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1.
NPJ Biofilms Microbiomes ; 10(1): 42, 2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38697985

RESUMEN

Post-weaning diarrhoea (PWD) in piglets presents a widespread problem in industrial pig production and is often caused by enterotoxigenic E. coli (ETEC) strains. Current solutions, such as antibiotics and medicinal zinc oxide, are unsustainable and are increasingly being prohibited, resulting in a dire need for novel solutions. Thus, in this study, we propose and evaluate a protein-based feed additive, comprising two bivalent heavy chain variable domain (VHH) constructs (VHH-(GGGGS)3-VHH, BL1.2 and BL2.2) as an alternative solution to manage PWD. We demonstrate in vitro that these constructs bind to ETEC toxins and fimbriae, whilst they do no affect bacterial growth rate. Furthermore, in a pig study, we show that oral administration of these constructs after ETEC challenge reduced ETEC proliferation when compared to challenged control piglets (1-2 log10 units difference in gene copies and bacterial count/g faeces across day 2-7) and resulted in week 1 enrichment of three bacterial families (Prevotellaceae (estimate: 1.12 ± 0.25, q = 0.0054), Lactobacillaceae (estimate: 2.86 ± 0.52, q = 0.0012), and Ruminococcaceae (estimate: 0.66 ± 0.18, q = 0.049)) within the gut microbiota that appeared later in challenged control piglets, thus pointing to an earlier transition towards a more mature gut microbiota. These data suggest that such VHH constructs may find utility in industrial pig production as a feed additive for tackling ETEC and reducing the risk of PWD in piglet populations.


Asunto(s)
Diarrea , Escherichia coli Enterotoxigénica , Infecciones por Escherichia coli , Microbioma Gastrointestinal , Enfermedades de los Porcinos , Destete , Animales , Porcinos , Diarrea/microbiología , Diarrea/prevención & control , Diarrea/veterinaria , Infecciones por Escherichia coli/prevención & control , Infecciones por Escherichia coli/microbiología , Infecciones por Escherichia coli/veterinaria , Enfermedades de los Porcinos/microbiología , Enfermedades de los Porcinos/prevención & control , Alimentación Animal , Heces/microbiología
2.
Equine Vet J ; 56(3): 392-423, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38169127

RESUMEN

BACKGROUND: There is a lack of consensus on how best to balance our need to minimise the risk of parasite-associated disease in the individual horse, with the need to limit the use of anthelmintics in the population to preserve their efficacy through delaying further development of resistance. OBJECTIVES: To develop evidence-based guidelines utilising a modified GRADE framework. METHODS: A panel of veterinary scientists with relevant expertise and experience was convened. Relevant research questions were identified and developed with associated search terms being defined. Evidence in the veterinary literature was evaluated using the GRADE evidence-to-decision framework. Literature searches were performed utilising CAB abstracts and PubMed. Where there was insufficient evidence to answer the research question the panel developed practical guidance based on their collective knowledge and experience. RESULTS: Search results are presented, and recommendation or practical guidance were made in response to 37 clinically relevant questions relating to the use of anthelmintics in horses. MAIN LIMITATIONS: There was insufficient evidence to answer many of the questions with any degree of certainty and practical guidance frequently had to be based upon extrapolation of relevant information and the panel members' collective experience and opinions. CONCLUSIONS: Equine parasite control practices and current recommendations have a weak evidence base. These guidelines highlight changes in equine parasite control that should be considered to reduce the threat of parasite-associated disease and delay the development of further anthelmintic resistance.


Asunto(s)
Antihelmínticos , Enfermedades de los Caballos , Animales , Caballos , Enfermedades de los Caballos/epidemiología , Antihelmínticos/uso terapéutico , Control de Enfermedades Transmisibles , Atención Primaria de Salud , Recuento de Huevos de Parásitos/veterinaria , Resistencia a Medicamentos , Heces
4.
Nature ; 604(7906): 517-524, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35418684

