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Topic:Parasites

Parasites are organisms that live on or within a host, deriving nutrients at the host's expense. In horses, parasitic infections can affect various systems, including the gastrointestinal tract, skin, and respiratory system. Common equine parasites include strongyles, ascarids, tapeworms, and bots. These parasites can lead to a range of health issues, from mild discomfort to severe disease, depending on the type and burden of the infestation. This page compiles peer-reviewed research studies and scholarly articles that explore the biology, life cycle, and impact of parasites on equine health, as well as strategies for diagnosis, treatment, and prevention of parasitic infections in horses.
Novel equi merozoite antigen (ema-1) gene heterogeneity in a geographically isolated Theileria equi population in Croatia.
Parasites & vectors    October 31, 2022   Volume 15, Issue 1 401 doi: 10.1186/s13071-022-05484-4
Coultous R, Gotić J, McCann M, Sutton D, Beck R, Shiels B.The apicomplexan haemoparasite Theileria equi, a causative agent of equine piroplasmosis, is an established pathogen of significant welfare and economic concern within the Croatian equine population. A previous large surveillance study of T. equi has identified two distinct parasite populations, one in the north and one in the south, geographically separated by the Dinaric Alps, which traverse the country. This study aimed to further investigate the genetic diversity within these two populations, focussing on allelic variability of the equi merozoite antigen gene, ema-1. Methods: Following nes...
Tabanidae (Diptera) captured on horses in Amazon Forest fragments of the state of Rondônia, Brazil.
Acta tropica    October 29, 2022   Volume 237 106734 doi: 10.1016/j.actatropica.2022.106734
Zamarchi TBO, Henriques AL, Krolow TK, Krüger RF, Rodrigues GD, Munari A, Pessoa FAC, Camargo ELMA.Tabanidae is one of the most diverse families of hematophagous dipterans. Tabanids, in general, are mechanical vectors of some pathogens. Given the vector importance and the lack of knowledge of the tabanid fauna in horses in Amazon Forest fragments of the state of Rondônia, this work aimed to determine the season that the different species of horse flies prefer to carryout hematophagy on horses and verify whether the horse fly community remains the same throughout the year. The sampling areas for tabanid captures were in the municipality of Monte Negro, Western Amazon, Brazil. Four new occur...
Anthelmintic resistance in equine nematodes: Current status and emerging trends.
International journal for parasitology. Drugs and drug resistance    October 26, 2022   Volume 20 76-88 doi: 10.1016/j.ijpddr.2022.10.005
Nielsen MK.Anthelmintic resistance is reported in equine nematodes with increasing frequency in recent years, and no new anthelmintic classes have been introduced during the past 40 years. This manuscript reviews published literature describing anthelmintic resistance in cyathostomins, Parascaris spp., and Oxyuris equi with special emphasis on larvicidal efficacy against encysted cyathostomin larvae and strongylid egg reappearance periods (ERP). Resistance to benzimidazoles and pyrimidines is highly prevalent in cyathostomin populations around the world, and macrocyclic lactone resistance has been docume...
The relationship between the intensity of Gasterophilus intestinalis larvae infection and the serum and salivary humoral immune response in horses.
Scientific reports    October 20, 2022   Volume 12, Issue 1 17573 doi: 10.1038/s41598-022-21482-z
Pawlas-Opiela M, Jawor P, Galli J, Zak-Bochenek A, Gorczykowski M, Galli J, Sołtysiak Z, Stefaniak T.Infection with Gasterophilus intestinalis (botfly) larvae often occurs in horses. The aim of the study was to isolate the larvae of G. intestinalis and evaluate the serum and salivary humoral immune response using self-developed ELISA in G. intestinalis infected horses. Blood serum or saliva samples were taken from 125 infected horses and 54 uninfected slaughtered horses. The antigens from G. intestinalis larvae were used for development of ELISA in order to evaluate the intensity of G. intestinalis IgG, IgM, and IgA antibody reactivity in the serum or saliva of naturally infected horses and h...
Chromosome Instability in Pony of Esperia Breed Naturally Infected by Intestinal Strongylidae.
