Case
report
Toffik
presenting eye bilateral lesions and nasal crusts
Dr. Magdalena Stasiowska
Przychodnia Weterynaryjna –
Wrocław, Poland
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Warning: this file
contains pictures that may be distressing for people.
„Toffik” - intact male rabbit, 5 month old, was bought at young
age in the market place. He was never vaccinated against any diseases. He was
presented because of the lesions the owners have noticed inside his eye
balls, otherwise Toffik appeared normal. During
the clinical examination he was in a good shape, alert and reacted normally
to stimuli. The visible abnormalities were: 1)
Nose: Presence of sero-purulent
discharge from the nose, which dried and formed a big, hard crust (arrows),
which could not be easily removed – but it was not of the owners concern –
they thought it was normal, because the rabbit did not show any discomfort
and did not rub the nose, which seemed strange, because it is a common sign
of the „running nose”.
2)
Eyes: bilateral lesions - the purulent discharge in the
anterior chamber, hyperemia (excess presence of blood) and edema (abnormal
accumulation of fluids) of the iris, which are consisting signs with phacoclastic uveitis. The condition is caused by Encephalitozoon
cuniculi invasion or bacterial infection, mostly with Pasteurella
sp.
I have
removed the crust from the nose and took some material for the culture. The
result was negative for fungi, but the massive growth of beta-hemolytic
streptococci and Enterobacter sp. was noted.
Both bacteria strains were sensitive to enrofloxacin only. Toffik was started on enrofloxacin given orally twice a
day for a week, then once a day for the next week. Besides the owners were
advised to give him eye drops 3-4 times a day, one week NSAID’s and the other
one steroid. After the treatment the ocular lesion
became less apparent, but there was not complete healing. The nose discharge
was no longer present. The rabbit was feeling very good and the owners did
not agree for the further tests. The pictures were made during initial
presentation and after 2 weeks of treatment.
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