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Home / Equine Research Bank / Equine Vet J / A risk assessment of equine piroplasmosis entry, exposure an...
Equine veterinary journal2022; 55(2); 282-294; doi: 10.1111/evj.13579

A risk assessment of equine piroplasmosis entry, exposure and consequences in the UK.

Abstract: Equine piroplasmosis (EP) is currently not endemic in the UK, despite a lack of formal surveillance and the presence of carrier horses in the equine population. Pathogen establishment would have significant welfare and economic impacts on the national equine industry, but the disease is often overlooked by UK practitioners. Objective: To assess the risk of disease entry, exposure and consequences to the UK equine population. Methods: Qualitative risk assessment. Methods: A qualitative risk assessment was constructed utilising the current World Organisation for Animal Health (OIE) published framework for importation risk assessment, assessing the key areas of disease entry, exposure and consequences to the UK equine population. Results: The overall risk of EP entry to the UK via importation of infected equidae with acute disease is very low but considered medium with subclinical carrier animals. Entry via importation of ticks or the importation of blood is considered very low. The risk of EP exposure to susceptible equidae in the UK is considered low by the infection routes of tick-bites, contaminated needles and contaminated blood, but very high via transplacental transfer. However, the consequences of EP endemic establishment are considered of high significance to the UK equine industry. Conclusions: A lack of available numerical data for events and variables in disease import risk meant a qualitative assessment was the most practical method for this scenario. Conclusions: This risk assessment highlights that EP positive animals are able to enter and are currently present in the UK, and that conditions do exist that could allow forward transmission of the disease. It has highlighted a gap in existing policy where the UK falls behind OIE guidelines and has suggested steps to correct this discrepancy and improve national biosecurity.
© 2022 The Authors. Equine Veterinary Journal published by John Wiley & Sons Ltd on behalf of EVJ Ltd.
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Publication Date: 2022-05-22 PubMed ID: 35478189PubMed Central: PMC10083907DOI: 10.1111/evj.13579Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study examines the risk of equine piroplasmosis, a disease not currently found in the UK, entering the country, exposing and affecting the equine population there. Using the World Organisation for Animal Health’s framework for assessing importation risks, the researchers found that while the likelihood of the disease entering the country through horses with acute disease is very low, there is a medium risk from carrier animals. The consequences of the disease, should it become established, could be highly detrimental.

Research Methodology

  • The study utilized a qualitative risk assessment structured around the World Organisation for Animal Health (OIE) framework for importation risk assessment.
  • The assessment focused on the areas of disease entry, exposure, and consequences to the UK equine population.

Research Findings

  • Findings show that the risk of equine piroplasmosis (EP) entering the UK via the importation of infected horses with acute disease is very low. However, there is a medium risk associated with the importation of subclinical carrier animals.
  • The importation of ticks or blood carries a very low risk for the entry of EP in the UK.
  • The risk of exposure to susceptible horses in the UK is deemed low via methods such as tick-bites, contaminated needles, and contaminated blood.
  • Remarkably, the method considered to pose a very high risk of EP exposure is transplacental (mother to offspring) transfer.
  • The consequences of EP becoming endemic in the UK are assessed as being highly significant to the equine industry.

Conclusion and Recommendations

  • Due to the lack of numerical data for events and variables in disease import risk, a qualitative assessment was determined as the most practical approach for this scenario.
  • The assessment identified that EP-positive animals are capable of entering and are currently present in the UK. It also recognized conditions that could allow forward transmission of the disease.
  • The study highlighted a gap in existing policy where the UK lags behind OIE guidelines. Recommendations to address this discrepancy and strengthen national biosecurity were suggested. This may help prevent the disease from becoming established in the UK and thus protect the country’s equine industry.

Cite This Article

APA
Coultous RM, Sutton DGM, Boden LA. (2022). A risk assessment of equine piroplasmosis entry, exposure and consequences in the UK. Equine Vet J, 55(2), 282-294. https://doi.org/10.1111/evj.13579

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 55
Issue: 2
Pages: 282-294

Researcher Affiliations

Coultous, Robert M
  • Institute of Biodiversity Animal Health and Comparative Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Sutton, David G M
  • School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Boden, Lisa A
  • Global Academy of Agriculture and Food Security, The Royal (Dick) School of Veterinary Studies and The Roslin Institute, Midlothian, UK.

