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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.
The Use of Innovative Diagnostics to Inform Sustainable Control of Equine Helminth Infections.
Pathogens (Basel, Switzerland)    October 11, 2023   Volume 12, Issue 10 1233 doi: 10.3390/pathogens12101233
Matthews JB, Peczak N, Lightbody KL.Helminths are commonly found in grazing equids, with cyathostomin nematodes and the cestode being the most prevalent. Most horses harbour low burdens of these parasites and do not develop signs of infection; however, in a small number of animals, high burdens can accumulate and cause disease. Cyathostomins are associated with a syndrome known as larval cyathostominosis. This occurs when large numbers of larvae emerge from the large intestinal wall. This disease has a case fatality rate of up to 50%. infection has been associated with various types of colic, with burdens of >20 worms assoc...
Helminth infection in horses – a cross-sectional study from stables in Lower Silesia (Poland).
Polish journal of veterinary sciences    September 20, 2023   Volume 26, Issue 3 401-407 doi: 10.24425/pjvs.2023.145046
Hildebrand W, Zielińska P, Hildebrand J, Zaleśny G.Parasitosis in horses may be uncontrolled and expose breeders and owners to serious financial losses or, possibly, to the loss of animals. Therefore, the prevention and monitoring of the development of parasitic diseases should play an important role in the breeding process. The aim of this study was to confirm the influence of factors such as age, breed, herd size, deworming program, and type of anthelmintics, on the prevalence and intensity of parasites (helminths) in domestic horses in Lower Silesia. The study was carried out between August and November of 2020. The samples of horse feces w...
Severely Asthmatic Horses Residing in a Mediterranean Climate Shed a Significantly Lower Number of Parasite Eggs Compared to Healthy Farm Mates.
Animals : an open access journal from MDPI    September 15, 2023   Volume 13, Issue 18 2928 doi: 10.3390/ani13182928
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...
CANTERing towards more sustainable helminth control.
The Veterinary record    September 8, 2023   Volume 193, Issue 5 doi: 10.1002/vetr.3435
Colgate V.Victoria Colgate of Equine Infectious Disease Surveillance introduces CANTER, a voluntary pan-industry initiative that is aiming to inspire behaviour change among horse owners and promote a more sustainable approach to controlling parasites in their animals.
Immunohistochemical Assessment of GDNF and Chromogranin A Expression in Erosive and Granulomatous Lesions in Glandular Region of Equine Stomach.
Archives of Razi Institute    August 31, 2023   Volume 78, Issue 4 1365-1377 doi: 10.32592/ARI.2023.78.4.1365
Asgari P, Amniattalab A.The equine stomach consists of two separate non-glandular and glandular sections. Despite the incidence of most lesions in the non-glandular region, both stomach parts are prone to lesions. In this study, 41 hybrid-native horses, including 24 stallions and 17 mares, were examined over five years. In total, 27 horses (65.85%) that were sampled had lesions, including erosion, granuloma, or both on the glandular region of the stomach. Occurrence of gastric erosive and granulomatous lesions had no significant relationship with the age and gender of horses or the sampling season (>0.05). Moreove...
Fasciola hepatica infection in horses in three governorates in northern Egypt: prevalence and risk factors.
Journal of equine veterinary science    August 29, 2023   104915 doi: 10.1016/j.jevs.2023.104915
Alshammari A, Gattan HS, Marzok M, Salem M, Al-Jabr OA, Selim A.Fasciola hepatica is a trematode parasite that affects wide range of mammalian hosts including horses. There are no epidemiological data on fasciolosis in Egyptian horses. Hence, the present study aimed to evaluate the seroprevalence of F. hepatica in horses using ELISA as well as assess the associated risk factors for fasciolosis infection. A total of 400 sera samples of horses from three Egyptian governorates were examined. The overall seroprevalence rate in horses was 13% and the disease was more prevalent in Qalubia (14.17%) and Gharbia (16.67%) which are located at Nile Delta. The likelih...
Presence of Equine and Bovine Coronaviruses, Endoparasites, and Bacteria in Fecal Samples of Horses with Colic.
