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Raulf MK, Raue K, Rohdich N, Zschiesche E, Raue J, Merhof K, Volk HA, Schnyder M, Morelli S, Traversa D, Roepke RKA, Strube C. Efficacy of Bravecto ® Plus spot-on solution for cats (280 mg/ml fluralaner and 14 mg/ml moxidectin) in the prevention of feline Aelurostrongylus abstrusus infection evaluated in a multi-diagnostic approach. Parasit Vectors 2024; 17:193. [PMID: 38658960 PMCID: PMC11044604 DOI: 10.1186/s13071-024-06270-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 04/03/2024] [Indexed: 04/26/2024] Open
Abstract
BACKGROUND Aelurostrongylus abstrusus is one of the most important respiratory nematodes of felines. Infections may lead to respiratory clinical signs with varying severity or even death, emphasizing the need for preventive treatment of cats with outdoor access to circumvent patent infections. METHODS Therefore, the preventive efficacy of a spot-on formulation of 280 mg/ml fluralaner and 14 mg/ml moxidectin (Bravecto® Plus spot-on solution for cats, MSD) against A. abstrusus was evaluated in a negative controlled, randomized and partially blinded efficacy study with 28 purpose-bred cats in a non-terminal design. In three different treatment regimes, the minimum recommended dose of 40 mg fluralaner and 2.0 mg moxidectin/kg bodyweight (BW) was administered once at 12, 8 or 4 weeks (study group G1, G2 and G3, respectively) prior to experimental infection with 300 third-stage A. abstrusus larvae, while G4 served as placebo-treated control. RESULTS From 30 to 46 days post infection (dpi; SD 114 to 130), faeces were sampled to monitor first-stage larvae (L1) excretion for efficacy determination. Secondary efficacy criteria, including respiratory parameters, serological antibody levels and computed tomography (CT) findings, were assessed once before enrolment (SD -7 to -1) and before infection (SD 75 to 83). After infection, CT evaluation was performed once at 47-50 dpi (SD 131 to 134), and respiratory parameters and antibody levels were regularly assessed twice or once a week, respectively (1 up to 78 dpi, SD 85 up to 162). All animals in the control group excreted L1 by 33-37 dpi and remained positive throughout the study period from 41 to 46 dpi (SD 125 to 130). In the treatment groups, only one animal each of G1 and G2 excreted L1 at two consecutive days, and four cats of G1, two of G2 and three of G3 were positive on single occasions. While the geometric mean (GM) of the maximum number of excreted L1 per 5 g of faeces was 7380.89 in the control group (G4), GMs were significantly lower in the treatment groups with 1.63 in G1, 1.37 in G2 and 0.79 in G3. Thus, based on GMs, the reduction in excreted L1 exceeded 99.9% in all three treatment groups. Based on CT severity scores, all lungs of the animals of the control group showed severe pulmonary changes post infection, whereas lungs of the cats of the treatment groups were either unaltered (4 animals), mildly (11 animals), or moderately altered (5 animals). Moreover, seroconversion was observed in all cats of the control group, but not in those of the treatment groups. CONCLUSIONS The combination of diagnostic methods used in this non-terminal study yielded coherent and reliable results. A single administration of Bravecto® Plus spot-on solution for cats was well tolerated and effective in the prevention of aelurostrongylosis for at least 12 weeks.
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Affiliation(s)
- Marie-Kristin Raulf
- Institute for Parasitology, Centre for Infection Medicine, University of Veterinary Medicine Hannover, Buenteweg 17, 30559, Hanover, Germany
| | - Katharina Raue
- Institute for Parasitology, Centre for Infection Medicine, University of Veterinary Medicine Hannover, Buenteweg 17, 30559, Hanover, Germany
| | - Nadja Rohdich
- MSD Animal Health Innovation GmbH, Schwabenheim, Germany
| | - Eva Zschiesche
- MSD Animal Health Innovation GmbH, Schwabenheim, Germany
| | - Jonathan Raue
- Department for Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, 30559, Hannover, Germany
| | - Kristina Merhof
- Department for Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, 30559, Hannover, Germany
| | - Holger A Volk
- Department for Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, 30559, Hannover, Germany
| | - Manuela Schnyder
- Institute of Parasitology, Vetsuisse Faculty, University of Zurich, 8057, Zurich, Switzerland
| | - Simone Morelli
- Department of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Donato Traversa
- Department of Veterinary Medicine, University of Teramo, Teramo, Italy
| | | | - Christina Strube
- Institute for Parasitology, Centre for Infection Medicine, University of Veterinary Medicine Hannover, Buenteweg 17, 30559, Hanover, Germany.