RESUMEN

The rates and patterns of somatic mutation in normal tissues are largely unknown outside of humans1-7. Comparative analyses can shed light on the diversity of mutagenesis across species, and on long-standing hypotheses about the evolution of somatic mutation rates and their role in cancer and ageing. Here we performed whole-genome sequencing of 208 intestinal crypts from 56 individuals to study the landscape of somatic mutation across 16 mammalian species. We found that somatic mutagenesis was dominated by seemingly endogenous mutational processes in all species, including 5-methylcytosine deamination and oxidative damage. With some differences, mutational signatures in other species resembled those described in humans8, although the relative contribution of each signature varied across species. Notably, the somatic mutation rate per year varied greatly across species and exhibited a strong inverse relationship with species lifespan, with no other life-history trait studied showing a comparable association. Despite widely different life histories among the species we examined-including variation of around 30-fold in lifespan and around 40,000-fold in body mass-the somatic mutation burden at the end of lifespan varied only by a factor of around 3. These data unveil common mutational processes across mammals, and suggest that somatic mutation rates are evolutionarily constrained and may be a contributing factor in ageing.


Asunto(s)
Longevidad , Tasa de Mutación , Animales , Humanos , Longevidad/genética , Mamíferos/genética , Mutagénesis/genética , Mutación
5.
Prev Vet Med ; 197: 105507, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34673473

RESUMEN

Trypanosomosis is a major cause of morbidity and mortality in working equids in The Gambia. Recently, a progressive, severe neurological syndrome characterised by a diffuse lymphoplasmacytic meningoencephalitis has been identified and associated with Trypanosoma brucei infection of the central nervous system. The pathogenesis of cerebral trypanosomosis is unclear and the clinical syndrome not well described. This observational cross-sectional study aimed to identify host and parasite related risk factors associated with the development of cerebral trypanosomosis and to describe the neurological syndrome associated with cerebral trypanosomosis. History, signalment, clinical and laboratory parameters were collected from 326 horses and donkeys presented to The Gambia Horse and Donkey Trust. Neurological derangements in affected animals were described. Species-specific polymerase chain reaction (PCR) for Trypanosoma congolense, Trypanosoma vivax and Trypanosoma brucei was performed. The associations between signalment, clinical and laboratory parameters and PCR results were assessed using multivariable logistic regression. The overall prevalence of trypanosomosis was 50 %, with infections dominated by T. congolense (44.1 %) and a lower intensity of T. brucei (7.4 %) and T. vivax (6.5 %). Overall, 54.8 % of neurological cases were PCR positive for trypanosomosis. Within the neurological sub-population prevalence remained similar to the whole population for T. congolense (48.4 %) and T. vivax (6.5 %); whilst the prevalence increased markedly for T. brucei (32.3 %). Co-infections were identified in 32.3 % of neurological cases. Donkeys typically presented with progressive cerebral dysfunction and cranial nerve deficits, whereas in horses a progressive spinal ataxia was predominant. Mortality in affected animals was high (82.4 %). The final multivariable model identified a significant association between body condition score ≤2 (OR 11.4; 95 % CI 4.6-27.9; P = <0.001), and T. congolense and T. brucei. coinfection (OR 20.6; 95 % CI 1.71-244.1; P = 0.016) with the presence of neurological deficits. This study has provided clinically relevant information confirming the link between T. brucei and neurological disease outbreak in the equid population of The Gambia, and crucially identified co-infection with T. brucei and T. congolense as a major risk factor for the development of neurological trypanosomosis. Further research is required to identify the epidemiology of co-infection in equidae of The Gambia, so that cerebral trypanosomosis can be better prevented in this vulnerable population.


Asunto(s)
Coinfección , Enfermedades de los Caballos , Trypanosoma brucei brucei , Trypanosoma congolense , Trypanosoma , Tripanosomiasis Africana , Animales , Coinfección/epidemiología , Coinfección/veterinaria , Gambia/epidemiología , Caballos , Factores de Riesgo , Tripanosomiasis Africana/epidemiología , Tripanosomiasis Africana/veterinaria
6.
Animals (Basel) ; 10(12)2020 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-33291496

