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Over the last decade, studies have begun to shed light on the distribution and genetic characterization of Echinococcus multilocularis , the causative agent of alveolar echinococcosis AE , in North America.
Recent findings indicate that the parasite is likely expanding its range in the central region of the United States and Canada and that invasions of European strains might have occurred. In our review, we present the available data on E.
Furthermore, we stress the need to better understand the complexity of host communities and their roles in shaping the transmission and distribution of the parasite. We hypothesize that a lack of knowledge about AE by North American physicians might result in the misdiagnosis of cases and an underestimation of disease incidence.