Pathogens (Basel, Switzerland)    August 15, 2023   Volume 12, Issue 8 1043 doi: 10.3390/pathogens12081043
Stummer M, Frisch V, Glitz F, Hinney B, Spergser J, Krücken J, Diekmann I, Dimmel K, Riedel C, Cavalleri JV, Rümenapf T, Joachim A, Lyrakis M....Acute abdominal pain (colic) is one of the major equine health threats worldwide and often necessitates intensive veterinary medical care and surgical intervention. Equine coronavirus (ECoV) infections can cause colic in horses but are rarely considered as a differential diagnosis. To determine the frequency of otherwise undetected ECoV infections in horses with acute colic, fresh fecal samples of 105 horses with acute colic and 36 healthy control horses were screened for viruses belonging to the species by RT-PCR as well as for gastrointestinal helminths and bacteria commonly associated with...
Retained efficacy of ivermectin against cyathostomins in Swedish horse establishments practicing selective anthelmintic treatment.
Veterinary parasitology    August 14, 2023   Volume 322 110007 doi: 10.1016/j.vetpar.2023.110007
Alm YH, Osterman-Lind E, Martin F, Lindfors R, Roepstorff N, Hedenström U, Fredriksson I, Halvarsson P, Tydén E.Cyathostominae are ubiquitous to grazing horses and regarded the most prevalent internal parasite in the horse. Unfortunately, decades of indiscriminate use of anthelmintic drugs have resulted in the development of resistance in cyathostomins to all currently available drug groups, the most recent being a documented lack of efficacy to the macrocyclic lactones (ML). In vivo determination of anthelmintic resistance in horses most often utilises the faecal egg count reduction test (FECRT). Further, a shortened egg reappearance period (ERP) can indicate a change in response to the applied treatme...
The first molecular isolation of Halicephalobus gingivalis from horses in Iran.
Veterinary research communications    August 5, 2023   doi: 10.1007/s11259-023-10188-w
Faghihzadeh Gorji F, Sadr S, Sharifiyazdi H, Borji H.Parasitic infections pose significant threats to humans' and animals' well-being worldwide. Among these parasites, Halicephalobus spp., a genus of nematodes, has gained attention due to its ability to cause severe infections in various animal species, including horses. Objective: This study aimed to determine the prevalence of Halicephalobus spp., specifically focusing on Halicephalobus gingivalis in horses. Methods: In July 2022, a cross-sectional study was conducted in northern Iran to determine the prevalence of Halicephalobus spp. Using standard coprological techniques, 141 fecal samples f...
Validation of a serum ELISA test for cyathostomin infection in equines.
International journal for parasitology    August 1, 2023   doi: 10.1016/j.ijpara.2023.07.001
Lightbody KL, Austin A, Lambert PA, von Samson-Himmelstjerna G, Jürgenschellert L, Krücken J, Nielsen MK, Sallé G, Reigner F, Donnelly CG....Cyathostomins are ubiquitous equine nematodes. Infection can result in larval cyathostominosis due to mass larval emergence. Although faecal egg count (FEC) tests provide estimates of egg shedding, these correlate poorly with burden and provide no information on mucosal/luminal larvae. Previous studies describe a serum IgG(T)-based ELISA (CT3) that exhibits utility for detection of mucosal/luminal cyathostomins. Here, this ELISA is optimised/validated for commercial application using sera from horses for which burden data were available. Optimisation included addition of total IgG-based calibr...
Molecular prevalence of Sarcocystis spp. and Toxoplasma gondii in slaughtered equids in Northern Tunisia.
Journal of equine veterinary science    July 26, 2023   104894 doi: 10.1016/j.jevs.2023.104894
Amairia S, Jbeli M, Mrabet S, Jebabli LM, Gharbi M.Sarcocystis spp. and Toxoplasma gondii are two apicomplexan protozoa that infect a broad range of vertebrates, however, little is known about the infection of equids with these parasites. A total of 184 slaughtered equids from slaughterhouses of Bizerte and Tunis located in Northern Tunisia, were examined for meat infections with Sarcocystis spp. and T. gondii by PCR. The prevalence of infections with Sarcocystis spp. and T. gondii were 38% (95% CI: 31-45) and 39.7% (95% CI: 32.6-46.7), respectively. The highest prevalence of infection with Sarcocystis spp. was observed in donkeys (48.6%; 95%C...
