[The "dangerous fox tapeworm" (Echinococcus multilocularis) and alveolar echinococcosis of humans in central Europe].

According to the present status of knowledge, endemic Echinococcus multilocularis infections in foxes (Vulpes vulpes) are known to occur in the following countries of Central Europe: Belgium (southern parts), Luxembourg, France (Massif Central and eastern parts), Switzerland (21 of 26 cantons) Liechtenstein, Austria (6 of 9 provinces), Germany (812 of 16 federal states), and Poland (northern parts). The prevalence rates of E. multilocularis are highly variable regionally and range between > 1 and > 50%. Dogs and cats are rarely infected (mostly < 1%). The incidence of human alveolar echinococcosis (AE) is low in the Central European endemic area with 0.02-1.4 new cases per year and 100,000 inhabitants. While in untreated patients the disease is mostly lethal (lethality up to > 90%) and treatment requires high expenditure, AE is of higher public health significance than indicated by the incidence rates. In addition to these aspects diagnosis, treatment and prophylaxis in final hosts (dogs, cats) and preventive measures for humans are discussed.