To identify the risk of pet ownership (i.e., cats and dogs) for alveol
ar echinococcosis caused by Echinococcus multilocularis, the habits an
d activities of 21 patients (histologic confirmation or positive serol
ogy with corresponding evidence on an ultrasonogram, radiograph, or co
mputed tomography scan) in Austria during the period 1967-1997 were co
mpared with the habits and activities of 84 controls matched by sex, a
ge, and residence. Cat ownership (odds ratio (OR) = 6.47, 95% confiden
ce interval (CI) 1.54-27.29) and hunting (OR = 7.83, 95% CI 1.16-52.77
) were independent risk factors associated with alveolar hydatid disea
se. The study is not in agreement with the hypothesis that eating mush
rooms or certain wild berries which grow near the ground are the main
risk factors for acquiring this disease. No other behavior patterns or
activities studied were identified as risk factors.