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Elmahallawy EK, Zanet S, Poggi M, Alsharif KF, Agil A, Trisciuoglio A, Ferroglio E. Feline Leishmaniosis in Northwestern Italy: Current Status and Zoonotic Implications. Vet Sci 2021; 8:215. [PMID: 34679045 PMCID: PMC8539510 DOI: 10.3390/vetsci8100215] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 09/23/2021] [Accepted: 09/29/2021] [Indexed: 12/17/2022] Open
Abstract
Leishmaniasis remains one of the major neglected tropical diseases. The epidemiological profile of the disease comprises a wide range of hosts, including dogs and cats. Despite several studies about feline Leishmaniosis, the role of cats in disease epidemiology and its clinical impact is still debated. The present study raises awareness about the impact of leishmaniasis in cats from an endemic region in of Northwestern Italy (Liguria). A total number of 250 serum and 282 blood samples were collected from cats, then assessed for Leishmania infantum (L. infantum) serologically using western blot (WB) and molecularly using polymerase chain reaction (PCR). We also tested the association of Leishmania infection with some infectious agents like haemotropic Mycoplasma, Feline immunodeficiency virus (FIV) and Feline leukemia virus (FeLV) together with the hematobiochemical status of the examined animals. Interestingly, all tested animals were asymptomatic and out of 250 examined serum samples, 33 (13.20%) samples (confidence interval (CI) 95% 9.56-17.96%) were positive at WB for L. infantum, whereas of the 282 blood samples, 80 (28.36%) returned a positive PCR (CI 95% 23.43-33.89%). Furthermore, there was a statistical association between PCR positivity for L. infantum and some hematological parameters besides FIV infection as well as a direct significant correlation between Mycoplasma infection and WB positivity. Taken together, the present findings report high prevalence of L. infantum among cats, which reinforces the significance of such positive asymptomatic animals and confirms the very low humoral response in this species. In addition, the laboratory values provide evidence that infection by the parasite is linked to alteration of some hematological parameters and is correlated to some infectious agents. These data are of interest and suggest future research for accurate diagnosis of such zoonosis.
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Affiliation(s)
- Ehab Kotb Elmahallawy
- Department of Zoonotic Diseases, Faculty of Veterinary Medicine, Sohag University, Sohag 82524, Egypt
- Department of Pharmacology, Faculty of Medicine, University of Granada, 18002 Granada, Spain;
- Department of Veterinary Sciences, University of Turin, Via Leonardo da Vinci, 44, Grugliasco, 10095 Torino, Italy; (S.Z.); (M.P.); (A.T.)
| | - Stefania Zanet
- Department of Veterinary Sciences, University of Turin, Via Leonardo da Vinci, 44, Grugliasco, 10095 Torino, Italy; (S.Z.); (M.P.); (A.T.)
| | - Marco Poggi
- Department of Veterinary Sciences, University of Turin, Via Leonardo da Vinci, 44, Grugliasco, 10095 Torino, Italy; (S.Z.); (M.P.); (A.T.)
| | - Khalaf F. Alsharif
- Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia;
| | - Ahmad Agil
- Department of Pharmacology, Faculty of Medicine, University of Granada, 18002 Granada, Spain;
| | - Anna Trisciuoglio
- Department of Veterinary Sciences, University of Turin, Via Leonardo da Vinci, 44, Grugliasco, 10095 Torino, Italy; (S.Z.); (M.P.); (A.T.)
| | - Ezio Ferroglio
- Department of Veterinary Sciences, University of Turin, Via Leonardo da Vinci, 44, Grugliasco, 10095 Torino, Italy; (S.Z.); (M.P.); (A.T.)