Animals : an open access journal from MDPI    October 18, 2022   Volume 12, Issue 20 2817 doi: 10.3390/ani12202817
D'Anza E, Buono F, Albarella S, Castaldo E, Pugliano M, Iannuzzi A, Cascone I, Battista E, Peretti V, Ciotola F.The Pony of Esperia is an Italian autochthonous horse breed reared in the wild on the Aurunci and Ausoni Mountains. Currently, it is considered an endangered breed, as its population consists of 1623 animals. It is therefore essential to identify all aspects that can improve the management and economy of its breeding, favoring its diffusion. In this paper, the effects of intestinal strongyle infection on the chromosome stability of peripheral blood lymphocytes (PBLs) was evaluated through aneuploidy and chromosome aberration (gap, chromatid and chromosome breaks, and the number of abnormal cel...
Shortened egg reappearance periods of equine cyathostomins following ivermectin or moxidectin treatment: morphological and molecular investigation of efficacy and species composition.
International journal for parasitology    October 13, 2022   Volume 52, Issue 12 787-798 doi: 10.1016/j.ijpara.2022.09.003
Nielsen MK, Steuer AE, Anderson HP, Gavriliuc S, Carpenter AB, Redman EM, Gilleard JS, Reinemeyer CR, Poissant J.Macrocyclic lactones have been the most widely used drugs for equine parasite control during the past four decades. Unlike ivermectin, moxidectin exhibits efficacy against encysted cyathostomin larvae, and is reported to have persistent efficacy with substantially longer egg reappearance periods. However, shortened egg reappearance periods have been reported recently for both macrocyclic lactones, and these findings have raised several questions: (i) are egg reappearance period patterns different after ivermectin or moxidectin treatment? (ii) Are shortened egg reappearance periods associated w...
Equine Anthelmintic Resistance: Horse Owner and Yard Manager Perception of the Barriers Affecting Strategic Control Measures in England.
Veterinary sciences    October 11, 2022   Volume 9, Issue 10 doi: 10.3390/vetsci9100560
McTigue FE, Mansbridge SC, Pyatt AZ.Equine anthelmintic resistance poses a threat to the health and welfare of horses worldwide. With no new imminent anthelmintic classes, it is vital to decrease the resistance rate and preserve available classes. Traditional indiscriminate anthelmintic use is not synonymous with a strategic control ideology; however, many continue to implement outdated practices. In comparison to livestock farmers, there have been few social science studies examining horse owner behaviours. This study aimed to understand the perceived barriers faced by horse owners and yard managers to adopting a strategic appr...
Low seroprevalence of equine piroplasmosis in horses exported from the Netherlands between 2015 and 2021.
Frontiers in veterinary science    October 10, 2022   Volume 9 954046 doi: 10.3389/fvets.2022.954046
Graham H, van Kalsbeek P, van der Goot J, Koene MGJ.Equine piroplasmosis (EP) is a tick-borne disease affecting horses, donkeys, mules and zebras, caused by the intracellular apicomplexan protozoa and . The geographical distribution of EP is closely related to the distribution of its vector tick species belonging to the genera of and . Since the discovery of ticks in 2007 and the first reported autochthonous cases in the South of the Netherlands in 2012, no data on the (sero)prevalence of EP in horses in the Netherlands have been reported and it remains unclear whether and have been able to establish themselves in the Netherlands. This stu...
Neospora spp. Seroprevalence and Risk Factors for Seropositivity in Apparently Healthy Horses and Pregnant Mares.
Animals : an open access journal from MDPI    October 7, 2022   Volume 12, Issue 19 doi: 10.3390/ani12192699
Mimoun L, Steinman A, Kliachko Y, Tirosh-Levy S, Schvartz G, Blinder E, Baneth G, Mazuz ML.Equine Neospora infection has been linked to neurological disorders and infertility in horses. This study looked into the risk factors for infection and the exposure to Neospora spp. in horses. The study was performed in two independent populations in Israel. The first consisted of apparently healthy horses, and the second consisted of mares examined during pregnancy and after parturition. Sera samples collected from horses and mares were tested for Neospora exposure by the indirect fluorescent antibody test (IFAT). The study revealed seroprevalence of 24% in apparently healthy horses and 66.4...
Faecal egg counts and nemabiome metabarcoding highlight the genomic complexity of equine cyathostomin communities and provide insight into their dynamics in a Scottish native pony herd.
