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Mena CJ, Garófalo MP, Perazzo J, Epelbaum C, Castro G, Sicilia P, Barnes A, Guasconi L, Burstein VL, Beccacece I, Almeida MA, Cervi L, Santin M, Chiapello LS. Enterocytozoon bieneusi Infection after Hematopoietic Stem Cell Transplant in Child, Argentina. Emerg Infect Dis 2024; 30:613-616. [PMID: 38407164 PMCID: PMC10902542 DOI: 10.3201/eid3003.231580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2024] Open
Abstract
We report a case of Enterocytozoon bieneusi infection in a pediatric hematopoietic stem cell transplant recipient in Argentina. Spores were visualized in feces using Calcofluor White and modified trichrome stainings. PCR and sequencing identified E. bieneusi genotype D in fecal samples and liver samples, confirming extraintestinal dissemination of the parasite.
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Wang Y, Li XM, Yang X, Wang XY, Wei YJ, Cai Y, Geng HL, Yang XB, Yu HL, Cao H, Jiang J. Global prevalence and risk factors of Enterocytozoon bieneusi infection in humans: a systematic review and meta-analysis. Parasite 2024; 31:9. [PMID: 38345479 PMCID: PMC10860563 DOI: 10.1051/parasite/2024007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 01/22/2024] [Indexed: 02/15/2024] Open
Abstract
Enterocytozoon bieneusi is one of the most important zoonotic pathogens. In this study, we present a systematic review and meta-analysis of the prevalence of human E. bieneusi infection in endemic regions and analyze the various potential risk factors. A total of 75 studies were included. Among 31,644 individuals tested, 2,291 (6.59%) were E. bieneusi-positive. The highest prevalence of E. bieneusi in the male population was 5.50%. The prevalence of E. bieneusi in different age groups was varied, with 10.97% in teenagers. The prevalence of E. bieneusi in asymptomatic patients (6.49%) is significantly lower than that in HIV-infected patients (11.49%), and in patients with diarrheal symptoms (16.45%). Rural areas had a higher rate (7.58%) than urban ones. The prevalence of E. bieneusi in humans was the highest (6.42%) at altitudes <10 m. Moreover, the temperate zone marine climate (13.55%) had the highest prevalence. A total of 69 genotypes of E. bieneusi have been found in humans. This is the first global study regarding E. bieneusi prevalence in humans. Not only people with low immunity (such as the elderly, children, people with HIV, etc.), but also people in Europe in temperate marine climates should exercise caution to prevent infection with E. bieneusi during contact process with animals.
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Affiliation(s)
- Yanchun Wang
- School of Pharmacy, Yancheng Teachers University Yancheng 224002 Jiangsu Province PR China
- College of Life Sciences, Changchun Sci-Tech University Shuangyang 130600 Jilin Province PR China
- Department of Technology, Ningbo Sansheng Biotechnology Co., Ltd Ningbo 315000 Zhejiang Province PR China
| | - Xiao-Man Li
- College of Veterinary Medicine, Qingdao Agricultural University Qingdao 266109 Shandong Province PR China
| | - Xing Yang
- Department of Medical Microbiology and Immunology, School of Basic Medicine, Dali University Dali 671000 Yunnan Province PR China
| | - Xiang-Yu Wang
- College of Veterinary Medicine, Qingdao Agricultural University Qingdao 266109 Shandong Province PR China
| | - Yong-Jie Wei
- College of Veterinary Medicine, Qingdao Agricultural University Qingdao 266109 Shandong Province PR China
| | - Yanan Cai
- College of Animal Science and Technology, Jilin Agricultural University Changchun 130118 Jilin Province PR China
| | - Hong-Li Geng
- College of Veterinary Medicine, Qingdao Agricultural University Qingdao 266109 Shandong Province PR China
| | - Xin-Bo Yang
- College of Animal Science and Technology, Jilin Agricultural University Changchun 130118 Jilin Province PR China
| | - Hai-Long Yu
- College of Animal Science and Technology, Jilin Agricultural University Changchun 130118 Jilin Province PR China
| | - Hongwei Cao
- School of Pharmacy, Yancheng Teachers University Yancheng 224002 Jiangsu Province PR China
| | - Jing Jiang
- College of Life Sciences, Changchun Sci-Tech University Shuangyang 130600 Jilin Province PR China
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Al-Brhami KAR, Abdul-Ghani R, Al-Qobati SA. Intestinal microsporidiosis among HIV/AIDS patients receiving antiretroviral therapy in Sana'a city, Yemen: first report on prevalence and predictors. BMC Infect Dis 2022; 22:11. [PMID: 34983416 PMCID: PMC8724650 DOI: 10.1186/s12879-021-07009-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Accepted: 12/21/2021] [Indexed: 11/23/2022] Open