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2
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Alcover MM, Basurco A, Fernandez A, Riera C, Fisa R, Gonzalez A, Verde M, Garrido AM, Ruíz H, Yzuel A, Villanueva-Saz S. A cross-sectional study of Leishmania infantum infection in stray cats in the city of Zaragoza (Spain) using serology and PCR. Parasit Vectors 2021; 14:178. [PMID: 33766113 PMCID: PMC7992781 DOI: 10.1186/s13071-021-04682-w] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 03/15/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Feline leishmaniosis is a vector-borne parasitic disease caused by Leishmania spp. Leishmania infection in dogs is prevalent in the Mediterranean basin, but in other animals, such as cats, it could also play a role in the epidemiology of the disease. Information on the geographical distribution and epidemiological features of L. infantum infection in cats is scarce, particularly in urban stray cats living in regions where canine leishmaniosis is endemic. As diagnosis can be challenging, combining different serological and molecular methods is a useful approach. Our aim was to investigate the prevalence of infection of L. infantum in apparently healthy stray cats in an endemic region of Spain (Zaragoza city) using serological and molecular methods, and to compare the results of the different techniques. METHODS The prevalence of Leishmania infection was studied in stray cats captured in urban and peri-urban areas of Zaragoza. Blood was collected from each animal for serology and molecular analysis. Three serological methods, namely the immunofluorescent antibody test (IFAT), enzyme-linked immunosorbent assay (ELISA) and western blot (WB), were used to detect L. infantum antibodies and a real-time PCR (qPCR) assay was used to detect L. infantum DNA. The results were analyzed by Fisher's exact test and Cohen's kappa statistic (κ) to assess the level of agreement between the diagnostic techniques. RESULTS Serological analysis of blood samples from 180 stray cats revealed 2.2% (4/179) Leishmania infection positivity by IFAT, 2.8% (5/179) by ELISA and 14.5% (26/179) by WB. Leishmania DNA was detected by qPCR in 5.6% (10/179) of the cats. Sixteen cats (8.9%) tested positive by only one serological technique and four tested positive by all three serological methods used. The overall rate of infected cats (calculated as the number of cats seropositive and/or qPCR positive) was 15.6%, and only two cats tested positive by all the diagnostic methods. A significant association was found between male cats and a positive qPCR result. Comparison of the techniques revealed a fair agreement in seropositivity between blood qPCR and IFAT (κ = 0.26), blood qPCR and ELISA (κ = 0.24), WB and ELISA (κ = 0.37) and WB and IFAT (κ = 0.40). The highest agreement between seropositive results was between IFAT and ELISA (κ = 0.89), and the lowest was between blood qPCR and WB (κ = 0.19). The prevalence of the feline leukemia virus antigen was 4.49% (8/178 cats) and that of the feline immunodeficiency virus (FIV) antibody was 6.74% (12/178), while co-infection with both retroviruses was observed in one female cat (1/178). Leishmania ELISA and IFAT seropositivity were statistically associated with FIV status by the chi-square test. CONCLUSIONS The results obtained in this study, using serological tests and qPCR, indicate the existence of L. infantum asymptomatic infection in apparently healthy stray cats in the city of Zaragoza, an endemic area in Spain.
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Affiliation(s)
- Maria Magdalena Alcover
- Departament de Biologia, Salut I Medi Ambient, Facultat de Farmacia, Universitat de Barcelona, Barcelona, Spain
| | - Asier Basurco
- Laboratorio de Inmunopatología Clínica, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.,Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Antonio Fernandez
- Laboratorio de Inmunopatología Clínica, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.,Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Cristina Riera
- Departament de Biologia, Salut I Medi Ambient, Facultat de Farmacia, Universitat de Barcelona, Barcelona, Spain
| | - Roser Fisa
- Departament de Biologia, Salut I Medi Ambient, Facultat de Farmacia, Universitat de Barcelona, Barcelona, Spain
| | - Ana Gonzalez
- Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Maite Verde
- Laboratorio de Inmunopatología Clínica, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain.,Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Ana María Garrido
- Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Héctor Ruíz
- Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Andrés Yzuel
- Laboratorio de Inmunopatología Clínica, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | - Sergio Villanueva-Saz
- Laboratorio de Inmunopatología Clínica, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain. .,Departamento de Farmacología Y Fisiología, Facultad de Veterinaria, Universidad de Zaragoza, 50013, Zaragoza, Spain.
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Cardoso L, Schallig H, Persichetti MF, Pennisi MG. New Epidemiological Aspects of Animal Leishmaniosis in Europe: The Role of Vertebrate Hosts Other Than Dogs. Pathogens 2021; 10:pathogens10030307. [PMID: 33800782 PMCID: PMC8000700 DOI: 10.3390/pathogens10030307] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/01/2021] [Accepted: 03/03/2021] [Indexed: 12/20/2022] Open
Abstract
Infection with Leishmania parasites can lead to severe disease in humans and dogs, which act as a reservoir in zoonotic transmission. An increasing number of reports suggest that leishmaniosis is not restricted to dogs, but also affects many other mammalian and avian species. Consequently, this expands the potential reservoir and is of great public and veterinary health concern. The present study reviews, based on a comprehensive search of scientific literature published from 1 January 2001 to 31 December 2020, the currently available information on animal leishmaniosis in vertebrates in Europe, other than dogs and humans. This review provides an exhaustive list of mammals and birds in which infections with or exposure to Leishmania parasites have been detected in European countries. Most cases are reported from the Mediterranean region. Domestic animals, in particular cats, pose a concern because of close contact with humans. The wildlife reservoir is less likely to contribute to zoonotic transmission, with the exception of hares. This potentially large reservoir needs to be taken into account when developing control measures for zoonotic leishmaniosis. From a veterinary point of view, it is important that veterinarians are better aware of leishmaniosis and trained in its management.
