Atypical canine infectious respiratory disease complex (aCIRDC) is a proposed novel respiratory disease in dogs[1][2] of unknown cause. It has been recorded in 19 US states, with more cases on the West Coast.[citation needed]
It has also been referred to as respiratory syndrome of unknown aetiology in dogs and as canine respiratory disease of unknown origin.[3]
History
It was first described in summer 2023 as a cluster of 200 cases around Portland, Oregon.[4]
Characteristics
Symptoms include a cough, fever, lethargy, sneezing and watery eyes. In some cases, the illness proceeds to death.[1] Cases tend to fit three clinical syndromes: chronic mild/moderate tracheobronchitis of prolonged duration (6+ weeks),[5] with coughing, sneezing, and watery eyes; chronic pneumonia that is minimally responsive to antimicrobials, possibly including dyspnea; and, rarely, acute pneumonia that rapidly becomes severe and can lead to death.[6][7] Most cases are self-limiting and respond well to supportive care.[8] Antibiotics may be indicated.[7]
Diagnosis should rule out known forms of canine infectious respiratory disease complex (CIRDC; also known as kennel cough). aCIRDC does not respond to regular treatment protocols for CIRCD and the course of the disease is longer and more severe.[9]
There is no evidence that it can spread to humans.[citation needed]
The Veterinary Diagnostic Laboratory at the University of New Hampshire have put forth a possible bacterium as the cause.[6] They have tentatively identified this as IOLA KY405,[10] which was previously identified in humans in 2021.[11] This is similar to Mycoplasma in lacking a cell wall and having a small genome.[10]
However, other vets have suggested that this might just represent a peak in CIRDC cases and not involve any new pathogens. This could be due to changes in human behaviour following the end of COVID-19 lockdowns and other COVID-19-related disruption to veterinary care (e.g. frequency of vaccination), as well as to the general increase in dog numbers in the US.[12][7]
12Hasan, Mahamudul and Miller, Laura, Canine Infectious Respiratory Disease Complex: A Case Study of Epidemiology and Risk Factor Investigation Based on Survey Data from Dog Owners Across the United States of America. Available at SSRN: https://ssrn.com/abstract=4805779 or http://dx.doi.org/10.2139/ssrn.4805779
↑Hasan, M., Romano, T. A., & Miller, L. C. (2025). Characteristics and case fatality factors of atypical canine infectious respiratory disease: an observational survey using dog owners’ data in the United States. American Journal of Veterinary Research, 86(10), ajvr.25.04.0133. Retrieved Nov 27, 2025, doi:10.2460/ajvr.25.04.0133
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