Abstract
Background Intestinal microsporidiosis is an opportunistic infection associated with persistent diarrhea among HIV/AIDS patients. In Yemen, however, its epidemiology is unknown. Therefore, this study determined its prevalence and predictors among HIV/AIDS patients receiving antiretroviral therapy (ART) in Sana’a city, the capital of Yemen. Methods This cross-sectional study included 402 patients receiving ART at Al-Jomhori Educational Hospital in Sana’a from November 2019 to December 2020. Data about demographics, clinical characteristics and risk factors were collected using a pre-designed questionnaire. Stool samples were collected and examined for microsporidian spores using the Gram-chromotrope Kinyoun staining. Blood samples were also collected and used for CD4 cell counting by flow cytometry. Univariate analysis was used to test the association of patients’ characteristics and risk factors with intestinal microsporidiosis. Multivariable logistic regression was then used to identify the independent predictors of infection. Statistical significance was considered at P-values < 0.05. Results Intestinal microsporidiosis was prevalent among 14.2% (57/402) of HIV/AIDS patients and was significantly associated with diarrhea (OR 3.4, 95% CI 1.7–6.6; P = 0.001). The significant independent predictors of infection were < 200 CD4 cells/µl (AOR 3.2, 95% CI 1.5–6.9; P = 0.003), not washing hands after contacting soil (AOR 2.5, 95% CI 1.1–5.4; P = 0.026) and before eating (AOR 3.1, 95% CI 1.5–6.4; P = 0.003), eating unwashed raw produce (AOR 2.5, 95% CI 1.2–5.3; P = 0.017) and absence of indoor latrines (AOR 6.2, 95% CI 1.5–25.9; P = 0.012). Conclusions The prevalence of intestinal microsporidiosis among HIV/AIDS patients in Sana'a is high and comparable to that reported from several other countries, being prevalent among approximately 14.0% of patients and significantly associated with diarrhea. It could be predicted among patients who have < 200 CD4 cells/µl, have poor hand hygiene after contacting soil and before eating, usually eat unwashed raw produce, or do not possess indoor latrines. Large-scale studies on its epidemiology and predictors among HIV/AIDS patients across the country are warranted.
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Affiliation(s)
- Kwkab A R Al-Brhami
- Department of Medical Parasitology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen
| | - Rashad Abdul-Ghani
- Department of Medical Parasitology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen. .,Tropical Disease Research Center, Faculty of Medicine and Health Sciences, University, of Science and Technology, Sana'a, Yemen.
| | - Salah A Al-Qobati
- Department of Medical Parasitology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen
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Abstract
Microsporidia are obligate intracellular pathogens identified ∼150 years ago as the cause of pébrine, an economically important infection in silkworms. There are about 220 genera and 1,700 species of microsporidia, which are classified based on their ultrastructural features, developmental cycle, host-parasite relationship, and molecular analysis. Phylogenetic analysis suggests that microsporidia are related to the fungi, being grouped with the Cryptomycota as a basal branch or sister group to the fungi. Microsporidia can be transmitted by food and water and are likely zoonotic, as they parasitize a wide range of invertebrate and vertebrate hosts. Infection in humans occurs in both immunocompetent and immunodeficient hosts, e.g., in patients with organ transplantation, patients with advanced human immunodeficiency virus (HIV) infection, and patients receiving immune modulatory therapy such as anti-tumor necrosis factor alpha antibody. Clusters of infections due to latent infection in transplanted organs have also been demonstrated. Gastrointestinal infection is the most common manifestation; however, microsporidia can infect virtually any organ system, and infection has resulted in keratitis, myositis, cholecystitis, sinusitis, and encephalitis. Both albendazole and fumagillin have efficacy for the treatment of various species of microsporidia; however, albendazole has limited efficacy for the treatment of Enterocytozoon bieneusi. In addition, immune restoration can lead to resolution of infection. While the prevalence rate of microsporidiosis in patients with AIDS has fallen in the United States, due to the widespread use of combination antiretroviral therapy (cART), infection continues to occur throughout the world and is still seen in the United States in the setting of cART if a low CD4 count persists.