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Affiliation(s)
- Luís Cardoso
- Department of Veterinary Sciences, and Animal and Veterinary Research Centre (CECAV), University of Trás-os-Montes e Alto Douro (UTAD), 5000-801 Vila Real, Portugal
- Correspondence:
| | - Henk Schallig
- Department of Medical Microbiology, Experimental Parasitology Section, Amsterdam University Medical Centres, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands;
| | - Maria Flaminia Persichetti
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.F.P.); (M.G.P.)
| | - Maria Grazia Pennisi
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.F.P.); (M.G.P.)
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Tamponi C, Scarpa F, Carta S, Knoll S, Sanna D, Gai C, Pipia AP, Dessì G, Casu M, Varcasia A, Scala A. Seroprevalence and risk factors associated with Leishmania infantum in dogs in Sardinia (Italy), an endemic island for leishmaniasis. Parasitol Res 2021; 120:289-300. [PMID: 33205238 PMCID: PMC7846507 DOI: 10.1007/s00436-020-06973-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 11/08/2020] [Indexed: 11/27/2022]
Abstract
Leishmaniasis is a widespread, vector-borne parasitosis causing clinical manifestations in animals and in humans. In dogs, Canine Leishmaniasis has been reported in as much as 50 countries and the Mediterranean basin is known to be one of the most affected zones. Within these areas, the Island of Sardinia (Italy) has long been considered endemic for leishmaniasis and the presence of two arthropod vectors has recently been reported there. Nevertheless, to date, no epidemiological surveys regarding CanL have been carried out on the island. Hence, for the first time, the seroprevalence and the risk factors were investigated. Blood samples, as well as clinical and general information from 1.147 dogs, were collected and analyzed. Dogs consisted of two distinct populations, namely "owned dogs" and "kennel dogs." Anti-Leishmania IgG antibodies were detected using IFAT and samples were scored as positive at a cut-off dilution of 1:80. Data was analyzed using a Chi-squared test and bivariate and multivariate analyses were performed. Overall, 15.4% of dogs were found to be infected with CanL while only 44.1% of these animals exhibited clinical signs. Owned dogs (27.2%) were found to be infected more often than kennel dogs (10.6%); male dogs were found to be more frequently infected than female dogs and the number of infected animals increases with age. The present survey confirmed the endemic nature of leishmaniasis in Sardinia with a similar seroprevalence as mainland Italy. The results obtained serve as validation for the hypothesis that, in endemic areas, clinical CanL representations constitute only a fraction of the leishmaniasis cases.
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Affiliation(s)
- Claudia Tamponi
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Fabio Scarpa
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Silvia Carta
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Stephane Knoll
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Daria Sanna
- Dipartimento di Scienze Biomediche, Università degli Studi di Sassari, Sassari, Italy
| | - Carolina Gai
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Anna Paola Pipia
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Giorgia Dessì
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Marco Casu
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Antonio Varcasia
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
| | - Antonio Scala
- Parassitologia, Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna, 2, 07100 Sassari, Italy
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Pereira A, Maia C. Leishmania infection in cats and feline leishmaniosis: An updated review with a proposal of a diagnosis algorithm and prevention guidelines. CURRENT RESEARCH IN PARASITOLOGY & VECTOR-BORNE DISEASES 2021; 1:100035. [PMID: 35284863 PMCID: PMC8906079 DOI: 10.1016/j.crpvbd.2021.100035] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 05/27/2021] [Indexed: 04/15/2023]
Abstract
Leishmaniosis is a vector-borne disease caused by protozoans of the genus Leishmania, which are transmitted to vertebrates, including cats, through the bites of female phlebotomine sand flies. An increasing number of epidemiological and experimental studies concerning Leishmania infection in cats, as well as case reports of clinical leishmaniosis in these felids, have been published in recent years. In the present study, a comprehensive review was made by sourcing the National Library of Medicine resources to provide updated data on epidemiology, immunopathogenesis, diagnosis, treatment, and prevention of feline leishmaniosis. Cats were found infected with Leishmania parasites worldwide, and feline leishmaniosis appears as an emergent disease mostly reported in countries surrounding the Mediterranean Sea and in Brazil. Cats with impaired immunocompetence seem to have a higher risk to develop clinical disease. The main clinical and clinicopathological findings are dermatological lesions and hypergammaglobulinemia, respectively. Diagnosis of feline leishmaniosis remains a challenge for veterinarians, in part due to the lack of diagnosis support systems. For this reason, a diagnostic algorithm for clinical decision support is herein proposed. No evidence-based treatment protocols are currently available, and these remain empirically based. Control measures are limited and scarce. Thus, a set of prevention guidelines are herein suggested.