Unilateral keratitis secondary to Leishmania spp. infection in a horse: Clinical signs and successful topical therapy.
Veterinary ophthalmology    July 25, 2023   doi: 10.1111/vop.13134
Matas Riera M, Cardenas Nadal M, Martínez-Sogues L, Ferrer L.Dermatological clinical signs have been seldom reported in the literature secondary to equine leishmaniasis. This case depicts the clinical signs, treatment, and outcome of a young horse with a pink, elevated lesion on the ventromedial quadrant of the cornea. A corneal cytology was performed and revealed the presence of leishmania amastigotes reaching the diagnosis of keratitis secondary to leishmania. Surgical resection was recommended but the owner declined the procedure, and the lesion was treated with a topical antimonial for 6 weeks. The lesion reduced remarkably during the first weeks ...
Evidence of resistance to ivermectin in the gastrointestinal nematodes of horses from Mexican southeast.
Veterinary parasitology, regional studies and reports    July 19, 2023   Volume 44 100907 doi: 10.1016/j.vprsr.2023.100907
Flota-Burgos GJ, Rosado-Aguilar JA, Rojas-Becerril R, Rodríguez-Vivas RI, Trinidad-Martínez I.Gastrointestinal nematodes (GIN) are a major impediment to breeding and exploitation of horses. Traditional control of GIN has generated resistance to main anthelmintics, including ivermectin. An analysis of five ranches with a history of IVM use was done to determine the efficacy and resistance of GIN to IVM treatment in horses from the Mexican southeast. Predesigned questionnaires were applied to collect information on previous treatment protocols. The fecal egg count reduction test (FECRT) was applied to determine resistance. Before IVM application, a McMaster test was used to diagnose GIN ...
Is leishmaniasis the new emerging zoonosis in the world?
Veterinary research communications    July 12, 2023   doi: 10.1007/s11259-023-10171-5
Montaner-Angoiti E, Llobat L.Leishmania is a genus of parasitic protozoa that causes a disease called leishmaniasis. Leishmaniasis is transmitted to humans through the bites of infected female sandflies. There are several different species of Leishmania that can cause various forms of the disease, and the symptoms can range from mild to severe, depending on species of Leishmania involved and the immune response of the host. Leishmania parasites have a variety of reservoirs, including humans, domestic animals, horses, rodents, wild animals, birds, and reptiles. Leishmaniasis is endemic of 90 countries, mainly in South Amer...
Incidence, risk factors, and therapeutic management of equine colic in Lamongan, Indonesia.
Veterinary world    July 9, 2023   Volume 16, Issue 7 1408-1414 doi: 10.14202/vetworld.2023.1408-1414
Fikri F, Hendrawan D, Wicaksono AP, Purnomo A, Khairani S, Chhetri S, Maslamama ST, Purnama MTE.Colic is among the common health issues in equine health management. Gastrointestinal (GI) disorders are the most frequent causes of colic, but dysfunction of other organs and systems inside the abdominal cavity may also contribute. Therefore, it is crucial to identify risk factors for colic of specific etiologies. This study aimed to examine the incidence, risk factors, and best therapeutic management practices for horses with colic. Unassigned: A cohort of 256 horses living in Lamongan, East Java, Indonesia, was randomly recruited based on reports of colic symptoms by owners. Diagnosis and t...
Epidemiological study on equine coccidiosis in North and Northeast of Iran.
Veterinary medicine and science    July 4, 2023   doi: 10.1002/vms3.1197
Gorji FF, Sadr S, Borji H.Eimeria is a genus of protozoan parasites that infect many animal species, including horses. We conducted a cross-sectional study of indigenous breeds of horses from the North and Northeast of Iran to establish the prevalence and distribution of Eimeria species. Methods: Using standard coprological techniques, 340 faecal samples from randomly selected horses (141 from North Iran and 199 from Northeast Iran) were examined for Eimeria oocyst. Results: Out of 340 samples, only three from north Iran were positive for coccidiosis. Infections occurred by Eimeria leuckarti. The mean intensity of oocy...