RESUMEN

The importance of the gut microbiome for host health has been the subject of intense research over the last decade. In particular, there is overwhelming evidence for the influence of resident microbiota on gut mucosal and systemic immunity; with significant implications for the outcome of gastrointestinal (GI) infections, such as parasitic helminths. The horse is a species that relies heavily on its gut microbiota for GI and overall health, and disturbances in this complex ecosystem are often associated with life-threatening disease. In turn, nearly all horses harbour parasitic helminths from a young age, the most prevalent of which are the small strongyles, or cyathostomins. Research describing the relationship between gut microbiota and cyathostomin infection is in its infancy, however, to date there is evidence of meaningful interactions between these two groups of organisms which not only influence the outcome of cyathostomin infection but have long term consequences for equine host health. Here, we describe these interactions alongside supportive evidence from other species and suggest novel theories and avenues for research which have the potential to revolutionize our approach to cyathostomin prevention and control in the future.

7.
Mol Biochem Parasitol ; 233: 111222, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31541662

RESUMEN

The gastrointestinal (GI) tract of vertebrates is inhabited by a vast array of organisms, i.e., the microbiota and macrobiota. The former is composed largely of commensal microorganisms, which play vital roles in host nutrition and maintenance of energy balance, in addition to supporting the development and function of the vertebrate immune system. By contrast, the macrobiota includes parasitic helminths, which are mostly considered detrimental to host health via a range of pathogenic effects that depend on parasite size, location in the GI tract, burden of infection, metabolic activity, and interactions with the host immune system. Sharing the same environment within the vertebrate host, the GI microbiota and parasitic helminths interact with each other, and the results of such interactions may impact, directly or indirectly, on host health and homeostasis. The complex relationships occurring between parasitic helminths and microbiota have long been neglected; however, recent studies point towards a role for these interactions in the overall pathophysiology of helminth disease, as well as in parasite-mediated suppression of inflammation. Whilst several discrepancies in qualitative and quantitative modifications in gut microbiota composition have been described based on host and helminth species under investigation, we argue that attention should be paid to the systems biology of the gut compartment under consideration, as variations in the abundances of the same population of bacteria inhabiting different niches of the GI tract may result in varying functional consequences for host physiology.


Asunto(s)
Tracto Gastrointestinal , Helmintos , Microbiota , Ancylostomatoidea/parasitología , Animales , Ascaris/parasitología , Tracto Gastrointestinal/microbiología , Tracto Gastrointestinal/parasitología , Interacciones Huésped-Parásitos/inmunología , Humanos , Inmunidad Mucosa , Mucosa Intestinal/microbiología , Mucosa Intestinal/parasitología , Intestino Grueso/microbiología , Intestino Grueso/parasitología , Intestino Delgado/microbiología , Intestino Delgado/parasitología , Lactobacillus/inmunología , Nematodos/parasitología , Platelmintos/parasitología , Schistosoma/parasitología , Estómago/microbiología , Estómago/parasitología , Strongyloides stercoralis/parasitología , Trematodos/parasitología , Trichuris/parasitología
8.
Sci Rep ; 9(1): 11121, 2019 07 31.
Artículo en Inglés | MEDLINE | ID: mdl-31366962

RESUMEN

A plethora of data points towards a role of the gastrointestinal (GI) microbiota of neonatal and young vertebrates in supporting the development and regulation of the host immune system. However, knowledge of the impact that infections by GI helminths exert on the developing microbiota of juvenile hosts is, thus far, limited. This study investigates, for the first time, the associations between acute infections by GI helminths and the faecal microbial and metabolic profiles of a cohort of equine youngstock, prior to and following treatment with parasiticides (ivermectin). We observed that high versus low parasite burdens (measured via parasite egg counts in faecal samples) were associated with specific compositional alterations of the developing microbiome; in particular, the faecal microbiota of animals with heavy worm infection burdens was characterised by lower microbial richness, and alterations to the relative abundances of bacterial taxa with immune-modulatory functions. Amino acids and glucose were increased in faecal samples from the same cohort, which indicated the likely occurrence of intestinal malabsorption. These data support the hypothesis that GI helminth infections in young livestock are associated with significant alterations to the GI microbiota, which may impact on both metabolism and development of acquired immunity. This knowledge will direct future studies aimed to identify the long-term impact of infection-induced alterations of the GI microbiota in young livestock.


