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Canine leishmaniasis is a zoonotic disease caused by <i>Leishmania infantum</i>; transmitted by the bite of phlebotomine sand flies. <i>Leishmania infantum</i> amastigotes were identified by cytology from a locally born Hong Kong dog exhibiting nasal, cutaneous, and systemic disease who was part of a kennel of eight dogs. All eight kennel dogs were subsequently tested serologically by enzyme-linked immunosorbent assay (ELISA) and by polymerase chain reaction (PCR) followed by DNA sequencing for <i>L. infantum</i> infection. The local dog was seropositive and blood and splenic tissue were PCR positive for <i>L. infantum</i> whilst the other kennel dogs were negative on serology and PCR. Autochthonous transmission was suspected for the local dog as Hong Kong lacks known vectors of <i>L. infantum</i>. Either vertical transmission from the deceased dam who had previously died with disease suspicious for leishmaniasis or horizontal transmission from a second non-locally born kennel dog who had been diagnosed previously with leishmaniasis was possible. This is the first recorded autochthonous case of canine leishmaniasis in Hong Kong. Leishmaniasis should be considered as a differential for cutaneous or systemic illness in local untraveled dogs in Hong Kong. In addition, as dogs serve as <i>L. infantum</i> reservoirs for human infection attention should be paid to the possibility of leishmaniasis emerging in Hong Kong.