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281.e2 Echinococcosis
PROGNOSIS & OUTCOME • Hygiene is important to avoid human ADDITIONAL SUGGESTED
acquisition of the infection through fecal-oral READINGS
VetBooks.ir • Prognosis for intermediate hosts, including • Avoid consumption of raw or undercooked Brunetti E, et al: Cystic echinococcosis: chronic,
contamination from dogs and cats.
• Definitive hosts may have enteritis.
complex, and still neglected. PLoS Negl Trop Dis
humans, depends on the species producing
meat or viscera by humans, dogs, or cats.
5:e1146, 2011.
the hydatid cyst and the location of cysts
within critical organs. Technician Tips Craig PS, et al: Prevention and control of cystic
echinococcosis. Lancet Infect Dis 7:385-394, 2007.
• Little information exists on recently recog- Think safety and use extreme caution! Due to Eckert J, et al: Efficacy evaluation of epsiprantel
nized possibility of hydatid cyst disease in the extreme pathogenicity of this parasite, all (Cestex) against Echinococcus multilocularis in
dogs. suspected feces should be properly collected dogs and cats. Berl Munch Tierarztl Wochenchr
and disposed of. One cannot simply throw the 114:121-126, 2001.
PEARLS & CONSIDERATIONS feces away or wash it down the drain; it should Jenkins DJ, et al: Milbemycin oxime in a new
formulation, combined with praziquantel, does
be incinerated. not reduce the efficacy of praziquantel against E.
Comments multilocularis in cats. J Helminthol 77:367-370,
In the past, it was thought that echinococcosis Client Education 2003.
did not cause hydatid cyst disease in definitive Eggs can infect humans by contamination Moro P, et al: Cystic echinococcosis in the Americas.
hosts such as dogs and cats. However, a series through the fecal/oral route and poor hygiene. Parasitol Int 55:S181-S186, 2006.
of cases in which dogs developed echinococcal A dog licking its anus or perineum and then Torgerson PR, et al: Echinococcosis: diagnosis and
cysts in western Canada has been recognized. licking the human’s face can transfer infective diagnostic interpretation in population studies.
Nevertheless, the disorder is of primary interest eggs to the human’s mouth. Trends Parasitol 25:164-170, 2009.
in small-animal medicine due to the risk of AUTHOR: Charles M. Hendrix, DVM, PhD
zoonosis. SUGGESTED READINGS EDITOR: Joseph Taboada, DVM, DACVIM
Moro P, et al: Echinococcosis: a review. Int J Infect
Prevention Dis 13:125-133, 2009.
• Vaccine is available for intermediate hosts Skelding A, et al: Hepatic alveolar hydatid disease
(sheep and cattle). (Echinococcus multilocularis) in a boxer dog from
southern Ontario. Can Vet J 55:551, 2014.
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