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Szydłowicz M, Zajączkowska Ż, Lewicka A, Łukianowski B, Kamiński M, Holubová N, Sak B, Kváč M, Kicia M. Host-specific Cryptosporidium, Giardia and Enterocytozoon bieneusi in shelter dogs from central Europe. Parasitology 2024; 151:351-362. [PMID: 38305092 PMCID: PMC11044064 DOI: 10.1017/s003118202400009x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 01/14/2024] [Accepted: 01/20/2024] [Indexed: 02/03/2024]
Abstract
Cryptosporidium spp., Giardia intestinalis and microsporidia are unicellular opportunistic pathogens that can cause gastrointestinal infections in both animals and humans. Since companion animals may serve as a source of infection, the aim of the present screening study was to analyse the prevalence of these intestinal protists in fecal samples collected from dogs living in 10 animal shelters in central Europe (101 dogs from Poland and 86 from the Czech Republic), combined with molecular subtyping of the detected organisms in order to assess their genetic diversity. Genus-specific polymerase chain reactions were performed to detect DNA of the tested species and to conduct molecular subtyping in collected samples, followed by statistical evaluation of the data obtained (using χ2 or Fisher's tests). The observed prevalence was 15.5, 10.2, 1 and 1% for G. intestinalis, Enterocytozoon bieneusi, Cryptosporidium spp. and Encephalitozoon cuniculi, respectively. Molecular evaluation has revealed the predominance of dog-specific genotypes (Cryptosporidium canis XXe1 subtype; G. intestinalis assemblages C and D; E. cuniculi genotype II; E. bieneusi genotypes D and PtEbIX), suggesting that shelter dogs do not pose a high risk of human transmission. Interestingly, the percentage distribution of the detected pathogens differed between both countries and individual shelters, suggesting that the risk of infection may be associated with conditions typical of a given location.
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Affiliation(s)
- Magdalena Szydłowicz
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
| | - Żaneta Zajączkowska
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
| | - Antonina Lewicka
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
| | - Błażej Łukianowski
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
- Department of Pathomorphology, 4th Military Clinical Hospital, Wroclaw, Poland
| | - Mateusz Kamiński
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
| | - Nikola Holubová
- Biology Centre, Academy of Sciences of the Czech Republic, České Budějovice, Czech Republic
| | - Bohumil Sak
- Biology Centre, Academy of Sciences of the Czech Republic, České Budějovice, Czech Republic
| | - Martin Kváč
- Biology Centre, Academy of Sciences of the Czech Republic, České Budějovice, Czech Republic
- Faculty of Agriculture and Technology, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
| | - Marta Kicia
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
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Bonilla-Aldana JL, Espinosa-Nuñez AC, Bonilla-Aldana DK, Rodriguez-Morales AJ. Toxocara cati Infection in Cats ( Felis catus): A Systematic Review and Meta-Analysis. Animals (Basel) 2024; 14:1022. [PMID: 38612261 PMCID: PMC11011152 DOI: 10.3390/ani14071022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Revised: 03/22/2024] [Accepted: 03/24/2024] [Indexed: 04/14/2024] Open
Abstract
Introduction: Toxocariasis is an infection caused in canines, felines, humans, and other vertebrates by species of the genus Toxocara, such as T. canis and T. cati. The embryonated eggs of these parasites are the primary means of acquiring the infection for both definitive hosts, dogs and cats, respectively, and for intermediates, such as humans and other vertebrates. When deposited on park soils, environmental contamination becomes a risk to environmental, human, and animal health. Objective: To determine the global prevalence of Toxocara cati in cats (Felis catus). Methods: A systematic review of the literature was carried out in six databases (Scopus, PubMed, ScienceDirect, SciELO and Google Scholar) to evaluate the global prevalence of Toxocara cati in cats, defined by coproparasitological, histological, and molecular techniques. A meta-analysis was performed using a random effects model to calculate pooled prevalence and 95% confidence intervals (95% CI). A two-tailed 5% alpha level was used for hypothesis testing. Results: Two hundred and eighty-nine studies were included. The global pooled prevalence of Toxocara cati in cats using coproparasitological methods was 17.0% (95.0% CI: 16.2-17.8%). In the subgroup analysis according to country, Nepal had the highest prevalence of T. cati infection (94.4%; 95% CI 89.7-99.2%). The pooled prevalence of T. cati infection by PCR in four studies was 4.9% (95.0% CI: 1.9-7.9%). Conclusions: This systematic review underscores the need for preventive action against toxocariasis due to its widespread prevalence. The interplay between animal and human health should be emphasised, necessitating measures like deworming cats, hygiene practices, and public education to mitigate risks. Safeguarding feline health can also reduce human transmission, benefiting both species.
