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BACKGROUND Echinococcus multilocularis is one of the most severe and lethal parasitic diseases of humans most often reported in Europe and Asia. Only one previous case has been documented in the contiguous United States from Minnesota in 1977. European haplotypes have been identified in carnivores and domestic dogs as well as recently in patients in Western and Central Canada. METHODS We used immunohistochemical testing with the monoclonal antibody (Mab) Em2G11 and a species specific ELISA affinity purified antigen Em2 as well as COX1 g
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