MeSH Terms

  • Horses
  • Animals
  • Cattle
  • Babesiosis / epidemiology
  • Babesia
  • Theileriasis / epidemiology
  • Theileria
  • Horse Diseases / epidemiology
  • Equidae
  • Risk Assessment
  • United Kingdom / epidemiology
  • Cattle Diseases

Grant Funding

  • VET/EPDF/2019-1 / Horserace Betting Levy Board
  • VET/RS/254 / Horserace Betting Levy Board

Conflict of Interest Statement

No competing interests have been declared.

References

This article includes 73 references
  1. Wise LN, Kappmeyer LS, Mealey RH, Knowles DP. Review of equine piroplasmosis.. J Vet Intern Med 2013 Nov-Dec;27(6):1334-46.
    doi: 10.1111/jvim.12168pubmed: 24033559google scholar: lookup
  2. de Waal DT. Equine piroplasmosis: a review.. Br Vet J 1992 Jan-Feb;148(1):6-14.
    doi: 10.1016/0007-1935(92)90061-5pubmed: 1551016google scholar: lookup
  3. Wise LN, Knowles DP, Rothschild CM. Piroplasmosis. In: Sellon D, Long MT, editors. Equine infectious diseases. 2nd ed. St Louis, Missouri: Saunders Elsevier; 2014. p. 467–75.
  4. Rothschild CM. Equine Piroplasmosis. J Equine Vet Sci 2013;33:497–508.
    doi: 10.1111/eve.12070google scholar: lookup
  5. Holbrook AA. Biology of equine piroplasmosis.. J Am Vet Med Assoc 1969 Jul 15;155(2):453-4.
    pubmed: 5816130
  6. Ueti MW, Palmer GH, Scoles GA, Kappmeyer LS, Knowles DP. Persistently infected horses are reservoirs for intrastadial tick-borne transmission of the apicomplexan parasite Babesia equi.. Infect Immun 2008 Aug;76(8):3525-9.
    doi: 10.1128/IAI.00251-08pmc: PMC2493223pubmed: 18490466google scholar: lookup
  7. Grause JF, Ueti MW, Nelson JT, Knowles DP, Kappmeyer LS, Bunn TO. Efficacy of imidocarb dipropionate in eliminating Theileria equi from experimentally infected horses.. Vet J 2013 Jun;196(3):541-6.
    doi: 10.1016/j.tvjl.2012.10.025pubmed: 23199699google scholar: lookup
  8. Lewis BD, Penzhorn BL, Volkmann DH. Could treatment of pregnant mares prevent abortions due to equine piroplasmosis?. J S Afr Vet Assoc 1999 Jun;70(2):90-1.
    doi: 10.4102/jsava.v70i2.760pubmed: 10855828google scholar: lookup
  9. Phipps LP, Otter A. Transplacental transmission of Theileria equi in two foals born and reared in the United Kingdom.. Vet Rec 2004 Mar 27;154(13):406-8.
    pubmed: 15083978doi: 10.1136/vr.154.13.406google scholar: lookup
  10. Allsopp MT, Lewis BD, Penzhorn BL. Molecular evidence for transplacental transmission of Theileria equi from carrier mares to their apparently healthy foals.. Vet Parasitol 2007 Sep 1;148(2):130-6.
    doi: 10.1016/j.vetpar.2007.05.017pubmed: 17601669google scholar: lookup
  11. Phipps LP. Equine piroplasmosis. Equine Vet Educ 1996;8:33–6.
    doi: 10.1111/j.2042-3292.1996.tb01647.xgoogle scholar: lookup
  12. Medlock JM, Hansford KM, Vaux AGC, Cull B, Abdullah S, Pietzsch ME, Wall R, Johnson N, Phipps LP. Distribution of the tick Dermacentor reticulatus in the United Kingdom.. Med Vet Entomol 2017 Sep;31(3):281-288.
    doi: 10.1111/mve.12235pubmed: 28419493google scholar: lookup
  13. Gerstenberg C, Allen WR, Phipps LP. The mechanical transmission of Babesia equi infection in a British herd of horses. Proceedings of the eighth international conference on equine infectious diseases Dubai, UAE; 1998;217–22.
  14. nBEVA DEFRAn. Equine Quarterly Disease Surveillance Report January – March. 2021;17:1.
  15. OIE. Handbook on import risk analysis for animals and animal products: introduction and qualitative risk analysis. 2nd ed. Paris, France: World Organization for Animal Health; 2010.
  16. Kelly L, Kosmider R, Gale P, Snary EL. Qualitative import risk assessment: a proposed method for estimating the aggregated probability of entry of infection. Microb Risk Anal 2018;9:33–7.
    doi: 10.1016/j.mran.2018.03.001google scholar: lookup
  17. Auty H, Mellor D, Gunn G, Boden LA. The Risk of Foot and Mouth Disease Transmission Posed by Public Access to the Countryside During an Outbreak.. Front Vet Sci 2019;6:381.
