Canine brucellosis
Etiology and Epidemiology
Canine brucellosis is caused by
Brucella canis (B. canis), a rough, small, gram-negative, intracellularbacterium. Other
Brucella species, i.e., B. abortus, B. suis, have occasionally caused canine infections butthey are not discussed here. The canine brucella was first recognized in 1966 as a cause of abortions and
reproductive failures and it has since been recognized in several countries. It is especially common in Central
and South America, in the southern states of the United States, and has been diagnosed in commercial or
research breeding kennels (beagle) in several other countries, including Japan and, more recently, in The
People's Republic of China. The disease has been reported sporadically in Europe. Humans may be infected;
however, dogs and other canine species are believed to be the only true hosts. Natural infections occur most
commonly after ingestion of contaminated placental materials or aborted fetuses, vaginal discharges from
infected bitches that are in heat or who abort, and during breeding. Following an abortion, organisms may be
shed for several weeks or, intermittently, for months following an abortion. Males also may shed organisms in
the urine, but bacterial numbers are relatively low, except when urine is contaminated with seminal or
prostatic fluids. Prevalence data is meager, but seroprevalence rates appear high (20-30%) in Mexico and
Central/South America. Estimates in the southern United States, Japan have been reported to be 7-8% in stray
dogs. Food-producing animals are highly resistant. True prevalence rates are unknown and other
epidemiological aspects of canine brucellosis are lacking.
Clinical Signs
Clinical signs are associated principally with the reproductive tract. In females, the most prominent sign is
abortion after 45-55 days of gestation in about 75% of the cases. Early embryonic death and resorption, or
abortion 10-20 days after mating, may occur in some cases. These may go unnoticed and the female may
present with the chief complaint of "failure to conceive". In males, the main sign is epididymitis of one or both
testes, and infertility. Testicular atrophy and a moist scrotal dermatitis may be present. Semen from infected
males usually contains large numbers of abnormal sperm and inflammatory cells, especially during the first 3
post-infection months. Chronically infected males may have no sperm, or reduced numbers of immature
sperm. Autoimmune (anti-sperm) antibodies are present and probably contribute to male infertility.
Nonspecific signs in both sexes include lethargy, loss of libido, premature aging and generalized lymph node
enlargement.
B. canis has been isolated from field cases of diskospondylitis, a condition that also has beenreproduced experimentally in SPF dogs. Recurrent uveitis has been occasionally reported in infected dogs
after several weeks of infection.
Infected males harbor organisms in the prostate gland and epididymides for several months. Bacteria are
disseminated the seminal fluids and, occasionally, urine.
B. canis is short-lived outside the dog and is readilyinactivated by common disinfectants.
Diagnosis
The diagnosis of canine brucellosis requires laboratory confirmation. Blood cultures are strongly
recommended before declaring an animal infected. Serological tests which are presently available to most
veterinarians in the U.S. are imprecise since surface antigens of rough
Brucella, such as B. canis, cross-reactstrongly with antibodies to several other nonpathogenic bacterial species. The most commonly used tests
include:
Serological Tests
Rapid Slide Agglutination Test (RSAT) - The RSAT requires brief treatment of serum with
2-mercaptoethanol (0.2M), and is available in the U.S. as an office screening test (D-Tec CB; Symbiotics
Corp., Kansas City, Missouri, USA.). The antigen is rose bengal-stained
B. ovis, which cross-reacts with B.canis
. A negative slide test is strong evidence that the dog is not infected, but only about 40% of dogs whosesera agglutinate the slide test antigen are actually positive for canine brucellosis. Thus, dogs positive on the
slide agglutination test should not be considered infected until additional serological tests are done -- blood
cultures are always indicated because of the long and continual periods of bacteremia. More than 50% of
infected dogs have a bacteremia lasting 1 year or longer. More specific antigens (
B. canis M-) are nowavailable (NYS Diagnostic Laboratory, Cornell University), but they have not been made commercially
available (see (3) below).
Tube agglutination (TAT) and Agar Gel Immunodiffusion (AGIDcwa) Tests - These tests utilize cell wall
antigens and are additional serologic methods available through diagnostic laboratories. However, those tests
also are flawed by false-positive reactions and difficulties in interpretation, especially with `early' sera or sera
from chronically infected dogs. Results obtained by the RSAT, TAT, and AGIDcwa tests should be confirmed
by more specific tests (below) and isolation attempts.
