South American camelids, especially llamas and alpacas, are very susceptible to infections caused by endoparasites. The so-called small liver fluke (Dicrocoelium dendriticum) is particularly problematic and infections with this parasite are frequently fatal. Moreover, camelids are prone to stress and together with their tendency to spit (especially when they do not like the taste of something) this very often results in underdosing if they are given medicine to swallow.
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