Molecular Detection of Animal Trypanosomes in Different Animal Species in the Visayas Region of the Philippines.
Acta parasitologica    June 27, 2023   Volume 68, Issue 3 604-611 doi: 10.1007/s11686-023-00696-9
Elata A, Galon EM, Moumouni PFA, Ybanez RHD, Mossaad E, Salces CB, Bajenting GP, Ybanez AP, Xuan X, Inoue N, Suganuma K.Animal trypanosomosis is one of the most important parasitic diseases significantly affecting the Philippine economy. It is considered by the government to be the second most important disease of livestock after fasciolosis. A PCR-based molecular survey for trypanosomes in different animals in Bohol, Philippines, was performed to assess the prevalence of trypanosomosis in the area during the rainy and dry season. Methods: A total of 269 blood samples were collected in two batches in rainy and dry season from different animal species in Ubay Stock Farm in Ubay, Bohol, the Philippines, including...
Detection of SNPs and benzimidazole resistance in strongyle nematode eggs of horses by allele-specific PCR.
Parasitology research    June 24, 2023   Volume 122, Issue 9 2037-2043 doi: 10.1007/s00436-023-07903-6
Onder Z, Yildirim A, Duzlu O, Ciloglu A, Yetismis G, Karabulut F, Inci A.This study was conducted to determine single nucleotide polymorphisms (SNPs) and the benzimidazole (BZ) resistance in strongyle nematode egg populations in horses using molecular techniques. A total of 200 fecal samples were collected from horses in 26 farms in two provinces (Kayseri and Nevşehir) of the Central Anatolia Region of Türkiye between May and August 2022. The flotation method was used to detect strongyle nematode eggs in the fecal samples of the horses. Afterward, strongyle nematode eggs were collected, and the allele-specific polymerase chain reaction (AS-PCR) technique was used...
First microscopic and molecular parasitological survey of Strongylus vulgaris in Brazilian ponies. Martins AV, Coelho AL, Corrêa LL, Ribeiro MS, Lobão LF, Palmer JPS, Moura LC, Molento MB, Barbosa ADS.The frequency of gastrointestinal parasites with an emphasis on Strongylus vulgaris was investigated among the Brazilian Pony breed kept on farms in the municipality of Teresópolis, state of Rio de Janeiro. Fecal samples were collected in three stud farms: A (n= 22 animals), B (n= 3), and C (n= 2). Fecal samples were subjected to the quantitative Mini-FLOTAC technique, using three different solutions, and to qualitative techniques. The parasite prevalence was found to be 81.4%. Eggs from strongylids were identified in 74% of the ponies. Eggs of Parascaris spp. were detected in 22.7% of the an...
Clinical and epidemiological aspects of the infection by Babesia, Theileria and Trypanosoma species in horses from northeastern Colombia.
Ticks and tick-borne diseases    June 20, 2023   Volume 14, Issue 6 102208 doi: 10.1016/j.ttbdis.2023.102208
Jaimes-Dueñez J, Jiménez-Leaño Á, Enrique-Niño S, Arias-Landazábal N, Bedoya-Ríos M, Rangel-Pachón D.Piroplasmosis and trypanosomiasis are debilitating diseases of great economic impact on the equine industry of Latin America. Considering the lack of studies in the northeastern part of Colombia, this study aimed to determine the epidemiological, clinical and genetic features associated with infection of the Babesia, Theileria, and Trypanosoma species in horses from this geographical area. Two hundred and eighty horses from the Arauca, Meta, and Santander departments were molecularly analyzed for infection with Babesia caballi, Theileria equi, Trypanosoma evansi, and Trypanosoma vivax. Further...
Apparent treatment failure of praziquantel and pyrantel pamoate against anoplocephalid tapeworms.