    doi: 10.3389/fvets.2019.00381pmc: PMC6848457pubmed: 31750321google scholar: lookup
  18. . Opinion of the Scientific Panel Animal Health and Welfare (AHAW) related with the Migratory Birds and their Possible Role in the Spread of Highly Pathogenic Avian Influenza.. EFSA J 2006 May;4(5):357.
    pmc: PMC7163743pubmed: 32313578doi: 10.2903/j.efsa.2006.357google scholar: lookup
  19. nAPHAn. Import of Equidae Import Information Note (IIN) EQ/2b. Animal and Plant Health Agency 2021.
  20. nEUn. Directive 2009/156/EC on animal health conditions governing the movement and importation from third countries of equidae. European Union Council 2009.
  21. Coultous RM, Phipps P, Dalley C, Lewis J, Hammond TA, Shiels BR, Weir W, Sutton DGM. Equine piroplasmosis status in the UK: an assessment of laboratory diagnostic submissions and techniques.. Vet Rec 2019 Jan 19;184(3):95.
    doi: 10.1136/vr.104855pubmed: 30413675google scholar: lookup
  22. Dominguez M, Münstermann S, de Guindos I, Timoney P. Equine disease events resulting from international horse movements: Systematic review and lessons learned.. Equine Vet J 2016 Sep;48(5):641-53.
    doi: 10.1111/evj.12523pubmed: 26509734google scholar: lookup
  23. nOIEn. High health, high performance (HHP) horses: risk mitigation strategies and establishment of specific health requirements. World Organization for Animal Health 2016.
  24. Nadal C, Bonnet SI, Marsot M. Eco-epidemiology of equine piroplasmosis and its associated tick vectors in Europe: A systematic literature review and a meta-analysis of prevalence.. Transbound Emerg Dis 2022 Sep;69(5):2474-2498.
    pubmed: 34333863doi: 10.1111/tbed.14261google scholar: lookup
  25. Scoles GA, Ueti MW. Vector ecology of equine piroplasmosis.. Annu Rev Entomol 2015 Jan 7;60:561-80.
    pubmed: 25564746doi: 10.1146/annurev-ento-010814-021110google scholar: lookup
  26. Fritz D. A PCR study of piroplasms in 166 dogs and 111 horses in France (March 2006 to March 2008).. Parasitol Res 2010 May;106(6):1339-42.
    doi: 10.1007/s00436-010-1804-3pubmed: 20221639google scholar: lookup
  27. Qablan MA, Sloboda M, Jirků M, Oborník M, Dwairi S, Amr ZS, Hořín P, Lukeš J, Modrý D. Quest for the piroplasms in camels: identification of Theileria equi and Babesia caballi in Jordanian dromedaries by PCR.. Vet Parasitol 2012 May 25;186(3-4):456-60.
    doi: 10.1016/j.vetpar.2011.11.070pubmed: 22186193google scholar: lookup
  28. Jameson LJ, Medlock JM. Results of HPA tick surveillance in Great Britain.. Vet Rec 2009 Aug 1;165(5):154.
    doi: 10.1089/vbz.2010.0079pubmed: 19648644google scholar: lookup
  29. nAPHAn. Import of Bovine Animals Import Information Note (IIN) BVTC/2. Animal and Plant Health Agency 2021.
  30. Campbell WC, Benz GW. Ivermectin: a review of efficacy and safety.. J Vet Pharmacol Ther 1984 Mar;7(1):1-16.
    pubmed: 6368862doi: 10.1111/j.1365-2885.1984.tb00872.xgoogle scholar: lookup
  31. nAPHAn. Imports of Sheep and Goats Import Information Note (IIN) OVTC/2. Animal and Plant Health Agency 2021.
  32. nAPHAn. Import of non‐domestic ungulates from third countries import information note (IIN) BLLV/3. Animal and Plant Health Agency 2021.
  33. nAPHAn. Commercial import of dogs, cats and ferrets import information note (IIN) BLLV/5b. Animal and Plant Health Agency 2021.
  34. nDEFRAn. New rules mean it will be easier and cheaper to travel abroad with pets. Department for Environment, Food and Rural Affairs 2011.
  35. Jameson LJ, Phipps LP, Medlock JM. Surveillance for exotic ticks on companion animals in the UK.. Vet Rec 2010 Feb 13;166(7):202-3.
    doi: 10.1136/vr.b4786pubmed: 20154311google scholar: lookup
  36. Cull B, Pietzsch ME, Hansford KM, Gillingham EL, Medlock JM. Surveillance of British ticks: An overview of species records, host associations, and new records of Ixodes ricinus distribution.. Ticks Tick Borne Dis 2018 Mar;9(3):605-614.