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Affiliation(s)
- Jorge Luis Bonilla-Aldana
- School of Veterinary Medicine and Zootehcnics, Faculty of Agricultural Sciences, Universidad de la Amazonia, Florencia 111321, Caquetá, Colombia; (J.L.B.-A.); (A.C.E.-N.)
| | - Alba Cristina Espinosa-Nuñez
- School of Veterinary Medicine and Zootehcnics, Faculty of Agricultural Sciences, Universidad de la Amazonia, Florencia 111321, Caquetá, Colombia; (J.L.B.-A.); (A.C.E.-N.)
| | | | - Alfonso J. Rodriguez-Morales
- Masters of Climate Change and Clinical Epidemiology and Biostatistics Program, Universidad Cientifica del Sur, Lima 15307, Peru;
- Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut P.O. Box 36-5053, Lebanon
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Massetti L, Schnyder M, Wiethoelter A, Brianti E, McDonagh P, Traub R, Colella V. A Taq-Man-based multiplex quantitative PCR for the simultaneous detection and quantification of Angiostrongylus vasorum, Crenosoma vulpis, and species of respiratory capillarids in canids. Int J Parasitol 2024; 54:185-193. [PMID: 38097033 DOI: 10.1016/j.ijpara.2023.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 11/21/2023] [Accepted: 12/08/2023] [Indexed: 12/25/2023]
Abstract
In recent years, Angiostrongylus vasorum, Crenosoma vulpis, Eucoleus aerophilus (syn. Capillaria aerophila) and Eucoleus boehmi (syn. Capillaria boehmi), commonly referred to as canine lungworms, have gained a growing interest worldwide as the result of their geographical expansion. Each of these nematode species differs considerably in its biology and pathogenicity. Despite their impact on dogs' health, these parasites are often underdiagnosed owing to diagnostic challenges. Here, we describe the development and validation of a Taq-Man-based multiplex quantitative PCR (qPCR) for the simultaneous detection of the main species of canine lungworms in faeces of infected dogs. Using 10-fold serial dilutions of synthetic gene block fragments containing individual sequence targets of each lungworm species, the analytical sensitivity of the assay ascertained was 1.84 ng/μl for A. vasorum, 3.08 ng/μl for C. vulpis and 0.79 ng/μl for Eucoleus spp. The sensitivity of the assays and their ability to detect mixed species infections were compared with microscopy-based techniques (faecal floatation and Baermann technique) applied to faecal samples submitted for lungworm testing through an accredited diagnostic laboratory at the Institute of Parasitology, University of Zurich, Switzerland, and from community dogs as part of a research project on canine endoparasites in Cambodia. The multiplex qPCR displayed high diagnostic sensitivity (42/46, 91.3%; 95% Confidence Interval (CI): 79.1-97.1%) and a diagnostic specificity of 100% (45/45, 95% CI: 90.6-100%), and was able to detect 42.9% additional mixed lungworm species infections compared with microscopy-based methods. Kappa statistics showed substantial agreement between the qPCRs and microscopy for mixed infections (κ = 0.72, 95% CI: 0.4-1) and Eucoleus spp. (κ = 0.65, 95% CI: 0.45-0.85) and almost perfect agreement for C. vulpis (κ = 0.85, 95% CI: 0.63-1) and A. vasorum (κ = 0.92, 95% CI: 0.84-1). This multiplex qPCR enables timely, accurate, and sensitive diagnosis of canine lungworm species in faecal samples and can be used to monitor the geographical distribution and emergence of these parasitic species, globally.
