitology    November 1, 2008   Volume 160, Issue 1-2 171-174 doi: 10.1016/j.vetpar.2008.10.078
Cernanská D, Paoletti B, Králová-Hromadová I, Iorio R, Cudeková P, Milillo P, Traversa D.Five horse farms located in eastern Slovakia were investigated for the presence of benzimidazole-resistant strongyles by faecal egg count reduction test and egg hatch assay. Coprocultures were prepared for each farm from faecal samples taken pre- and post-treatment and harvested larvae were molecularly examined with a Reverse Line Blot assay. Faecal egg count reduction values ranged from 0 to 52.5% and all farms were positive for benzimidazole-resistant cyathostomins. Seven benzimidazole-resistant cyathostomin species were molecularly identified on farms before and also after treatment. These ...
[Occurrence of nematodes in horses from the Northern region, State of Tocantins, Brazil]. Do Nascimento AG, Marchesan AL, Xavier BL, De Faria FR, De Almeida KM, Sato MO.The occurrence of nematodes in horses of Northern Region, State of Tocantins was studied. Fecal samples were collected from 70 horses and 31 donkeys, in a total of 101 animals of different ages, in the municipalities of Nova Olinda, Araguanã, Babaçulândia and Santa Tereza. Fecal examination was carried out for counting of eggs per gram of faeces, identification and quantification of larvae, diagnosis of habronemosis and lungworms. Significant occurrence of large and small strongyles and Dictyocaulus sp. was observed but no Habronema spp. larvae was detected.
Identification keys to strongylid nematode parasites of equids. Preface.
Veterinary parasitology    July 5, 2008   Volume 156, Issue 1-2 1-3 doi: 10.1016/j.vetpar.2008.06.026
Lichtenfels JR.No abstract available
Filarioid nematodes in cattle, sheep and horses in Finland.
Acta veterinaria Scandinavica    June 16, 2008   Volume 50, Issue 1 20 doi: 10.1186/1751-0147-50-20
Solismaa M, Laaksonen S, Nylund M, Pitkänen E, Airakorpi R, Oksanen A.In autumn 2006, Finnish meat inspection data revealed lesions in tendons, muscles and ligaments of bovine hind legs leading to partial condemnation of carcasses. In gross pathological examination at Finnish Food Safety Authority Evira, Oulu (now Fish and Wildlife Health) Research Unit, Onchocerca sp. (Filarioidea; Onchocercidae) nematodes were detected in lesions. Due to this, a pilot study was made in order to find out what filarioid nematodes do occur in cattle, horses and sheep in Finland. Methods: Ventral skin biopsies from 209 dairy cattle and 42 horses, as well as blood samples from 209 ...
Haplotypic variability within the mitochondrial gene encoding for the cytochrome c oxidase 1 (cox1) of Cylicocyclus nassatus (Nematoda, Strongylida): evidence for an affiliation between parasitic populations and domestic and wild equid hosts.
Veterinary parasitology    June 6, 2008   Volume 156, Issue 3-4 241-247 doi: 10.1016/j.vetpar.2008.05.031
Traversa D, Kuzmina T, Kharchenko VA, Iorio R, Klei TR, Otranto D.This study investigated the genetic variability within Cylicocyclus nassatus (Nematoda, Strongylida, Cyathostominae) collected from different domestic and wild hosts (i.e. horse, donkey, Przewalskii horse, tarpan and Turkmen kulan) and localities in Europe and/or USA. The ribosomal Internal Transcribed Spacer 2 (ITS2) and the mitochondrial cytochrome c oxidase subunit 1 (cox1) gene were PCR-amplified and sequences characterized from seventy individual parasitic specimens. While ITS2 displayed 0-0.6% variation rate among all individual adult specimens of C. nassatus examined, 22 different seque...
Illustrated identification keys to strongylid parasites (Strongylidae: Nematoda) of horses, zebras and asses (Equidae).