    doi: 10.1016/j.ttbdis.2018.01.011pubmed: 29426591google scholar: lookup
  37. Földvári G, Široký P, Szekeres S, Majoros G, Sprong H. Dermacentor reticulatus: a vector on the rise.. Parasit Vectors 2016 Jun 1;9(1):314.
    doi: 10.1186/s13071-016-1599-xpmc: PMC4888597pubmed: 27251148google scholar: lookup
  38. Nuttall GHF, Strickland C. On the occurrence of two species of parasites in equine ‘Piroplasmosis’ or ‘biliary fever’. Parasitology 1912;5:65–96.
  39. nAPHAn. Import of Blood and Blood Products from Equidae for use Outside the Feed Chain from Third Countries Import Information Note (IIN) ABP/4A. Animal and Plant Health Agency 2020.
  40. nDEFRAn. European Communities act 1972 ‐ the products of animal origin (third country imports) (England) regulations 2006 (as amended) general import authorisation IMP/GEN/2010/07. Department for Environment, Food and Rural Affairs 2010.
  41. nAPHAn. Import of research and diagnostic samples from third countries import information note (IIN) ABP/30. Animal and Plant Health Agency 2020.
  42. More SJ, Aznar I, Bailey DC, Larkin JF, Leadon DP, Lenihan P, Flaherty B, Fogarty U, Brangan P. An outbreak of equine infectious anaemia in Ireland during 2006: investigation methodology, initial source of infection, diagnosis and clinical presentation, modes of transmission and spread in the Meath cluster.. Equine Vet J 2008 Nov;40(7):706-8.
    doi: 10.2746/042516408x363305pubmed: 19165942google scholar: lookup
  43. Ueti MW, Palmer GH, Kappmeyer LS, Statdfield M, Scoles GA, Knowles DP. Ability of the vector tick Boophilus microplus to acquire and transmit Babesia equi following feeding on chronically infected horses with low-level parasitemia.. J Clin Microbiol 2005 Aug;43(8):3755-9.
    doi: 10.1128/JCM.43.8.3755-3759.2005pmc: PMC1233951pubmed: 16081906google scholar: lookup
  44. Sánchez-Vizcaíno F, Wardeh M, Heayns B, Singleton DA, Tulloch JS, McGinley L, Newman J, Noble PJ, Day MJ, Jones PH, Radford AD. Canine babesiosis and tick activity monitored using companion animal electronic health records in the UK.. Vet Rec 2016 Oct 8;179(14):358.
    doi: 10.1136/vr.103908pmc: PMC5099196pubmed: 27484328google scholar: lookup
  45. nPHEn. Tick awareness and the tick surveillance scheme. Public Health England 2021.
  46. Jameson LJ, Medlock JM. Tick surveillance in Great Britain.. Vector Borne Zoonotic Dis 2011 Apr;11(4):403-12.
    doi: 10.1089/vbz.2010.0079pubmed: 20849277google scholar: lookup
  47. nGreen P. The free‐living ponies within the Exmoor National Park: their status, welfare and future. Exmoor National Park Authority 2013.
  48. nAnonn. Dartmoor ponies. Visit Dartmoor Tourism Organisation 2021.
  49. Neitz WO. Classification, transmission, and biology of piroplasms of domestic animals. Ann N Y Acad Sci 1956;64:56–111.
    doi: 10.1111/j.1749-6632.1956.tb36607.xgoogle scholar: lookup
  50. Abramov IV. The duration of the preservation of the causal agent of Piroplasmosis of horses (Piroplasma caballi) in the ticks Hyalomma plumb cum panzer, 1798. J Agric Sci Moscow 1955;32:42–6.
  51. Schwint ON, Knowles DP, Ueti MW, Kappmeyer LS, Scoles GA. Transmission of Babesia caballi by Dermacentor nitens (Acari: Ixodidae) is restricted to one generation in the absence of alimentary reinfection on a susceptible equine host.. J Med Entomol 2008 Nov;45(6):1152-5.
    doi: 10.1603/0022-2585(2008)45[1152:tobcbd]2.0.co;2pubmed: 19058641google scholar: lookup
  52. Šimo L, Kocáková P, Sláviková M, Kubeš M, Hajnická V, Vančová I. Dermacentor reticulatus (Acari, Ixodidae) female feeding in laboratory. Biologia 2004;59:655–60.
  53. Mehlhorn H, Schein E. Redescription of Babesia equi Laveran, 1901 as Theileria equi Mehlhorn, Schein 1998.. Parasitol Res 1998 Jun;84(6):467-75.
    doi: 10.1007/s004360050431pubmed: 9660136google scholar: lookup