International journal for parasitology. Drugs and drug resistance    June 19, 2023   Volume 22 96-101 doi: 10.1016/j.ijpddr.2023.06.002
Nielsen MK.Anoplocephalid tapeworms are commonly occurring in grazing horses around the world. Two currently available anthelmintics have documented high efficacy against Anoplocephala perfoliata; praziquantel in various dosages ranging from 1.0 to 2.5 mg/kg and pyrantel pamoate administered at 13.2 mg base/kg. Anthelmintic resistance has not been reported in A. perfoliata, but anecdotal reports made during 2022 have suggested a possible loss of efficacy for both actives. This paper reports fecal egg count data from a Thoroughbred operation in Central Kentucky in 2023. Fifty-six yearlings were first de...
Shortened strongylid egg reappearance periods in horses following macrocyclic lactone administration – The impact on parasite dynamics.
Veterinary parasitology    June 19, 2023   Volume 320 109977 doi: 10.1016/j.vetpar.2023.109977
Nielsen MK, Leathwick DM, Sauermann CW.Over the past three decades, equine strongylid egg reappearance periods (ERPs) have shortened substantially for macrocyclic lactone anthelmintics. The ERPs of ivermectin and moxidectin were originally reported in the 8-10 and 12-16 week ranges, respectively, but several recent studies have found them to be around 4-5 weeks for both actives. This loss of several weeks of suppressed strongylid egg output could have substantial implications for parasite control. This study made use of a computer simulation model to evaluate the impact of shortened ERPs on the anthelmintic performance of ivermecti...
Exploration of Parascaris species in three different Equus populations in China.
Parasites & vectors    June 15, 2023   Volume 16, Issue 1 202 doi: 10.1186/s13071-023-05768-3
Zhou M, Lu Y, Han L, Lu M, Guan C, Yu J, Liu H, Chen D, Li H, Yang Y, Zhang L, Tian L, Liu Q, Hou Z.The roundworms, Parascaris spp., are important nematode parasites of foals and were historically model organisms in the field of cell biology, leading to many important discoveries. According to karyotype, ascarids in Equus are commonly divided into Parascaris univalens (2n = 2) and Parascaris equorum (2n = 4). Methods: Here, we performed morphological identification, karyotyping and sequencing of roundworms from three different hosts (horses, zebras and donkeys). Phylogenetic analysis was performed to study the divergence of these ascarids based on cytochrome c oxidase subunit I (COI)...
Overview of the causes of abortion in horses, their follow-up and management.
Reproduction in domestic animals = Zuchthygiene    June 13, 2023   doi: 10.1111/rda.14406
Leon A, Pillon C, Tebourski I, Bruyas JF, Lupo C.Abortions in horses represent an important health and economic challenge for equine industry. Primary causes of abortion are divided in non-infectious and infectious. Non-infectious causes include abnormalities of foetal appendices (umbilical cord and placenta essentially), abnormalities of gestation, maternal and foetal origins. Infectious abortions are caused in almost cases by bacterial infections, followed by viruses, fungi and parasites. New abortive pathogens (as Leptospira, Neospora caninum, Coxiella burnetii, Chlamydophila abortus, and) have been confirmed in equines by comparison alre...
Circulating oxidative stress and acute phase protein levels in horses infested with ticks.
Experimental & applied acarology    June 7, 2023   Volume 90, Issue 1-2 155-168 doi: 10.1007/s10493-023-00798-z
Nogueira BCF, Orozco AMO, Argumedo AK, de Oliveira Faustino A, de Oliveira LL, da Fonseca LA, Campos AK.Ticks have saliva rich in immunoregulatory molecules that interfere with the host's physiology in order to feed. This study aimed to evaluate the concentration of acute phase proteins and circulating oxidative stress in response to infestation by Amblyomma sculptum and Dermacentor nitens in two breed horses, Mangalarga Marchador and Breton Postier, to define resistance or susceptibility to ticks. Among the oxidative stress markers, we observed lower malondialdehyde and nitric oxide in horses with tick infestation, consequently not altering the antioxidant enzymes. Breton Postier with tick infe...
Morphological, serological, molecular detection, and phylogenetic analysis of Trypanosoma evansi in horses of different regions in Iran.