Asunto(s)
Disbiosis/microbiología , Disbiosis/parasitología , Helmintiasis/microbiología , Helmintos/parasitología , Herbivoria/fisiología , Caballos/parasitología , Animales , Disbiosis/tratamiento farmacológico , Heces/parasitología , Femenino , Microbioma Gastrointestinal/fisiología , Helmintiasis/tratamiento farmacológico , Helmintos/efectos de los fármacos , Ivermectina/farmacología , Masculino
9.
Parasitology ; 146(11): 1371-1378, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31258097

RESUMEN

The multifaceted interactions occurring between gastrointestinal (GI) parasitic helminths and the host gut microbiota are emerging as a key area of study within the broader research domain of host-pathogen relationships. Over the past few years, a wealth of investigations has demonstrated that GI helminths interact with the host gut flora, and that such interactions result in modifications of the host immune and metabolic statuses. Nevertheless, whilst selected changes in gut microbial composition are consistently observed in response to GI helminth infections across several host-parasite systems, research in this area to date is largely characterised by inconsistent findings. These discrepancies are particularly evident when data from studies of GI helminth-microbiota interactions conducted in humans from parasite-endemic regions are compared. In this review, we provide an overview of the main sources of variance that affect investigations on helminth-gut microbiota interactions in humans, and propose a series of methodological approaches that, whilst accounting for the inevitable constraints of fieldwork, are aimed at minimising confounding factors and draw biologically meaningful interpretations from highly variable datasets.


Asunto(s)
Microbioma Gastrointestinal , Helmintiasis , Parasitosis Intestinales , Microbioma Gastrointestinal/inmunología , Helmintiasis/inmunología , Helmintiasis/metabolismo , Humanos , Parasitosis Intestinales/inmunología , Parasitosis Intestinales/metabolismo
10.
Sci Rep ; 8(1): 12072, 2018 08 13.
Artículo en Inglés | MEDLINE | ID: mdl-30104612

RESUMEN

In spite of the extensive contribution of intestinal pathology to the pathophysiology of schistosomiasis, little is known of the impact of schistosome infection on the composition of the gut microbiota of its mammalian host. Here, we characterised the fluctuations in the composition of the gut microbial flora of the small and large intestine, as well as the changes in abundance of individual microbial species, of mice experimentally infected with Schistosoma mansoni with the goal of identifying microbial taxa with potential roles in the pathophysiology of infection and disease. Bioinformatic analyses of bacterial 16S rRNA gene data revealed an overall reduction in gut microbial alpha diversity, alongside a significant increase in microbial beta diversity characterised by expanded populations of Akkermansia muciniphila (phylum Verrucomicrobia) and lactobacilli, in the gut microbiota of S. mansoni-infected mice when compared to uninfected control animals. These data support a role of the mammalian gut microbiota in the pathogenesis of hepato-intestinal schistosomiasis and serves as a foundation for the design of mechanistic studies to unravel the complex relationships amongst parasitic helminths, gut microbiota, pathophysiology of infection and host immunity.


Asunto(s)
Microbioma Gastrointestinal/inmunología , Intestinos/microbiología , Schistosoma mansoni/patogenicidad , Esquistosomiasis mansoni/inmunología , Animales , Bacteroides/genética , Bacteroides/inmunología , Bacteroides/aislamiento & purificación , ADN Bacteriano/aislamiento & purificación , Modelos Animales de Enfermedad , Femenino , Microbioma Gastrointestinal/genética , Humanos , Intestinos/patología , Lactobacillus/genética , Lactobacillus/inmunología , Lactobacillus/aislamiento & purificación , Ratones , ARN Ribosómico 16S/genética , Schistosoma mansoni/inmunología , Esquistosomiasis mansoni/microbiología , Esquistosomiasis mansoni/parasitología , Esquistosomiasis mansoni/patología , Verrucomicrobia/genética , Verrucomicrobia/inmunología , Verrucomicrobia/aislamiento & purificación
11.
Parasit Vectors ; 11(1): 61, 2018 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-29370872

