Brucella canis in Commercial Dog Breeding Kennels, Ontario, Canada

We evaluated the prevalence of Brucella canis seropositivity in a convenience sample of dogs from commercial breeding kennels in Ontario, Canada. Overall, 127/1,080 (11.8%) dogs from 23/63 (37%) kennels were seropositive. The prevalence of positive dogs within kennels with >1 positive dog ranged from 3.9% to 100% (median 33%).

B rucella canis is a dog-adapted Brucella species that most commonly causes reproductive disease and diskospondylitis in dogs and can be carried long-term and subclinically. Zoonotic infections are uncommonly reported (1)(2)(3)(4), but may be underdiagnosed (3,5).
In Canada, Brucella canis has been found predominantly in imported dogs. However, it was identified in 2 adult female dogs from a commercial breeding kennel in Ontario, Canada, in March 2019. We conducted an investigation of prevalence and distribution of B. canis in the broader commercial dog breeding population.
We collected serum samples from a convenience sample of dogs at commercial breeding kennels in southern Ontario, Canada. We used rapid slide agglutination test (RSAT) and followed up with positive results using 2-mercaptoethanol RSAT (2ME-RSAT). We performed PCR on whole (EDTA treated) blood from a subset of B. canis−seropositive dogs.
The seropositive rate contrasts with a 1980 study that reported 0.3% seroprevalence in dogs from south-western Ontario (6). Studies in other regions have reported seroprevalence rates of 0%-4.6%; higher rates (e.g., 20%-83%) were reported in some breeding kennels (1,(7)(8)(9). A structured approach to enrollment was not possible because enrollment was based on kennel operators' willingness to participate. Various population enrollment biases might be present in the prevalence estimate. These results should be taken as an indication of widespread presence of B. canis bacteria in this population, with high rates in some kennels and the potential for introduction of infected puppies into households.
Because B. canis infection is a notifiable disease in Ontario, we obtained data from 2013-2018 from the Ontario Ministry of Agriculture Food and Rural Affairs. Provincially, there were no positive test results for B. canis in dogs in 2013, 2015 and 2017, and 1-3 cases in each of 2014, 2016, and 2018. Because prior surveillance was limited, it is unclear whether this is a new problem or one that was previously overlooked. However, these 0-3 diagnoses/year and anecdotal data about recent reproductive disease in some affected kennels make it unlikely that B. canis infection was present but undiagnosed. The origin of the infection could not be properly investigated, but it was suspected to have originated from breeding dogs imported from eastern Europe in 2018.
Without a standard approach for clinical or surveillance testing for B. canis bacteria, we used the sensitive RSAT followed by the more specific 2ME-RSAT, which is considered a confirmatory test (10). Cases with RSAT-positive but 2ME-RSAT−negative results were common; most were subsequently negative. A possible cause was transient cross-reaction with Bordetella bronchiseptica vaccination or another pathogen; we could not investigate specifically because information about B. bronchiseptica vaccination or infection in these dogs was not available. The potential for false-positive results should be considered, particularly because infected dogs are often euthanized in accordance with regulatory requirements.
We evaluated the prevalence of Brucella canis seropositivity in a convenience sample of dogs from commercial breeding kennels in Ontario, Canada. Overall, 127/1,080 (11.8%) dogs from 23/63 (37%) kennels were seropositive. The prevalence of positive dogs within kennels with >1 positive dog ranged from 3.9% to 100% (median 33%).

RESEARCH LETTERS
Limited PCR testing was performed because of negative results in the first 20 samples; negative results were presumed due to the intermittent nature of B. canis bacteremia in clinically normal animals. Although PCR or culture can provide a definitive diagnosis, sensitivity can be low for screening; it is higher when testing reproductive or fetal fluids or tissues from abortions or stillbirths for B. canis.
Limited clinical data were available. Some affected kennels reported substantial reproductive challenges presumably associated with brucellosis (e.g., small litter sizes, abortions, stillbirths, low conception rates) whereas no problems were reported in others. Whether this reflects lack of recognition of problems, subclinical infection, or early infection that had not yet resulted in overt reproductive disease is unclear.
Underdiagnosis of B. canis as a cause of nonspecific disease (e.g., undulating fever, fatigue, headache, malaise, chills, weight loss, hepatomegaly, splenomegaly, lymphadenopathy) and human brucellosis is a concern; physicians are more likely to perform serologic tests that target smooth Brucella species (B. abortus, B. suis, and B. melitensis). Physicians should consider the potential presence of B. canis in patients with disease suggestive of brucellosis, especially those with animal contact, and realize the limitations of serologic testing.
Brucella canis should be considered endemic to commercial dog kennels in Ontario, with potential human health risks. B. canis screening of breeding dogs is recommended (10), and testing of puppies from parents of unknown Brucella status is reasonable.