ABSTRACT. A 33 month-old male flying squirrel kept in a zoo developed progressive dyspnea and died. Macroscopically, the liver and lung were enlarged with numerous nodular vesicles. Histologically, these organs were replaced by numerous collapsed vesicles demarcated by fibrous tissues. The cysts lined by a cellular, germinal layer contained numerous brood capsules with abundant production of well-developed protoscolices. Protoscolices were about 80-100 µm in diameter, and had hooks being visible as refractive structures. This zoo locates in the east of Hokkaido where is an endemic area of Echinococcus multilocularis infection. From epidemiology and pathological findings, this animal was diagnosed as E.multilocularis infection. This report describes the pathology of the first case of E. multilocularis infection in a flying squirrel. Echinococcosis, also known as hydatid disease, is one of the most important zoonotic diseases, causing human morbidity and mortality worldwide [3]. Generally, six species of Echinococcus are recognized, and four of them are of public health concern: Echinococcus granulosus, E. multilocularis, E. vogeli and E. oligarthrus [6,[9][10][11]. E.granulosus is characterized by the presence of unilocular cysts. In contrast, E.multilocularis which causes alveolar echinococcosis, and E.vogeli and E.oligarthrus are associated with the multicystic lesion. While E.vogeli and E.oligarthrus are restricted to South and Central America [5], the geographical distribution of E.granulosus is worldwide, and that of E. multilocularis is wide in the northern hemisphere, such as central Europe, Russia, central Asia, China, Alaska and Canada [9][10][11]. The life cycle of E. granulosus involves dogs and other canids as definitive hosts, and domestic and wild ungulates as intermediate hosts. Meanwhile, E. multilocularis exploits predator-prey relationships between canids and rodents [2]. In Hokkaido, an endemic area of E. multilocularis in Japan, the Ezo red fox (Vulpes vulpes chrenchki) and red-backed vole (Myodes rufocanus bedfordiae) mainly maintain its life cycle [7]. In foreign countries, the common vole (Microtus arvalis), the water vole (Arvicola terrestris) and the muskrat (Ondatra zibethicus) are important intermediate host for this species [2]. In addition to voles, grounds squirrels (Citellus daurious, C. erythrogenys, C. ungugalatus and C. alashanicus), red squirrel (Sciurus vulgaris), bobak marmot (Marmota bobak) and Prevost's squirrel belonging to the suborder Sciuromorpha have been reported rarely as the intermediated host [2,12,13]. This paper describes the first case of Ezo flying squirrel (Pteromys volans orii) affected with larval E. multilocularis.A 33 month-old male Ezo flying squirrel, which was born and kept in the lair at a logged timber soon after birth to one month-old, and then housed in a metal cage enclosure with an outdoor area in Kushiro City Zoo. The animal developed progressive dyspnea and died on three days after the onset of dyspnea, and then dissected by a zoo veterinarian. M...