  54. Scoles GA, Hutcheson HJ, Schlater JL, Hennager SG, Pelzel AM, Knowles DP. Equine piroplasmosis associated with Amblyomma cajennense Ticks, Texas, USA.. Emerg Infect Dis 2011 Oct;17(10):1903-5.
    doi: 10.3201/eid1710.101182pmc: PMC3310643pubmed: 22000367google scholar: lookup
  55. Short MA, Clark CK, Harvey JW, Wenzlow N, Hawkins IK, Allred DR, Knowles DP, Corn JL, Grause JF, Hennager SG, Kitchen DL, Traub-Dargatz JL. Outbreak of equine piroplasmosis in Florida.. J Am Vet Med Assoc 2012 Mar 1;240(5):588-95.
    doi: 10.2460/javma.240.5.588pubmed: 22332629google scholar: lookup
  56. Hailat NQ, Lafi SQ, al-Darraji AM, al-Ani FK. Equine babesiosis associated with strenuous exercise: clinical and pathological studies in Jordan.. Vet Parasitol 1997 Apr;69(1-2):1-8.
    doi: 10.1016/s0304-4017(96)01100-4pubmed: 9187024google scholar: lookup
  57. Piantedosi D, D'Alessio N, Di Loria A, Di Prisco F, Mariani U, Neola B, Santoro M, Montagnaro S, Capelli G, Veneziano V. Seroprevalence and risk factors associated with Babesia caballi and Theileria equi infections in donkeys from Southern Italy.. Vet J 2014 Dec;202(3):578-82.
    doi: 10.1016/j.tvjl.2014.09.025pubmed: 25457263google scholar: lookup
  58. Callow LL, McGregor W, Rodwell BJ, Rogers RJ, Fraser GC, Mahoney DF, Robertson GM. Evaluation of an indirect fluorescent antibody test to diagnose Babesia equi infection in horses.. Aust Vet J 1979 Dec;55(12):555-9.
    doi: 10.1111/j.1751-0813.1979.tb07044.xpubmed: 395937google scholar: lookup
  59. Knowles RC. Equine babesiasis: epidemiology, control and chemotherapy. J Equine Vet Sci 1988;8:61–4.
    doi: 10.1016/S0737-0806(88)80114-Xgoogle scholar: lookup
  60. Kuttler KL, Gipson CA, Goff WL, Johnson LW. Experimental Babesia equi infection in mature horses.. Am J Vet Res 1986 Aug;47(8):1668-70.
    pubmed: 3530065
  61. Hart KA, Epstein KL. Common problems and techniques in equine critical care. In: Mair TS, Love S, Schumacher J, Smith RKW, Frazer GS, editors. Equine medicine, surgery and reproduction. 2nd ed. Edinburgh, UK: Saunders Elsevier; 2013. p. 569–71.
  62. Eberhard ML, Walker EM, Steurer FJ. Survival and infectivity of Babesia in blood maintained at 25 C and 2-4 C.. J Parasitol 1995 Oct;81(5):790-2.
    pubmed: 7472878
  63. MAURER FD. Equine piroplasmosis--another emerging disease.. J Am Vet Med Assoc 1962 Sep 15;141:699-702.
    pubmed: 14471543
  64. Anon. Equine piroplasmosis confirmed in Ireland. Vet Rec 2009;165:333.
    doi: 10.1136/vr.165.12.333-agoogle scholar: lookup
  65. Olivier A, Nurton JP, Guthrie AJ. An epizoological study of wastage in thoroughbred racehorses in Gauteng, South Africa.. J S Afr Vet Assoc 1997 Dec;68(4):125-9.
    doi: 10.4102/jsava.v68i4.893pubmed: 9561496google scholar: lookup
  66. Tirosh-Levy S, Gottlieb Y, Steinman A. Stress conditions do not affect Theileria equi parasitemia levels in sub-clinically infected horses.. Ticks Tick Borne Dis 2020 May;11(3):101384.
    doi: 10.1016/j.ttbdis.2020.101384pubmed: 32008998google scholar: lookup
  67. nOIEn. FAQs on high health, high performance horse (HHP) concept adopted at the may 2014 OIE general session. World Organisation for Animal Health 2014.
  68. nRESPEn. Une cellule de crise particulière: problématique des piroplasmoses en vue d'exportation au Japon – Bulletin No 38. Réseau dEpidémioSurveillance en Pathologie Equine 2016.
  69. nUSDAn. Equine Piroplasmosis and the 2010 world equestrian games. United States Department of Agriculture 2008.
  70. nUSDAn. A literature review of equine Piroplasmosis. United States Department of Agriculture 2010.
  71. nUSDAn. Notifiable diseases and conditions. United States Department of Agriculture 2021.
  72. nDAFMn. List of Notifiable Diseases. Department of Agriculture, Food and the Marine 2020.
  73. nOIEn. Terrestrial Animal Health Code Chapter 12.7 Equine Piroplasmosis. The World Organisation for Animal Health 2018.