RESUMEN

BACKGROUND: In spite of the emergence of populations of drug-resistant cyathostomines worldwide, little is known of parasite species responsible for 'early egg shedding' in cohorts of horses subjected to treatment with widely used anthelmintics, e.g. ivermectin (IVM). In this study, we determined the cyathostomine egg reappearance period (ERP) after IVM treatment in a cohort of yearlings from a large Thoroughbred (TB) stud farm in the United Kingdom, and identified species of cyathostomines with reduced ERP using a combination of fundamental parasitology techniques coupled with advanced molecular tools. METHODS: Individual faecal samples were collected from TB yearlings with cyathostomine infection prior to IVM treatment, as well as at 14, 21, 28, 35, 42 and 49 days post-treatment. Faecal egg counts (FEC) were performed for each individual sample for determination of ERPs. In addition, individual larval cultures were performed and representative numbers of third-stage larvae (L3s) harvested from each culture were subjected to molecular species identification via PCR-Reverse Line Blot (RLB). RESULTS: Prior to IVM treatment, 11 cyathostomine species were detected in faecal samples from TB horses enrolled in this study, i.e. Cyathostomum catinatum, Cylicostephanus longibursatus, Cylicostephanus goldi, Cylicocyclus nassatus, Cylicostephanus calicatus, Cyathostomum pateratum, Cylicocyclus radiatus, Paraposteriostomum mettami, Coronocyclus labratus, Cylicocyclus insigne and Cylicocyclus radiatus variant A. Of these, eggs of Cya. catinatum, Cys. longibursatus, Cyc. nassatus and Cyc. radiatus could be detected at 28 days post-treatment, while from day 42 onwards, cyathostomine species composition reflected data obtained pre-IVM treatment, with the exception of eggs of Cor. labratus and Cyc. insigne which could no longer be detected post-IVM administration. CONCLUSIONS: This study provides valuable data on the occurrence of IVM-resistance in cyathostomines in the UK. Nevertheless, further investigations are needed to shed light on the prevalence and incidence of drug-resistance in this country, as well as other areas of the world where equine trade is substantial.


Asunto(s)
Antihelmínticos/administración & dosificación , Enfermedades de los Caballos/tratamiento farmacológico , Enfermedades de los Caballos/parasitología , Ivermectina/administración & dosificación , Infecciones por Strongylida/veterinaria , Strongyloidea/aislamiento & purificación , Animales , Resistencia a Medicamentos , Heces/parasitología , Caballos , Recuento de Huevos de Parásitos , Reacción en Cadena de la Polimerasa , Recurrencia , Infecciones por Strongylida/tratamiento farmacológico , Infecciones por Strongylida/parasitología , Strongyloidea/clasificación , Strongyloidea/genética , Factores de Tiempo , Reino Unido
12.
PLoS One ; 12(9): e0184719, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28892494

RESUMEN

Investigations of the impact that patent infections by soil-transmitted gastrointestinal nematode parasites exert on the composition of the host gut commensal flora are attracting growing interest by the scientific community. However, information collected to date varies across experiments, and further studies are needed to identify consistent relationships between parasites and commensal microbial species. Here, we explore the qualitative and quantitative differences between the microbial community profiles of cohorts of human volunteers from Sri Lanka with patent infection by one or more parasitic nematode species (H+), as well as that of uninfected subjects (H-) and of volunteers who had been subjected to regular prophylactic anthelmintic treatment (Ht). High-throughput sequencing of the bacterial 16S rRNA gene, followed by bioinformatics and biostatistical analyses of sequence data revealed no significant differences in alpha diversity (Shannon) and richness between groups (P = 0.65, P = 0.13 respectively); however, beta diversity was significantly increased in H+ and Ht when individually compared to H-volunteers (P = 0.04). Among others, bacteria of the families Verrucomicrobiaceae and Enterobacteriaceae showed a trend towards increased abundance in H+, whereas the Leuconostocaceae and Bacteroidaceae showed a relative increase in H- and Ht respectively. Our findings add valuable knowledge to the vast, and yet little explored, research field of parasite-microbiota interactions and will provide a basis for the elucidation of the role such interactions play in pathogenic and immune-modulatory properties of parasitic nematodes in both human and animal hosts.