International journal for parasitology    October 5, 2022   Volume 52, Issue 12 763-774 doi: 10.1016/j.ijpara.2022.08.002
Sargison N, Chambers A, Chaudhry U, Costa Júnior L, Doyle SR, Ehimiyein A, Evans M, Jennings A, Kelly R, Sargison F, Sinclair M, Zahid O.Understanding the composition of gastrointestinal nematode communities may help to mitigate or exploit parasite adaptations within their host. We have used nemabiome deep amplicon sequencing of internal transcribed spacer-2 (ITS-2) ribosomal DNA to describe the temporal and host species composition of gastrointestinal nematode communities following sampling of six Scottish ponies across 57 months. In the absence of parasite control, each horse showed seasonal trends of increases and decreases in faecal egg counts, consistent with the epidemiology of equine strongylid parasites, however, the c...
Survey on the Presence of Equine Tick-Borne Rickettsial Infections in Southcentral United States.
Journal of equine veterinary science    October 3, 2022   Volume 118 104135 doi: 10.1016/j.jevs.2022.104135
Duncan KT, Sundstrom KD, Hunt D, Lineberry MW, Grant A, Little SE.Although ticks are known vectors of pathogens across a range of hosts, there is limited research on emerging tick-borne diseases of horses in the United States. Tick surveys from other regions suggest Rickettsia spp. and Ehrlichia spp. may be clinically relevant in horses. To better understand the transmission risk of these tick-borne rickettsial disease agents to horses, ticks were collected from horses in Oklahoma. Ticks for the current study (306 Amblyomma americanum, 20 Dermacentor albipictus, 19 D. variabilis, and 7 A. maculatum) were evaluated for Rickettsia spp. and Ehrlichia spp. using...
Epidemiological investigation of equine hindlimb ataxia with Setaria digitata in South Korea.
Journal of veterinary science    September 30, 2022   Volume 23, Issue 5 e75 doi: 10.4142/jvs.22045
Hwang H, Ro Y, Lee H, Kim J, Lee K, Choi EJ, Bae YC, So B, Kwon D, Kim H, Lee I.Since 2013, the number of requests for diagnosis for horses based on neurological symptoms has increased rapidly in South Korea. The affected horses have commonly exhibited symptoms of acute seasonal hindlimb ataxia. A previous study from 2015-2016 identified as the causative agent. Objective: This study is an epidemiological investigation to find out risk factors related to the rapid increase in hindlimb ataxia of horses due to aberrant parasites in South Korea. Methods: An epidemiological investigation was conducted on 155 cohabiting horses in 41 horse ranches where the disease occurred. Th...
Molecular detection and therapeutic study of Trypanosoma brucei evansi from naturally infected horses in Punjab, Pakistan.
Polish journal of veterinary sciences    September 27, 2022   Volume 25, Issue 3 429-435 doi: 10.24425/pjvs.2022.142027
Zahoor J, Kashif M, Nasir A, Bakhsh M, Qamar MF, Sikandar A, Rehman A.Trypanosomiasis is one of the severe pathogenic infections, caused by several Trypanosoma species, affecting both animals and humans, causing substantial economic losses and severe illness. The objective of this study was to determine the molecular diagnosis and the risk factors associated with trypanosomiasis in District Jhang, Punjab, Pakistan. For this purpose, blood samples were randomly collected from 200 horses. A predesigned questionnaire was used to collect data on risk factors before the sample collection. The microscopy examination through Giemsa staining, formol gel test and PCR tec...
Trichinella spiralis and T. britovi in North-Eastern Romania: A Six-Year Retrospective Multicentric Survey.
Veterinary sciences    September 17, 2022   Volume 9, Issue 9 509 doi: 10.3390/vetsci9090509
The genus includes species with a wide geographical spread that cause pathology in humans and animals. In this context, an epidemiological study of infection was carried out in the northeastern part of Romania to investigate for the first time the prevalence of this infection in pigs, horses, wild boars and bears, the geographical distribution of species and the natural reservoir of infection. Between 2010 and 2015, a total of 166,270 animals were examined by the method of artificial digestion, in order to calculate the annual and general prevalence of infection, according to the host and...
Anthelmintic resistance of horse strongyle nematodes to fenbendazole in Lithuania.