Improved Serodiagnostic Tests - Improved tests include: (1) A RSAT that employs a mutant strain (less
mucoid, "M-") of
B. canis that has high specificity (M-RSAT); (2) an agar gel immunodiffusion test(AGIDcpa) that employs cytoplasmic protein antigens extracted from the bacterial cytoplasm. The protein
antigens are highly specific for the Genus Brucella and are useful in distinguishing between infected and
noninfected dogs who possess antibodies that react in agglutination or AGID (cell wall antigens) tests, noted
above (1 & 2). (3) enzyme-linked immunosorption tests (ELISA) that employ as antigen cell wall LPS extacts
of
B. canis M- or cytoplasmic proteins extracted from B. abortus. Published results indicate significantadvantages of the improved tests noted above and the warrant serious consideration for further development
for use in diagnostic laboratories or as veterinary office kits.
Indirect Fluorescent Antibody Test (IFAT) - An IFAT is used by several diagnostic laboratories in the U.S.,
but data on its accuracy have not been published. Results from Cornell University's Diagnostic Laboratory
indicate a high rate of false positive reactions with the IFA test.
Blood Cultures
Despite improvements in serologic diagnostic methods, blood cultures should always be performed when the
disease is suspected.
B. canis is readily isolated from the blood on tryptose or trypticase soy media for severalmonths after infection. Cultures should be incubated aeobically, since CO
2 is inhibitory. Detailed methods aredescribed in the references (
Alton et al, 1988). Many laboratories are insufficiently familiar with theinterpretation of canine brucellosis diagnostic procedures, which has frequently resulted in the destruction of
non-infected dogs solely on the basis of agglutination test results that, in fact, were false-positive reactions.
Prevention and Control
Attempts to develop a suitable vaccine which would induce immunity, yet not provoke serological responses
that interfere with the diagnosis, have not been successful. Presently, the development of a vaccine is
considered undesirable since the brucella vaccines which have been studied offered only moderate protection
and vaccinated dogs developed antibodies which would confuse the serodiagnosis. Prevention of infection and
elimination of infected dogs should be the principal control strategy in kennels.
Prevention requires yearly testing of all breeding stock and the testing of all dogs to be introduced into a
kennel. In the United States, the New York State Diagnostic Laboratory at Cornell University is recognized as
the principal, and most reliable, testing lab. Only proved non-infected dogs should be bred. In the United
States, females in breeding kennels are commonly tested by the RSAT before their expected estrus. At least 3
weeks should be allowed to perform further tests to ascertain whether a seropositive test indicates actual
infection or a false-positive result. Two negative tests done at 4-6 week intervals should be required for all
dogs to be introduced into breeding colonies. The two tests will detect dogs who may be incubating the
disease. If a bitch aborts, assume infection until it is proved otherwise. Bitches who abort should be kept
isolated and the premises must be disinfected. If a male dog loses interest in mating, or develops testicular
abnormalities and poor fertility, it should be examined for brucellosis.
Treatment
Treatment is not recommended for dogs in breeding kennels, and where dogs cannot be isolated and
accurately monitored following antibiotic therapy. Treatment is expensive and cures are difficult to achieve,
especially in chronically infected males. Repeated blood cultures and serologic monitoring is required for at
least 3 post-treatment months before a dog can be declared negative. Recrudescence of the infection after the
cessation of antibiotic treatment is common. Even if the organism can be successfully eliminated, males
frequently remain sterile because of irreversible damage to the testes and epididymides. Spaying or castration
is believed to reduce the risk of transmission from infected dogs; however, this hypothesis has not been tested
experimentally and neutering does not eliminate organisms from the body. All neutered dogs should receive a
course of antibiotics. The most successful and practical treatment results have been obtained with a
combination of a tetracycline drug, e.g., tetracycline hydrochloride, doxycycline, minocycline, and
streptomycin administered during the first 3 months of infection. More than 80% cure rates have been
achieved in kennels, where dogs initially diagnosed as infected were euthanized and additional ('early') cases
were treated. Unfortunately, dihydrostreptomycin is unavailable for treatment of dogs in the United States. A
cure is more difficult to achieve in chronic infections.