Citations

This article has been cited 6 times.
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    doi: 10.3389/fvets.2023.1102131pubmed: 36825234google scholar: lookup
  2. Giubega S, Ilie MS, Luca I, Florea T, Dreghiciu C, Oprescu I, Morariu S, Dărăbuș G. Seroprevalence of Anti-Theileria equi Antibodies in Horses from Three Geographically Distinct Areas of Romania. Pathogens 2022 Jun 9;11(6).
    doi: 10.3390/pathogens11060669pubmed: 35745523google scholar: lookup
  3. Duaso J, Perez-Ecija A, Navarro A, Martínez E, De Las Heras A, Mendoza FJ. True Prevalence and Seroprevalence of Piroplasmosis in Horses in Southwestern Europe. Animals (Basel) 2025 Jul 11;15(14).
    doi: 10.3390/ani15142047pubmed: 40723509google scholar: lookup
  4. Aziz KJ, Barwary LTOA, Issa NA, Abdulwahid MJ. Prevalence of Theileria Equi and Babesia Caballi and Associated Hemato-Biochemical Changes in Racing Horses in Erbil Province, Iraq. Acta Parasitol 2025 Jan 24;70(1):38.
    doi: 10.1007/s11686-024-00987-9pubmed: 39853481google scholar: lookup
  5. Mendoza FJ, Pérez-Écija A, Kappmeyer LS, Suarez CE, Bastos RG. New insights in the diagnosis and treatment of equine piroplasmosis: pitfalls, idiosyncrasies, and myths. Front Vet Sci 2024;11:1459989.
    doi: 10.3389/fvets.2024.1459989pubmed: 39205808google scholar: lookup
  6. Mohammad-Naseri A, Shokrani H, Rahmani-Shahraki A. Equine Piroplasmosis in Asymptomatic Horses of Western Iran: Comparison of Microscopic Examination and Multiplex PCR. Acta Parasitol 2024 Mar;69(1):813-818.
    doi: 10.1007/s11686-024-00804-3pubmed: 38424400google scholar: lookup
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