Asunto(s)
Biodiversidad , Heces/microbiología , Microbioma Gastrointestinal , Helmintiasis/microbiología , Helmintiasis/parasitología , Helmintos , Parasitosis Intestinales/microbiología , Análisis de Varianza , Animales , Biología Computacional/métodos , Humanos , Metagenoma , Metagenómica/métodos , Sri Lanka
13.
Trends Parasitol ; 33(8): 619-632, 2017 08.
Artículo en Inglés | MEDLINE | ID: mdl-28506779

RESUMEN

Gastrointestinal helminth parasites share their habitat with a myriad of other organisms, that is, the commensal microbiota. Increasing evidence, particularly in humans and rodent models of helminth infection, points towards a multitude of interactions occurring between parasites and the gut microbiota, with a profound impact on both host immunity and metabolic potential. Despite this information, the exploration of the effects that parasite infections exert on populations of commensal gut microbes of veterinary species is a field of research in its infancy. In this article, we summarise studies that have contributed to current knowledge of helminth-microbiota interactions in species of veterinary interest, and identify possible avenues for future research in this area, which could include the exploitation of such relationships to improve parasite control and delay or prevent the development of anthelmintic resistance.


Asunto(s)
Microbioma Gastrointestinal/fisiología , Helmintiasis Animal/microbiología , Helmintos/fisiología , Animales , Antihelmínticos/farmacología , Antihelmínticos/uso terapéutico , Fenómenos Fisiológicos Bacterianos , Biodiversidad , Resistencia a Medicamentos , Helmintiasis Animal/tratamiento farmacológico , Helmintiasis Animal/inmunología , Helmintos/efectos de los fármacos , Investigación/tendencias
14.
BMC Vet Res ; 9: 179, 2013 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-24025403

RESUMEN

BACKGROUND: Gastrointestinal nematode infections constitute a threat to the health and welfare of donkeys worldwide. Their primary means of control is via anthelmintic treatments; however, use of these drugs has constraints in developing countries, including cost, limited availability, access to cheaper generic forms of variable quality and potential anthelmintic resistance. As an alternative, bioactive plants have been proposed as an option to treat and control gastrointestinal helminths in donkeys. This study aimed to use participatory methodology to explore donkey owner knowledge, attitudes and beliefs relating to the use of plant-based treatments for gastrointestinal parasites of donkeys in Ethiopia. RESULTS: In focus groups, 22/29 groups stated they knew of plants used for the treatment of gastrointestinal parasites in donkeys. All groups volunteered plants that were used in cattle and/or small ruminants. In total, 21 plants were named by participants. 'Koso' (Hagenia abyssinica) 'Grawa' (Vernonia amygdalina) and a mixed roots and leaves preparation were the most frequently named plant preparations. 'Enkoko' (Embelia shimperi) and 'a mixture of roots and leaves' were ranked highly for effectiveness in donkeys. However, 'Grawa' and 'Koso' were the highest ranked when taking into account both the rank position and the number of groups ranking the plant.Thematic analysis of participants' current attitudes and beliefs surrounding traditional plant-based remedies for gastrointestinal parasites revealed that anthelmintics obtained from clinics were generally favoured due to their ease of administration and perceived higher effectiveness. There was doubt surrounding the effectiveness of some plant-based treatments, but there were also perceived advantages including their low cost, ease of cultivation and availability. However, plant-based treatments were considered a "past trend" and people favoured "modern" medicine, particularly among the younger generation. CONCLUSIONS: There was extensive knowledge of plant-based treatments for gastrointestinal parasites in livestock in Ethiopia. In donkeys, Koso (Hagenia abyssinica), Grawa (Vernonia amygdalina), Enkoko (Embelia shimperi) and 'mixed roots and leaves' were the most frequently named and/or highest ranked plants with reported efficacy against gastrointestinal parasites. Further in vitro and in vivo investigation of these plants is now required to determine viable alternatives for the treatment and control of gastrointestinal parasites in Ethiopia.


Asunto(s)
Equidae , Enfermedades Gastrointestinales/veterinaria , Enfermedades Parasitarias en Animales/terapia , Plantas Medicinales/clasificación , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Etiopía/epidemiología , Femenino , Enfermedades Gastrointestinales/parasitología , Humanos , Masculino , Medicinas Tradicionales Africanas , Persona de Mediana Edad , Adulto Joven
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