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Foroughi-Parvar F, Sarkari B, Asgari Q, Hatam G. FML-ELISA a novel diagnostic method for detection of feline leishmaniasis in two endemic areas of Iran. J Parasit Dis 2020; 45:279-284. [PMID: 33746415 DOI: 10.1007/s12639-020-01316-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 11/05/2020] [Indexed: 11/30/2022] Open
Abstract
Although canids are regarded as major reservoir hosts for Leishmania infantum, feline leishmaniasis are reported sporadically from different endemic foci of Mediterranean visceral leishmaniasis (VL). Despite the risk of parasite transmission between human and other animals, most of the studies are limited to dogs and few studies are focused to investigate Leishmania sp. among other mammals. This project was aimed to detect L. infantum antibodies of cats in two VL endemic regions of Iran by Fucose Mannose Ligand (FML) and soluble L. infantum antigen (SLA) ELISA. Forty nine stray cats of different age and sex, from Fars and Ardabil provinces (two VL endemic loci of Iran) were sampled, then tested for L. infantum by FML and SLA-ELISA. Sixteen percent (8/49) of cat sera were reported positive by FML-ELISA. SLA-ELISA showed 18.3% (9/48) positive cases in cats. Sensitivity of FML-ELISA was calculated 57% and SLA ELISA 25%. Specificity of FML and SLA ELISA were assessed 78% and 68% respectively. Kappa coefficient of agreement between FML and SLA-ELISA was detected on 0.45. As feline leishmaniasis could be a potential risk in endemic areas, FML-ELISA could be considered as an appropriate examination to detect leishmaniasis in cats.
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Affiliation(s)
- Faeze Foroughi-Parvar
- Department of Parasitology and Mycology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Bahador Sarkari
- Basic Sciences in Infectious Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Qasem Asgari
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Gholamreza Hatam
- Basic Sciences in Infectious Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
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Urbani L, Tirolo A, Salvatore D, Tumbarello M, Segatore S, Battilani M, Balboni A, Dondi F. Serological, molecular and clinicopathological findings associated with Leishmania infantum infection in cats in Northern Italy. J Feline Med Surg 2020; 22:935-943. [PMID: 31957532 PMCID: PMC10814397 DOI: 10.1177/1098612x19895067] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVES The aims of this study were to investigate the prevalence of Leishmania species infection in cats in Northern Italy and to evaluate the associations between infection and signalment and clinicopathological data. METHODS The study was carried out in a veterinary university hospital from June to November 2017. Blood, urine, conjunctival swabs and hair were collected from all randomly selected cats. Leishmania species infection was evaluated using the indirect fluorescent antibody test (IFAT), setting a cut-off value of 1:80, and using real-time PCR on blood, conjunctival and hair samples. A complete blood count, serum chemistry profile, serum electrophoresis and urinalysis were also carried out. The cats were grouped on the basis of the results of the diagnostic criteria adopted in positive, negative and unconfirmed Leishmania cases. Non-parametric variables and continuous data were compared among the study groups using the χ2 test and the Mann-Whitney U-test, respectively. RESULTS One hundred and fifty-two cats were included. Nineteen of the 152 (12.5%) cats were positive (18/152 [11.8%] showed an IFAT titre of ⩾1:80 and 1/152 [0.7%] was real-time PCR-positive from a hair sample); 106/152 (69.7%) cats were negative; and 27/152 (17.8%) cats were unconfirmed for Leishmania species. Total proteins, beta2-globulin and gamma-globulin were significantly increased in the positive Leishmania group compared with the negative group. CONCLUSIONS AND RELEVANCE The results of the present study demonstrated the spread of Leishmania infantum infection in cats in Northern Italy. Hyperproteinaemia and hypergammaglobulinaemia appeared to be significant clinicopathological abnormalities in this population of cats with L infantum infection.
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Affiliation(s)
| | | | - Daniela Salvatore
- Department of Veterinary Medical Sciences, Alma Mater Studiorum – University of Bologna, Ozzano dell’Emilia, Bologna, Italy
| | - Michele Tumbarello
- Department of Veterinary Medical Sciences, Alma Mater Studiorum – University of Bologna, Ozzano dell’Emilia, Bologna, Italy
| | - Sofia Segatore
- Department of Veterinary Medical Sciences, Alma Mater Studiorum – University of Bologna, Ozzano dell’Emilia, Bologna, Italy
| | - Mara Battilani
- Department of Veterinary Medical Sciences, Alma Mater Studiorum – University of Bologna, Ozzano dell’Emilia, Bologna, Italy
| | - Andrea Balboni
- Department of Veterinary Medical Sciences, Alma Mater Studiorum – University of Bologna, Ozzano dell’Emilia, Bologna, Italy
| | - Francesco Dondi
- Department of Veterinary Medical Sciences, Alma Mater Studiorum – University of Bologna, Ozzano dell’Emilia, Bologna, Italy
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