Acta veterinaria Scandinavica    September 15, 2022   Volume 64, Issue 1 26 doi: 10.1186/s13028-022-00645-y
Dauparaitė E, Kupčinskas T, Varady M, Petkevičius S.Control of strongyle infections presents a global challenge for horse practitioners due to the development of anthelmintic resistance (AR), however comprehensive information on AR in Lithuania is still lacking. The aim of this study was to assess the current situation of fenbendazole (FBZ) AR in horses at stable level in Lithuania. Results: Faecal samples from 121 horses from six stables were examined using the Mini-FLOTAC method. Of these, 89 horses met the inclusion criteria that included strongyle faecal egg counts (FEC) exceeding 200 eggs per gram (EPG). Faecal egg count reduction tests (F...
Prevalence of Babesia spp. pathogens in the ticks Dermacentor reticulatus and Ixodes ricinus in the UK.
Acta tropica    September 14, 2022   Volume 236 106692 doi: 10.1016/j.actatropica.2022.106692
Sands B, Lihou K, Lait P, Wall R.The emergence of Babesia pathogens novel to the UK is of growing concern; these include Babesia canis and Babesia caballi. However, a better understanding of changes in the prevalence of endemic Babesia species such as Babesia venatorum and Babesia divergens is also of importance. Here, the prevalence of Babesia pathogens in both Dermacentor reticulatus and Ixodes ricinus ticks was assessed. Dermacentor reticulatus were collected from six sites known to harbour populations of this species in west Wales and southern England. DNA was extracted from 879 individual ticks and subjected to PCR and s...
Suspected chlamydial foetal loss highlights the need for standardised on-farm protocols.
Australian veterinary journal    September 7, 2022   Volume 100, Issue 12 600-604 doi: 10.1111/avj.13206
Anstey SI, Jenkins C, Jelocnik M.Chlamydia psittaci is a recognised cause of late-term equine foetal loss and poses a zoonotic risk in Australia. However, a management strategy is lacking to protect at-risk humans handling infected aborted material and pregnant mares. This study proposes a protocol for approaching C. psittaci foetal loss after investigating four foetal losses that occurred on a horse stud in the Hunter Valley, Australia in 2021. Swabs from the foetal loss cases (n = 4), close contact mares (n = 59), and foals of the close contact mares (n = 33) were collected and tested for C. psittaci using both isothe...
Emergent and Neglected Equine Filariosis in Egypt: Species Diversity and Host Immune Response.
Pathogens (Basel, Switzerland)    August 27, 2022   Volume 11, Issue 9 979 doi: 10.3390/pathogens11090979
Abo-Aziza FAM, Hendawy SHM, Abdullah HHAM, El Namaky A, Laidoudi Y, Mediannikov O.Equine filariosis (EF) is a neglected vector-borne disease caused by nematode species belonging to the Onchocercidae and Setariidae families. Aside from their zoonotic potential, some species are responsible for serious health problems in equids worldwide, leading to significant economic difficulties. Here, we molecularly investigated equine blood samples (320 horses and 109 donkeys from Egypt) and four adult worms isolated from the peritoneal cavity of 5 out of the 94 slaughtered donkeys. In addition, quantitative enzyme-linked immunoassays (ELISAs) targeting circulating cytokines were used t...
The equine ascarids: resuscitating historic model organisms for modern purposes.
Parasitology research    August 20, 2022   Volume 121, Issue 10 2775-2791 doi: 10.1007/s00436-022-07627-z
Cain JL, Nielsen MK.The equine ascarids, Parascaris spp., are important nematode parasites of juvenile horses and were historically model organisms in the field of cell biology, leading to many important discoveries, and are used for the study of chromatin diminution. In veterinary parasitology, Parascaris spp. are important not only because they can cause clinical disease in young horses but also because they are the only ascarid parasites to have developed widespread anthelmintic resistance. Despite this, much of the general biology and mechanisms of anthelmintic resistance are poorly understood. This review co...
Investigation of Strongyle Prevalence and Associated Risk Factors in Horses in and around Alage District, Ethiopia.
Journal of parasitology research    August 12, 2022   Volume 2022 3935008 doi: 10.1155/2022/3935008
Alemayehu MT, Abebe BK, Haile SM.Horses are used for a variety of purposes in Ethiopia. However, their service is hampered by a variety of health issues. Strongylosis is a parasitic infestation of the gastrointestinal tract that has a significant impact on the working ability, reproductive performance, well-being, and welfare of horses. The existence of Strongylosis in the study area is reported from clinical cases; however, its prevalence has not been well studied. Unassigned: The current study was carried out from January 2019 to July 2019, to determine the prevalence and associated risk factors of Strongyle in horses in an...