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Affiliation(s)
- Luca Massetti
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Manuela Schnyder
- Institute of Parasitology, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 266a, Zürich, 8057, Switzerland
| | - Anke Wiethoelter
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Emanuele Brianti
- Department of Veterinary Sciences, University of Messina, 98168 Messina, Italy
| | - Phillip McDonagh
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Rebecca Traub
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Vito Colella
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia.
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Samorek-Pieróg M, Cencek T, Łabuć E, Pac-Sosińska M, Pieróg M, Korpysa-Dzirba W, Bełcik A, Bilska-Zając E, Karamon J. Occurrence of Eucoleus aerophilus in wild and domestic animals: a systematic review and meta-analysis. Parasit Vectors 2023; 16:245. [PMID: 37475031 PMCID: PMC10360280 DOI: 10.1186/s13071-023-05830-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 06/06/2023] [Indexed: 07/22/2023] Open
Abstract
BACKGROUND Eucoleus aerophilus (syn. Capillaria aerophila) is a nematode with a worldwide geographical distribution. It causes a disease called lung capillariosis by affecting the respiratory tract of wild and domestic animals, and has also occasionally been described in humans. Despite steady increases in knowledge of the morphology of this neglected parasite, many aspects are still poorly understood. Epidemiological data regarding, for example, geographic distribution, range of hosts, clinical relevance and the actual zoonotic potential of this nematode are scarce and incomplete. METHODS This article is a systematic review based on the screening of three databases (PubMed, Web of Science and Science Direct) to identify eligible studies published from 1973 to the end of 2022. RESULTS From a total of 606 studies describing the occurrence of E. aerophilus, 141 articles from 38 countries worldwide were included in this meta-analysis, all of which presented results obtained mainly with flotation and necropsy. Due to the occurrence of E. aerophilus in many different species and different matrices (lungs and faeces), we decided to conduct the meta-analysis separately for each species with a given matrix. This systematic review confirmed the status of the Red fox as the main reservoir and main transmitter of E. aerophilus (average prevalence of 43% in faeces and 49% in lungs) and provided evidence of a higher prevalence of E. aerophilus in wild animals in comparison to domestic animals, such as dogs (3% in faeces) and cats (2% in faeces and 8% in lungs). Previous studies have investigated many host-related factors (age, sex, environmental/living conditions) in relation to the prevalence of E. aerophilus, but they show wide variations and no simple relationship has been demonstrates. Furthermore, mixed infections with other pulmonary nematodes, such as Crenosoma vulpis and/or Angiostrongylus vasorum, are reported very frequently, which greatly complicates the diagnosis. CONCLUSIONS This systematic review focused on identifying data gaps and promoting future research directions in this area. To the best of our knowledge, this is the first systematic review that evaluates and summarizes existing knowledge on the occurrence and prevalence of E. aerophilus in wild and domestic animals originating from different geographical locations worldwide.
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Affiliation(s)
- Małgorzata Samorek-Pieróg
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Partyzantów 57 Avenue, 24-100, Puławy, Poland.
