The Spanish sheep and horse strains of Echinococcus granulosus possess several differential characteristics in their metacestode stage. Cysts from sheep vary widely in size and fertility, but they usually have a thin cyst wall and, when fertile, a whitish hydatid sand formed by brood capsules and protoscoleces. Two types of infections have been observed in horses: one resembling that of sheep, caused by small, non-fertile cysts with a thin wall, and a second type caused by medium to large, always fertile cysts with a thick wall. In this latter case, hydatid sand is always dark brown in color and formed mainly by brood capsules (with almost no free protoscoleces) and abundant calcareous corpuscles. These characteristics of the fertile equine cysts, which were identified in other studies by genetic, biochemical, immunological and physiological criteria as belonging to the horse strain, have not been previously described nor observed in cysts from other host species. It is considered that the horse strain possesses a strong intermediate host specificity.