When it comes to tick-borne diseases in dogs, few are as insidious and widespread as Ehrlichiosis. This condition, caused by bacteria transmitted through tick bites, can lead to serious health issues if left untreated. Whether you’re a concerned pet owner or a veterinary professional, understanding the nuances of this disease is vital for timely detection and treatment.
In this article, we delve deep into the causes, clinical signs, diagnosis, treatment options, and prevention strategies of Ehrlichiosis in dogs. This guide is designed to be both educational and practical, providing everything you need to know in one place.
What Is Ehrlichiosis?
Ehrlichiosis is a tick-borne infectious disease caused by several species of the Ehrlichia bacterium. The primary culprit in dogs is Ehrlichia canis, which is transmitted by the brown dog tick (Rhipicephalus sanguineus). Other species, such as Ehrlichia ewingii and Ehrlichia chaffeensis, can also infect canines, though they are less common.
This disease is found worldwide, particularly in warmer climates and regions with high tick populations. It can affect dogs of all breeds and ages, although those living outdoors or in areas endemic to ticks are at a greater risk.

How Do Dogs Get Infected with Erlichiosis?
Infection occurs when an infected tick feeds on a dog’s blood. Once transmitted, Ehrlichia bacteria invade and multiply within white blood cells. The incubation period typically ranges from 1 to 3 weeks, after which the disease progresses through three distinct stages:
1. Acute Phase
- Lasts 2 to 4 weeks.
- Dogs may show signs like fever, lethargy, swollen lymph nodes, loss of appetite, and bruising.
2. Subclinical Phase
- It can last months or even years.
- The dog appears healthy but is still infected.
- Blood abnormalities like low platelet count may be the only indicator.
3. Chronic Phase
- Occurs if the infection remains untreated.
- Dogs may suffer from severe weight loss, bleeding disorders, eye problems, and even bone marrow failure.
Early detection is crucial to prevent progression to the chronic stage, which can be difficult to manage and sometimes fatal.
Clinical Signs and Symptoms
Recognizing the symptoms of Ehrlichiosis can be challenging due to its varied presentation. The clinical signs often mimic other diseases, but some common symptoms include:
- Fever
- Lethargy or weakness
- Loss of appetite
- Weight loss
- Nosebleeds
- Bruising easily
- Swollen joints or lameness
- Enlarged lymph nodes
- Eye inflammation (uveitis)
- Neurological signs (in severe cases)
It’s important to note that not all infected dogs show symptoms, especially during the subclinical phase.
Diagnosing Ehrlichiosis in Dogs
Veterinarians use a combination of clinical signs, history, and laboratory tests to diagnose the disease. Common diagnostic tools include:
1. Complete Blood Count (CBC)
- May reveal anemia, thrombocytopenia (low platelets), and other abnormalities.
2. Serology Tests (e.g., ELISA or IFA)
- Detect antibodies to Ehrlichia bacteria.
- Positive results suggest exposure but not necessarily active infection.
3. PCR Testing
- Identifies Ehrlichia DNA in the blood.
- Highly specific and useful in acute infections.
4. Blood Smear Examination
- Occasionally, Ehrlichia organisms can be seen inside white blood cells.
Due to overlapping symptoms with other tick-borne diseases like Anaplasmosis, Lyme disease, or Babesiosis, comprehensive testing is often recommended.

Treatment Options
The cornerstone of treatment is antibiotic therapy, with doxycycline being the most commonly prescribed drug. The standard dosage is 5–10 mg/kg every 12 hours for 28 days. Most dogs respond well within the first few days of treatment, particularly in the acute phase.
In chronic or severe cases, supportive care may be necessary and can include:
- IV fluids
- Blood transfusions
- Steroid therapy (in immune-mediated complications)
Monitoring the dog’s blood work during and after treatment is essential to ensure full recovery.
Prognosis and Recovery
When caught early, the prognosis for dogs with Ehrlichiosis is excellent. Most dogs make a full recovery with proper antibiotic treatment. However, the chronic phase presents more challenges and may result in long-term health complications or even death.
Relapse is possible, particularly if the dog remains in an environment with high tick exposure. Continued vigilance post-recovery is essential.
Is Ehrlichiosis Contagious to Other Dogs or Humans?
Ehrlichiosis is not directly contagious between dogs or from dogs to humans. However, the same ticks that infect dogs can transmit Ehrlichia species to humans, especially Ehrlichia chaffeensis and Ehrlichia ewingii.
This underscores the importance of tick control, not just for the health of your pet but for your own safety as well.
Prevention Strategies
Prevention is the most effective way to protect your dog. Since ticks are the primary vector, focus on tick control and environmental management:
Tick Prevention Tips:
- Use vet-approved tick preventatives (topical, oral, or collars).
- Check your dog daily for ticks, especially after outdoor activity.
- Keep grass and bushes trimmed in your yard.
- Avoid tick-infested areas during peak seasons.
Vaccines for Ehrlichiosis are not currently available, so consistent tick prevention remains the best defense.

Ehrlichiosis and Co-Infections
Many ticks carry more than one pathogen. Dogs infected with Ehrlichia may also be exposed to:
- Anaplasma
- Babesia
- Borrelia burgdorferi (Lyme disease)
Co-infections can complicate both diagnosis and treatment, often leading to more severe symptoms. A full tick-borne disease panel is recommended if your dog presents with unusual or persistent symptoms.
When to See a Veterinarian
If your dog shows signs of lethargy, fever, bleeding, or has had recent tick exposure, seek veterinary attention promptly. Early intervention can prevent complications and reduce the risk of chronic illness.
Routine screening, especially in high-risk areas or during specific seasons, can also help detect subclinical infections before they become severe.
Final Thoughts
Ehrlichiosis in dogs is a serious but treatable condition when caught early. Understanding the disease’s progression, clinical signs, and the importance of tick prevention is crucial for dog owners and veterinary professionals alike.
As with all medical conditions, a proper diagnosis and treatment plan should always be made by a licensed veterinarian. Regular wellness exams, timely tick prevention, and owner education remain key tools in managing this disease.

By staying informed and proactive, you can protect your dog from the potentially life-threatening complications of Ehrlichiosis.
If you’re interested in learning about another vector-borne disease, check out this “Leishmaniosis in Dogs: Symptoms, Diagnosis, Treatment, and Prevention” article.