Overview of Echinococcus multilocularis in Turkey and in the World

Echinococcus multilocularis , a heteroxen and zoonotic parasite, is found in the intestine of carnivores, particularly foxes. Adult cestodes are regarded apathogenic in definitive hosts, while metacestode, the alveolar form, is high pathogenic for intermediate hosts. The alveolar cyst causes a maling tumor-like lesions with infiltrative, proliferative and destructive character which locates in the liver primarily, then metastasizes to other organs. If it is not treated in intermediate hosts it causes irreversible symtoms and death after located in vital organs such as liver, lungs, brain. Humans are infected by oral uptake of the viable eggs, accidentally. Because its life-cycle depends on relationship between hunter and hunting, endemic areas of the parasite are limited. The cestoda is found only in the Northern Hemisphere, while some countries are regarded high-endemic, such as Turkey. However, there is a few study on epidemiology of the parasite in Turkey, except human cases. In the review, data on the distribution of E. multilocularis in definitive and intermediate hosts in the world are presented, and the situation of the parasite in Turkey has been evaluated in detail.