Fungal Dermatitis or Superficial Mycosis

 

Esther van Praag, Ph.D.

 

Warning: this file contains pictures that may be distressing for people.

Mycosis is not common in either wild or house rabbits and is rarely encountered as epizootic. Rather, it generally occurs as a sporadic infection in one individual rabbit, in young rabbits, or in sick debilitated rabbits. It is believed that immunosuppressed rabbits are more susceptible to the disease.

The causing agents are two pathogenic fungi:

-   Trichophyton mentagrophytes = ringworm

May be carried asymptomatically in the coat of the rabbit.

-   Microsporum canis

Occasionally rabbits are infected through contact with cats or dogs; this fungus can carry one or more zoonotic diseases (diseases that can be transmitted from animal to human).

Ringworm is the main cause of mycosis.  It will infect not only the epidermis, but also the annex structures such as hair follicles and hair shafts. In some cases, cultures of infected tissue have revealed the presence of Microsporum sp.

Clinical signs

Typically, lesions start around the head and spread to the legs and feet, more specifically to the toenail beds. The wound is raised, circumscribed and erythematous. It shows dry crusts with little or no pruritus and patchy alopecia. The tissue under the crusts usually shows inflammation and the hair follicles show abscessation, as the secondary result of a bacterial invasion.

Histological sections show hyperkeratosis, folliculitis, acanthosis and the diffuse infiltration of leukocytes into the dermis layer.

Dr. Katleen Hermans

Pamela Alley

Michel Gruaz

Prof. Richard Hoop

Severe cases of fungal infection on skin, limbs and face (top), foot (middle), with alopecia and crusty skin.

Diagnosis

1.     Cultures on a fungal or dermatophyte media. It must, however, be kept in mind that the results obtained may not be reliable and must be completed with histological studies.

Prof. Richard Hoop

Fungal culture in a Petri dish

 

2.     Identification of skin scrapings mounted in 10% KOH. This enables to identify the different arthrospores

3.     Fluorescence (UV light) is of little help. One fungus (Trichophyton mentagrophytes) does not fluorescence; the other fungus (Microsporum canis) is strain dependent: some show fluorescence, others do not.

4.     Gomori methenamine silver stain, Gridley fungus stain and periodic acid-Schiff (PAS) reaction staining are all methods that help demonstrate the presence of arthrospores and to identify them.

The diagnosis must differentiate from other causes of crusty alopecia commonly found on the head and ears (genetic hairlessness, trauma, depilatory hair loss, fur pulling).

Lynne Huntley

Rabbit suffering a fungal skin infection. Alopecia has appeared on the chin and on the body.

Lynne Huntley

Crusts appear on lips and chin. To avoid contamination of the contagious fungus, plastic disposable gloves are worm during the examination and handling of the rabbit.

Treatment

The hair around the lesion should be clipped, and disposed off safely.

The best treatment for fungal dermatitis is oral administration of griseofulvin (25-50 mg/kg PO q24h or divided q12h). (Wear gloves while administering this drug). The treatment should continue two weeks after the disappearance of the clinical signs.

Topical or systemic treatments are also possible:

   Clotrimazole cream or lotion;

   Enilconazole spray;

   Itraconazole (5-10 mg/PO, q 24 h);

   Terbinafine (8-20 mg/kg PO, q24h);

   Ketoconazole (10-15 mg/kg PO q 24h) (not to be used in breeding animals);

   Miconazole cream.

Most of the available products are unlicensed for use in rabbits; literature references, however, assert those drugs are the treatments of choice for fungal dermatitis in rabbits.

The environment of the rabbit should be cleaned carefully: vacuum cleaning, boiling of towels and cleaning of surfaces with 1:10 bleach water.

More detailed information on fungal dermatitis in rabbits and treatment options can be found in:

Skin Diseases of Rabbits

by E. van Praag, A. Maurer and T. Saarony,

MediRabbit.com, 2010.

Paperback, 408 pages.

Acknowledgement

Thanks are due to Lynne Huntley (USA) and to Kathleen Hermans, D.V.M. (Kliniek voor Pluimvee en Bijzondere Dieren, Universiteit Gent, Belgium) and to Prof. Richard Hoop (Institut für Veterinärbakteriologie, University of Zurich, Suisse) and to Michel Gruaz (Switzerland) for their pictures.

Further information

K. L. Banks, T. B. Clarckson (1967) Naturally occurring dermatomycosis in the rabbit. J. Am. Med. Assoc. 151: 926-29.

K. W. Hagen (1969) Ringworm in domestic rabbits: Oral treatment with griseofulvin. Lab Anim. Care 19: 635-638.

E. V. Hillyer, K. Quesenberry, S. Valkoff (1997) Ferrets, Rabbits and Rodents: Clinical Medicine and Surgery, (Editor) Saunders W B Co, p. 215.

L. M. Vogstberger et al. (1986) Spontaneous dermatomycosis due to Microsporum canis in rabbits. Lab. Anim. Sci. 36: 294-97.

 

 

 

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