Leishmania V. braziliensis infection in asymptomatic domestic animals within an endemic region in the Northeast of Brazil.
Revista da Sociedade Brasileira de Medicina Tropical    August 12, 2022   Volume 55 e0600 doi: 10.1590/0037-8682-0600-2021
Silva CJD, Lima KPB, Monteiro JFDCLS, Silva AKSFD, Silva FJD, Pereira AMS, Hernandes VP, Silva EDD, Silva CSAGE, Brandão Filho SP, Brito MEF.American cutaneous leishmaniasis is a commonly neglected, vector-borne tropical parasitic disease that is a major public health concern in Brazil. Leishmania (Viannia) braziliensis is the main species associated with the disease. Accurate diagnosis is based on epidemiological surveillance, clinical assessment, and laboratory testing. Leishmania (V.) braziliensis has been detected in several wild and synanthropic mammals. Their epidemiological role has not been entirely elucidated. This study aimed to assess potential L. braziliensis infections in asymptomatic domestic animals, by molecular and...
Efficient and Scalable Process to Produce Novel and Highly Bioactive Purified Cytosolic Crystals from Bacillus thuringiensis.
Microbiology spectrum    August 10, 2022   Volume 10, Issue 4 e0235622 doi: 10.1128/spectrum.02356-22
Chicca J, Cazeault NR, Rus F, Abraham A, Garceau C, Li H, Atwa SM, Flanagan K, Soto ER, Morrison MS, Gazzola D, Hu Y, Liu DR, Nielsen MK, Urban JF....Bacillus thuringiensis (Bt) is a Gram-positive soil bacterium that is widely and safely applied in the environment as an insecticide for combatting insect pests that damage crops or are disease vectors. Dominant active ingredients made by Bt are insect-killing crystal (Cry) proteins released as crystalline inclusions upon bacterial sporulation. Some Bt Cry proteins, e.g., Cry5B (formally Cry5Ba1), target nematodes (roundworms) and show exceptional promise as anthelmintics (cures for parasitic nematode diseases). We have recently described inactivated bacteria with cytosolic crystal(s) (IBaCC) ...
Morphological and molecular characterization of a Sarcocystis species infecting donkeys from China.
Parasitology research    August 9, 2022   Volume 121, Issue 10 2917-2926 doi: 10.1007/s00436-022-07616-2
Zhang M, Wei K, Wu Z, Sun J, Hu J, Deng S, Tao J.There is considerable confusion concerning the relationships among species of Sarcocystis found in donkeys and horses. Here, we describe a Sarcocystis species in Chinese donkeys (Equus asinus). Sarcocysts were found in 12 of 32 (37.5%) adult donkeys. By light microscopy, they were divided into two types, thin-walled and thick-walled. The thin-walled were macroscopic (up to 320 μm wide) and had short club-like protrusions (up to 2.7 μm long); the thick-walled were microscopic (up to 135 μm wide) and had villar protrusions (up to 5.4 μm long). Ultrastructures of the two types exhibited s...
Comparison of the host response to larvicidal and nonlarvicidal treatment of naturally acquired cyathostomin infections in horses.
Parasite immunology    August 2, 2022   Volume 44, Issue 10 e12941 doi: 10.1111/pim.12941
Steuer AE, Scoggin K, Stewart JC, Barker VD, Adams AA, Loynachan AT, Nielsen MK.This study aimed to collect information on local and systemic inflammatory responses, and goblet cell-associated components, following anthelmintic treatment with moxidectin and ivermectin in horses naturally infected with cyathostomin parasites. Thirty-six horses aged 2-5 years of age were randomly allocated to three groups. Group 1 received ivermectin/praziquantel (0.2 mg/kg), Group 2 received moxidectin/praziquantel (0.4 mg/kg) and Group 3 were untreated controls. Tissue samples from the Cecum, Dorsal and Ventral Colons were used for histopathological evaluation and preserved for RNA is...
Precision of cyathostomin luminal worm counts: Investigation of storage duration and fixative.