| | - Tomasz Cencek
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Partyzantów 57 Avenue, 24-100, Puławy, Poland
| | - Emilia Łabuć
- Institute of Biological Sciences, Laboratory of Bioinformatics, University of Maria Curie-Skłodowska, Akademicka 19, 20-033, Lublin, Poland
| | - Małgorzata Pac-Sosińska
- Institute of Biological Sciences, Laboratory of Bioinformatics, University of Maria Curie-Skłodowska, Akademicka 19, 20-033, Lublin, Poland
| | - Mateusz Pieróg
- Institute of Biological Sciences, Department of Animal Physiology and Pharmacology, University of Maria Curie-Skłodowska, Akademicka 19, 20-033, Lublin, Poland
| | - Weronika Korpysa-Dzirba
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Partyzantów 57 Avenue, 24-100, Puławy, Poland
| | - Aneta Bełcik
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Partyzantów 57 Avenue, 24-100, Puławy, Poland
| | - Ewa Bilska-Zając
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Partyzantów 57 Avenue, 24-100, Puławy, Poland
| | - Jacek Karamon
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute, Partyzantów 57 Avenue, 24-100, Puławy, Poland
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García-Livia K, Reyes R, Amaro-Ramos V, Baz-González E, Martin-Carrillo N, Rodríguez-Ponce E, Foronda P. Metastrongyloid Infection with Aelurostrongylus abstrusus, Troglostrongylus brevior, Oslerus rostratus and Angiostrongylus chabaudi in Feral Cats from the Canary Islands (Spain). Animals (Basel) 2023; 13:2168. [PMID: 37443966 DOI: 10.3390/ani13132168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 06/27/2023] [Accepted: 06/29/2023] [Indexed: 07/15/2023] Open
Abstract
Lungworms are a major cause of feline respiratory disease, frequently underdiagnosed due to its presentation of symptoms being similar to that of other feline respiratory pathologies. Epidemiological data about these nematodes are scarce in the Canary Islands (Spain). Given the veterinary importance of these parasites, the aim of the present study was to improve the current epidemiological knowledge of the lungworm species that could be affecting feral cats in this archipelago. A total of 29 feral cats from La Gomera were analyzed. The respiratory tract of each animal was inspected and the nematodes obtained were identified by morphological keys and molecular techniques. Metastrongylids were detected to be widely distributed throughout the island with a prevalence of 55.2% (16/29). The species Aelurostrongylus abstrusus, Troglostrongylus brevior, Oslerus rostratus and Angiostrongylus chabaudi were identified. Also, coinfections with A. chabaudi and O. rostratus were detected in two animals. The present study shows a high diversity of lungworms in feral cats in La Gomera, with the first report of A. chabaudi and T. brevior for the Canary Archipelago and the first citation of A. chabaudi in cats for Spain. The wide distribution and high prevalence found in this study indicate a high risk of exposure to pulmonary infections in cats.
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Grants
- ProID2021010013 Consejería de Economía, Industria, Comercio y Conocimiento, Gobierno de Canarias
- ProID2021010013 FEDER-FSE Canarias 2014-2020, "Programa de Apoyo a la Investigación María del Carmen Betencourt y Molina"
- agreement "Estudio de patógenos en aves migratorias y en especies exóticas en un escenario de cambio climático" Consejería de Transición Ecológica, Lucha contra el Cambio Climático y Planificación Territorial, Gobierno de Canarias
- Becas M-ULL, 2019 Spanish Ministry of Science, Innovation and Universities
- Becas M-ULL, 2019 Universidad de La Laguna
- FPI predoctoral scholarship TESIS2021010056 Agencia Canaria de Investigación, Innovación y Sociedad de la Información de la Consejería de Economía, Conocimiento y Empleo
- FPI predoctoral scholarship TESIS2021010056 Fondo Social Europeo (FSE) Programa Operativo integrado de Canarias 2014-2020, Eje 3 Tema Prioritario 74 (85%)
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Affiliation(s)
- Katherine García-Livia
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Department Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Programa de Doctorado en Biodiversidad y Conservación, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
| | - Ricardo Reyes
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Department Bioquímica, Microbiología, Biología Celular y Genética, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
| | - Virginia Amaro-Ramos
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Department Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Programa de Doctorado en Ciencias Médicas y Farmacéuticas, Desarrollo y Calidad de Vida, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
| | - Edgar Baz-González
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Department Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Programa de Doctorado en Ciencias Médicas y Farmacéuticas, Desarrollo y Calidad de Vida, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
| | - Natalia Martin-Carrillo
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Department Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Programa de Doctorado en Ciencias Médicas y Farmacéuticas, Desarrollo y Calidad de Vida, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
| | - Eligia Rodríguez-Ponce
- Department Patología Animal, Facultad de Veterinaria, Universidad de Las Palmas de Gran Canaria (ULPGC), Trasmontaña, Arucas, s/n, 35413 Las Palmas, Spain
| | - Pilar Foronda
- Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias (IUETSPC), Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
- Department Obstetricia y Ginecología, Pediatría, Medicina Preventiva y Salud Pública, Toxicología, Medicina Legal y Forense y Parasitología, Universidad de La Laguna (ULL), Avda. Astrofísico F. Sánchez s/n, 38203 San Cristóbal de La Laguna, Spain
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