Parasitology research    June 5, 2023   Volume 122, Issue 8 1873-1881 doi: 10.1007/s00436-023-07888-2
Javanshir A, Tavassoli M, Esmaeilnejad B.Trypanosoma evansi, the causative agent of "surra" is enzootic in Iran. The current study aimed to detect T. evansi in horses from different regions of Iran using morphological, serological, and molecular methods. In 2021, 400 blood samples were collected from horses in eight regions. Eighty horses showed clinical signs such as cachexia (n = 64), fever (n = 36), foot edema (n = 40), and abdominal edema (n = 32), and 320 horses appeared healthy. All samples from the studied regions were evaluated for the presence of trypanosomes using direct analysis of blood smears, mercuric chloride, and PCR-...
Global haplotype distribution of Babesia ovis inferred by 18S rRNA sequences; a phylogeographical systematic review.
Microbial pathogenesis    May 26, 2023   Volume 181 106179 doi: 10.1016/j.micpath.2023.106179
Spotin A, Dalir F, Hazratian T, Shekarchi AA, Mahami-Oskouei M, Farmani M, Dolatkhah A, Ahmadpour E.The genetic variability of apicomplexan parasite Babesia species is a principal strategy used by piroplasma to evade their hosts' immune responses. The purpose of this review was to evaluate our current knowledge on global haplotype distribution and phylogeography of Babesia ovis derived from sheep, goat, horse and ixodid (hard) ticks. Bibliographic English databases were searched from 2017 to 2023, identifying a total of 11 publications. The 18S ribosomal RNA (18S rRNA) sequences of B. ovis from Asia, Europe, and Africa were retrieved and subjected to estimate the genetic diversity and phylog...
A systematic review and meta-analysis of the prevalence of parasitic infections in equids in Ethiopia.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    May 24, 2023   Volume 47, Issue 3 451-464 doi: 10.1007/s12639-023-01598-3
Mesafint E, Dejene H, Maru M, Tarekegn ZS.We performed this review to determine the weighted prevalence of equids parasitic infections in Ethiopia. Article searches on parasites of equids were conducted using PubMed, PubMed Central, Google Scholar, Science Direct, Web of Sciences, Scopus, AJOLs and Research Gate. A random effects model was used to estimate the weighted prevalence and to study heterogeneity. The primary searches generated, 3082 potential studies, of which 66 reports met the inclusion criteria and were included in the meta-analysis. There were 32 reports involving two or more equids species, eighteen on donkeys, and six...
Horse and donkey parasitology: differences and analogies for a correct diagnostic and management of major helminth infections.
Parasitology    May 24, 2023   1-20 doi: 10.1017/S0031182023000525
Buono F, Veneziano V, Veronesi F, Molento MB.In June 2022, at the XXXII Conference of the Italian Society of Parasitology, the parallels of the main endoparasitic infections of horses and donkeys were discussed. Although these 2 species are genetically different, they can be challenged by a similar range of parasites (i.e. small and large strongyles, and spp.). Although equids can demonstrate some level of resilience to parasites, they have quite distinct helminth biodiversity, distribution and intensity among different geographical locations and breeds. Heavily infected donkeys may show fewer clinical signs than horses. Although parasi...
Synthesis and Clinical Examination of Novel Formulations of Ivermectin, Albendazole and Niclosamide for the Treatment of Equine Gastrointestinal Helminthoses.
Iranian journal of parasitology    May 18, 2023   Volume 18, Issue 1 66-75 doi: 10.18502/ijpa.v18i1.12381
Marchenko VA, Khalikov SS, Biryukov IV, Efremova EA, Ilyin MM, Sazmand A.This study aimed to develop new complex preparations of ivermectin, niclosamide and albendazole based on solid-phase mechanochemical technology, and to evaluate their efficacy against equine nematodosis and cestodosis. Unassigned: Novel formulation of antiparasitic paste were prepared using joint mechano-chemical treatment of ivermectin (0.2 mg/kg bodyweight; BW), niclosamide (10 mg/kg BW) and albendazole (3, 5, 10 mg/kg BW) substances with polyvinylpyrrolidone and arabinogalactan. For the evaluation of activity of different doses of formulations against gastrointestinal tract helminths a tota...
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