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Zhang Z, Ma J, Huang X, Wen X, Jiang W, Chen L, Li N, Guo Y, Zhang L, Xiao L, Feng Y. Population genetic analysis suggests genetic recombination is responsible for increased zoonotic potential of Enterocytozoon bieneusi from ruminants in China. One Health 2020; 11:100184. [PMID: 33392377 PMCID: PMC7772688 DOI: 10.1016/j.onehlt.2020.100184] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 10/06/2020] [Accepted: 10/07/2020] [Indexed: 01/01/2023] Open
Abstract
Enterocytozoon bieneusi is a zoonotic pathogen with worldwide distribution. Among the 11 established groups of E. bieneusi genotypes based on phylogenetic analysis of the ribosomal internal transcribed spacer (ITS), the human-infective potential and population genetics of the Group 1 genotypes from diverse hosts are well characterized. In contrast, Group 2 genotypes from ruminants have unclear population genetics, leading to poor understanding of their host range and zoonotic potential. In this study, we sequence-characterized 121 Group 2 isolates from dairy cattle, beef cattle, yaks, Tibetan sheep, golden takins, and deer from China at five genetic loci (ITS, MS1, MS3, MS4 and MS7), comparing with data from 113 Group 1 isolates from nonhuman primates. Except for MS7, most of the genetic loci produced efficient PCR amplification and high nucleotide identity between Groups 1 and 2 of E. bieneusi genotypes. In population genetic analyses of the sequence data, a strong linkage disequilibrium was observed among these genetic loci in the overall Group 2 population. The individual ITS genotypes (I, J and BEB4) within Group 2, however, had reduced linkage disequilibrium and increased genetic exchanges among isolates. There was only partial genetic differentiation between Group 1 and Group 2 genotypes, with some occurrence of genetic recombination between them. Genetic recombination was especially common between genotypes I and J within Group 2. The data presented indicate a high genetic identity between Group 1 and Group 2 genotypes of E. bieneusi, which could be responsible for the broad host range and high zoonotic potential of Group 2 genotypes in China. As there is no effective treatment against E. bieneusi, the One Health approach should be used in the control and prevention of zoonotic transmission of the pathogen.
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Affiliation(s)
- Zhenjie Zhang
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China.,Guangdong Laboratory for Lingnan Modern Agriculture, Guangzhou, Guangdong 510642, China
| | - Jingbo Ma
- Department of Parasitology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, Henan 453003, China
| | - Xitong Huang
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China
| | - Xi Wen
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China
| | - Wen Jiang
- School of Resource and Environmental Engineering, East China University of Science and Technology, Shanghai 200237, China
| | - Li Chen
- School of Resource and Environmental Engineering, East China University of Science and Technology, Shanghai 200237, China
| | - Na Li
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China
| | - Yaqiong Guo
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China
| | - Longxian Zhang
- College of Veterinary Medicine, Henan Agricultural University, Zhengzhou 450002, China
| | - Lihua Xiao
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China.,Guangdong Laboratory for Lingnan Modern Agriculture, Guangzhou, Guangdong 510642, China
| | - Yaoyu Feng
- Center for Emerging and Zoonotic Diseases, College of Veterinary Medicine, South China Agricultural University, Guangzhou, Guangdong 510642, China.,Guangdong Laboratory for Lingnan Modern Agriculture, Guangzhou, Guangdong 510642, China
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Mena CJ, Barnes A, Castro G, Guasconi L, Burstein VL, Beccacece I, Paulin PC, Arneodo J, Carnevale S, Astudillo G, Cervi L, Theumer MG, Chiapello LS. Microscopic and PCR-based detection of microsporidia spores in human stool samples. Rev Argent Microbiol 2020; 53:124-128. [PMID: 32595002 DOI: 10.1016/j.ram.2020.04.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 03/30/2020] [Accepted: 04/07/2020] [Indexed: 10/24/2022] Open
Abstract
Microsporidia are obligate intracellular fungi with a remarkable ability to infect a wide range of invertebrate and vertebrate hosts. Namely, Enterocytozoon bieneusi is the most frequently microsporidia reported worldwide, and mainly associated with chronic diarrhea and wasting syndrome in AIDS patients. Microscopy and PCR-based detection techniques are effective for diagnosis and identification of species and genotypes; however, these methods should be standardized in each laboratory. In this study, we performed microscopy and nested PCR techniques with PCR product sequencing to detect E. bieneusi in human stool samples. These techniques, if applied together, might prove useful for diagnosis and future epidemiological studies of intestinal microsporidiosis in Argentina.