If available, dihydrostreptomycin (10 mg/kg IM bid) is given for the initial 7 days of treatment together with a
tetracycline antibiotic (25 mg/kg orally tid), which is continued for 4 weeks. During the last 7 days of
tetracycline therapy, streptomycin is again given. In some instances where the first course failed, a second
course of treatment has been successful. Since streptomycin is no longer available in the USA for treatment of
dogs, gentamicin has been recommended by some clinicians as a substitute antibiotic. However, there is
insufficient data to recommend gentamicin, and preliminary studies indicate that its efficacy is unsatisfactory,
except in very early cases - i.e, in dogs infected for less than 1-2 months. Treatment is not recommended for
breeding dogs, or when long-term (3 months) follow-up is unlikely. Treatment failures are especially common
in infected males where organisms are commonly sequestered in the prostate gland and epididymides.
Testing and elimination of infected dogs is the only proven method of eradication of
B. canis from an infectedkennel. An attempt should be made to identify the source of the infection - unfortunately, this has rarely been
accomplished since breeders are reluctant to admit culpability.
Management of infected kennels/dogs is time consuming and expensive. Veterinarians must be prepared to
address owners' concerns and render judicious advice, which may vary according to circumstances. Prevention
is essential to avoid the ordeal of infection in a breeding kennel. As soon as canine brucellosis is diagnosed in
a kennel, vigorous measures must be implemented until the disease has been eradicated. Infected kennels
should be quarantined, even though most states/countries do not have formal regulations. Lack of such
measures has lead to widespread, even international, spread of
B. canis infection.Control Strategies
KENNEL DOGS
Positive dogs - euthanasia. Isolate dogs
as much as possible.
Test sera from all dogs: Agglut/AGID
tests (blood cultures of all suspicious
animals).
Euthanasia
- all infected dogs.Test dogs monthly for 3 months until
colony is negative on 2 successive tests.
PET DOGS - CHOICES DIFFICULT
Isolate dogs.
Spay or castrate + treatment.
Treatment uncertain; chances greater for
success in early infections.
Follow-up serology for 3 months
post-treatment.
Euthanasia should be considered:
Uncertainty of treatment; cost great;
disappointment common.
Public Health Significance
Humans are susceptible to
B. canis, but infections are uncommon and they are usually mild. Approximately40 cases of human infection have been reported in several countries, however the actual number is unknown
since cases are rarely diagnosed, or reported. Symptoms are usually vague - prolonged febrile illness with
lymph node enlargement. Most natural infections have been acquired through close contact with infected
dogs. Laboratory infections also have been reported. Unlike the dog, infected humans usually respond rapidly
to antibiotics (tetracyclines or tetracyclines + streptomycin).
References
Alton GG, Jones LM, Angus RD and Verger JM. Techniques for the brucellosis laboratory. Paris: Institut
National de la Recherche Agronomique 1988;169-174.
Baldi PC, Wanke MM, Loza ME, Fossati CA. Brucella abortus cytoplasmic proteins used as antigens in an
ELISA potentially useful for the diagnosis of canine brucellosis. Vet Microbiol 1994; 41:127-134. - PubMed -
Carmichael LE, Greene CE. Canine brucellosis. In: Greene CE, ed. Infectious Diseases of the Dog and Cat.
Philadelphia, WB Saunders, Co, 1990; 573-584.
Carmichael LE. Canine Brucellosis: A diagnostician's dilemma. In: Seminars in Veterinary Medicine and
Surgery (Small Animals), Jacobson R, ed. 1996; 11:161-165.
Carmichael LE, Joubert JC, Jones L. Characterization of
Brucella canis protein antigens and polypeptideantibody responses of infected dogs. Vet Microbiol 1989; 19:373-387. - PubMed -
Jian H. Identification and characterization of 200 strains of Brucella canis under test from China. Wei Sheng
We Hseuh Pao 1992; 32:370-375. - PubMed -
Johnson CA, Walker RD. Clinical signs and diagnosis of Brucella canis infection. Compend Cont Educ Pract
Vet 1992; 14:763-772.
Mateu de Antonio EM, Martin M, Soler M. Use of indirect enzyme-linked immunosorbent assay with hot
saline extracts of a variant (M-) strain of Brucella canis for diagnosis of brucellosis in dogs. Am J Vet Res
1993; 54:1043-1046. - PubMed -
Nicoletti P, Chase A. An evaluation of methods to diagnose Brucella canis infection in dogs. Compend Cont
Ed Pract Vet 1987; 9:1071-1077.
All rights reserved. This document is available on-line at www.ivis.org. Document No. A0101.1199