Veterinary parasitology    July 30, 2022   Volume 309 109773 doi: 10.1016/j.vetpar.2022.109773
Smith MA, Carpenter AB, Nielsen MK.Essentially all grazing horses are infected with cyathostomin parasites. Adult cyathostomins reside in the large intestine of the horse and larval stages encyst within intestinal mucosa. Manual worm collection from aliquots of intestinal content is the current gold standard for retrieval and enumeration of luminal parasites, however, no research has been conducted to standardize specific parameters for processing and storage of samples. The aims of this study were (1) to evaluate the precision of current standard operating procedures for enumeration of luminal adult cyathostomin populations, (...
Molecular occurrence and risk factors for Toxoplasma gondii infection in equids in Jilin, China.
Scientific reports    July 30, 2022   Volume 12, Issue 1 13121 doi: 10.1038/s41598-022-16658-6
Liang W, Zhao S, Wang N, Tang Z, Zhao F, Liu M, Jin W, Meng Y, Jia L.Toxoplasma gondii, one of the important zoonotic parasites, has been detected in lots of hosts including humans, with a widespread prevalence. The products of equids, such as meat and milk, have been closely related to humans' life. As the intermediate hosts, little is known about equids toxoplasmosis in Jilin province. Therefore, the present study aimed to evaluate the occurrence and risk factors of Toxoplasma gondii infections in equids from Jilin, northeastern China. In this study, a total of 245 blood samples of equids (192 horses, 25 donkeys and 28 mules) were collected from six localitie...
Genome-wide association study in thoroughbred horses naturally infected with cyathostomins.
Animal biotechnology    July 20, 2022   1-13 doi: 10.1080/10495398.2022.2099880
Dias De Castro LL, Oliveira Júnior GA, Perez BC, Carvalho ME, De Souza Ramos EA, Ferraz JBS, Molento MB.Cyathostomins are considered one of the most important parasites of horses. A group of horses within a herd can be responsible for eliminating the majority of parasite eggs. This phenotype might be explained by genetic factors. This study aimed to identify genomic regions associated with fecal egg count (FEC) and hematological parameters by performing a genomic-wide association study (GWAS) in Thoroughbred horses naturally infected with cyathostomins. Packed cell volume (PCV), differential leukocyte, and FEC were determined from 90 horses. All animals were genotyped using the Illumina Equine 7...
Gene expression study to elucidate the anti-trypanosomal activity of quinapyramine methyl sulphate (QPS).
Parasitology international    July 20, 2022   Volume 91 102632 doi: 10.1016/j.parint.2022.102632
Gupta S, Vohra S, Sethi K, Gupta S, Kumar S, Kumar R.The kinetoplastid protozoan parasite, Trypanosoma evansi causes a fatal disease condition known as Surra in equines throughout the globe. Disease condition being acute in nature, entrust a huge economic and health impact on the equine industry. Till date, quinapyramine methyl sulphate (QPS) is the first line of treatment and a panacea for the T. evansi infection in equines. Still after the >70 years of its discovery, there is no clue about the mode of action of QPS in T. evansi. The establishment of in vitro cultivation of T. evansi in HMI-9 media has provided opportunity to study the alte...
Equine Protozoal Myeloencephalitis.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 249-268 doi: 10.1016/j.cveq.2022.05.003
MacKay RJ, Howe DK.Advances in the understanding of equine protozoal myeloencephalitis (EPM) are reviewed. It is now apparent that EPM can be caused by either of 2 related protozoan parasites, Sarcocystis neurona and Neospora hughesi, although S neurona is the most common etiologic pathogen. Horses are commonly infected, but clinical disease occurs only infrequently; the factors influencing disease occurrence are not well understood. Epidemiologic studies have identified risk factors for the development of EPM, including the presence of opossums and prior stressful health-related events. Attempts to reproduce EP...
Equine Protozoal Myeloencephalitis.
The Veterinary clinics of North America. Equine practice    July 7, 2022   Volume 38, Issue 2 249-268 doi: 10.1016/j.cveq.2022.05.003
MacKay RJ, Howe DK.Advances in the understanding of equine protozoal myeloencephalitis (EPM) are reviewed. It is now apparent that EPM can be caused by either of 2 related protozoan parasites, Sarcocystis neurona and Neospora hughesi, although S neurona is the most common etiologic pathogen. Horses are commonly infected, but clinical disease occurs only infrequently; the factors influencing disease occurrence are not well understood. Epidemiologic studies have identified risk factors for the development of EPM, including the presence of opossums and prior stressful health-related events. Attempts to reproduce EP...
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