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Affiliation(s)
- Cristian Javier Mena
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina; Sección Parasitología, Laboratorio de Microbiología, Área de Diagnóstico Complementario, Hospital Rawson, Córdoba, Argentina
| | - Andrés Barnes
- Sección Parasitología, Laboratorio de Microbiología, Área de Diagnóstico Complementario, Hospital Rawson, Córdoba, Argentina
| | - Gonzalo Castro
- Área Biología Molecular, Laboratorio Central de la Provincia de Córdoba, Córdoba, Argentina
| | - Lorena Guasconi
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina
| | - Verónica Liliana Burstein
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina
| | - Ignacio Beccacece
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina
| | - Patricia Catalina Paulin
- Laboratorio de Parasitología, Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina
| | - Joel Arneodo
- Instituto de Microbiologia y Zoología Agrícola (IMyZA), Instituto Nacional de Tecnologia Agropecuaria (INTA), Argentina
| | - Silvana Carnevale
- Instituto Nacional de Enfermedades Infecciosas, ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Germán Astudillo
- Instituto Nacional de Enfermedades Infecciosas, ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Laura Cervi
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina
| | - Martín Gustavo Theumer
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina
| | - Laura Silvina Chiapello
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET, Córdoba, Argentina.
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Espinosa J, Ferreras MC, Benavides J, Cuesta N, Pérez C, García Iglesias MJ, García Marín JF, Pérez V. Causes of Mortality and Disease in Rabbits and Hares: A Retrospective Study. Animals (Basel) 2020; 10:ani10010158. [PMID: 31963407 PMCID: PMC7022519 DOI: 10.3390/ani10010158] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 12/13/2019] [Accepted: 01/07/2020] [Indexed: 12/19/2022] Open
Abstract
In this study we determined the causes of mortality and disease in a total of 325 lagomorphs (rabbits and hares) in northern Spain between 2000 and 2018. Risk factors such as the species, age, sex, time of year and origin were also considered. Clinical signs, gross and histopathological findings and ancillary test results were the basis for the final diagnoses that were reviewed to classify and identify the different disorders. A total of 26 different conditions were identified. A single cause of death or illness was detected in 267 animals. They were grouped into parasitic conditions (n= 65; 24.34%) represented by encephalitozoonosis, hepatic coccidiosis, hepatoperitoneal cysticercosis, intestinal coccidiosis, parasitic gastritis and cutaneous ectoparasitosis; bacterial diseases (n = 56; 20.97%) including pseudotuberculosis, blue breast, skin abscesses, tularemia, pneumonic pasteurellosis and staphylococcal infections; nutritional and metabolic diseases (n = 48; 17.97%) with epizootic rabbit enteropathy, hepatic steatosis and pregnancy toxemia as prominent diseases; viral infections (n= 31; 11.61%) comprising rabbit hemorrhagic disease and myxomatosis and miscellaneous causes (n = 31; 11.61%) where rabbit enteritis complex, renal conditions (nephrosis), heat stroke, and arterial bone metaplasia were included; neoplasms (n = 12; 4.49%) represented by uterine adenocarcinoma, mammary adenocarcinoma, cutaneous fibroma, intestinal lymphoma and hepatic cholangiocarcinoma; toxicoses (n = 11; 4.11%); trauma-related injuries (n = 9; 3.37%) and finally congenital diseases (n = 4; 1.49%). In 58 animals of the study, some of these conditions were presented jointly. We discuss the detection frequency, possible causes or associated factors of the different pathologies as well as the importance of the different variables considered.
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Affiliation(s)
- José Espinosa
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
- Departamento de Sanidad Animal, Instituto de Ganadería de Montaña (CSIC-Universidad de León), Finca Marzanas, Grulleros, 24346 León, Spain
- Correspondence:
| | - M. Carmen Ferreras
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
- Departamento de Sanidad Animal, Instituto de Ganadería de Montaña (CSIC-Universidad de León), Finca Marzanas, Grulleros, 24346 León, Spain
| | - Julio Benavides
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
- Departamento de Sanidad Animal, Instituto de Ganadería de Montaña (CSIC-Universidad de León), Finca Marzanas, Grulleros, 24346 León, Spain
| | - Nerea Cuesta
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
| | - Claudia Pérez
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
| | - M. José García Iglesias
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
| | - J. Francisco García Marín
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
| | - Valentín Pérez
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Vegazana s/n, Universidad de León, 24071 León, Spain; (M.C.F.); (J.B.); (N.C.); (C.P.); (M.J.G.I.); (J.F.G.M.); (V.P.)
- Departamento de Sanidad Animal, Instituto de Ganadería de Montaña (CSIC-Universidad de León), Finca Marzanas, Grulleros, 24346 León, Spain
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