Veterinary parasitology    May 21, 2008   Volume 156, Issue 1-2 4-161 doi: 10.1016/j.vetpar.2008.04.026
Lichtenfels JR, Kharchenko VA, Dvojnos GM.The Equidae (the horse, Equus caballus, the ass, Equus asinus, zebras and their hybrids) are hosts to a great variety of nematode parasites, some of which can cause significant morbidity or mortality if individual hosts are untreated. Worldwide the nematode parasites of horses belong to 7 suborders, 12 families, 29 genera and 83 species. The great majority (19 of 29 genera and 64 of 83 species) are members of the family Strongylidae, which includes the most common and pathogenic nematode parasites of horses. Only the Strongylidae are included in this treatise. The Strongylidae (common name str...
[The communities of cyathostomes (Cyathostominae) in year-old and two-year-old Pure Blood Arabian mares].
Wiadomosci parazytologiczne    April 30, 2008   Volume 53, Issue 4 325-329 
Kornas S, Skalska M, Nowosad B, Gawor J.The objective of this study was to evaluate the strongyles species in 34 Pure Blood Arabian Horses: one-year-old mares (n = 12) and two-year old mares (n = 22) from the horse stud in 2005, kept under housed-pastured system and dewormed systematically, twice a year using the ivermectin compounds. Methods: The practical method of in vivo determination of strongyles species in horses is collection of these nematodes from the feaces after treatment. Nematodes were collected 24 hours after deworming from 1000 g sample of feaces, then were classified to appropriate species and relative abundance of ...
Anthelmintic resistance in cyathostomins of brood horses in Ukraine and influence of anthelmintic treatments on strongylid community structure.
Veterinary parasitology    April 7, 2008   Volume 154, Issue 3-4 277-288 doi: 10.1016/j.vetpar.2008.03.024
Kuzmina TA, Kharchenko VO.In 2004-2006, 322 brood horses from 11 horse farms were examined using the faecal egg count reduction test (FECRT) to determine the presence and distribution of anthelmintic resistance in strongylids in Ukraine. The anthelmintic drugs "Albendazole-7.5" (7.5mg of albenazole, Ukraine) at a dose of 5mg per kg body weight and "Univerm" (0.2% aversectin C, Russia) at a dose of 0.5mg per kg body weight were used. Seventy-one horses from six farms were examined in vivo to investigate the influence of anthelmintic treatment on the gastrointestinal strongylid community structure. Horses were treated wi...
Anthelmintic resistant nematodes in Brazilian horses.
The Veterinary record    March 25, 2008   Volume 162, Issue 12 384-385 doi: 10.1136/vr.162.12.384
Molento MB, Antunes J, Bentes RN, Coles GC.No abstract available
Identification of a LIM domain-containing gene in the Cyathostominae.
Veterinary parasitology    March 4, 2008   Volume 154, Issue 1-2 82-93 doi: 10.1016/j.vetpar.2007.12.037
Matthews JB, Johnson DR, Lazari O, Craig R, Matthews KR.The Cyathostominae are a complex group of nematodes and are the primary parasitic pathogens of horses. Little is known of their basic biology. As part of an investigation into mechanisms involved in reactivation of mucosal larval stages, we identified a gene encoding a predicted LIM domain-containing protein (Cy-LIM-1). LIM domains are cysteine- and histidine-rich motifs that are thought to direct protein-protein interactions. Proteins that contain these domains have a wide range of functions including gene regulation, cell fate determination and cytoskeleton organization. The Cy-lim-1 mRNA wa...
A nodular granulomatous posthitis caused by Halicephalobus sp. in a horse.
Veterinary dermatology    January 8, 2008   Volume 19, Issue 1 44-48 doi: 10.1111/j.1365-3164.2007.00643.x
Muller S, Grzybowski M, Sager H, Bornand V, Brehm W.This report describes a case of nodular posthitis caused by Halicephalobus gingivalis in a 24-year-old warmblood horse. Macroscopic examination revealed a multinodular, partially ulcerated mass on the external lamina of the prepuce. Nematode migration from unfixed biopsy material in phosphate-buffered saline revealed adult nematodes with the typical morphological features of H. gingivalis: distinctive rhabditiform oesophagus with corpus, isthmus and bulb and the dorsoflexed ovary. The main histopathological features consisted of submucosal confluent granulomatous foci containing cross- and tan...
1 8 9 10 11 12 18