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Aeromonas hydrophila infection is one of the major diseases that cause inflammation and immunodepression in aquatic animals. Likewise, waterborne toxins are known for their negative impact on the immunity and antioxidant responses of aquatic organisms. In this study, Lactobacillus plantarum (LP20) was incorporated in Nile tilapia, Oreochromis niloticus, diets (50 mg/kg) to investigate its role in the antioxidant capacity, immunity, and anti-inflammation induced by deltamethrin (DLM) toxicity (96-h LC₅₀ was 14.9 μg/L) and A. hydrophila (LD₅₀, 2 × 10⁸ CFU/ml). One hundred and twenty healthy fish with an initial weight of 28.21 ± 1.34 g were allotted in 12 glass aquaria (60 L) and divided randomly into four groups (triplicates, 10 fish per aquarium). The control fish neither received LP20 nor were exposed to DLM. The second group of fish was fed the control diet and subjected to DLM (DLM group). The third group of fish was provided with LP20 without DLM toxicity (LP20 group), and the fourth group of fish was fed LP20 and subjected to DLM (DLM + LP20 group). After 30 days, fish were intraperitoneally injected with A. hydrophila. Ten days post infection, the survival rate was lower in fish exposed to DLM than those exposed to LP20. Further, fish fed on LP20 had elevated serum total protein (sTP), albumin (ALB), globulin (GLB), phagocytic index (PI), phagocytic (PA), and lysozyme activities (LZM), but they had lower urea, uric acid bilirubin, creatinine, glucose, aspartate aminotransferase (AST), alkaline phosphatase (ALP), and alanine aminotransferase (ALT) activities after 24 h, 48 h, and 1 week post A. hydrophila challenge. However, fish …