Bacterial Skin Infection in Rabbits

The symptoms vary but may include:

• Papules and pustules
• Visible infection of the dermal and subcuticular tissues
• Hair loss
• Swelling
• Anorexia
• Lethargy
• Erythema (reddening of the skin)
• Ulceration
• Abscessation and tissue necrosis
• Moist dermatitis is characterized by a blue/green discoloration of the fur 

Types

Bacterial infection is usually triggered by an overgrowth of normal resident or transient flora. This overgrowth is often caused by warm, moist environments, such as in the skin folds in rabbits and around the mouth due to hyper-salivation. The bacteria that cause bacterial skin infections include:

•  Staphylococcus aureus – common in pyoderma affecting the ears and perineum 
• Staphylococcus warneri – common in secondary bacterial dermatitis 
• Pseudomonas aeruginosa – causes a moist dermatitis in the skin folds due to a pigment produced by some strains of the bacteria may cause the fur to take on a green colour

• Pasteurella multocida - one of the more common bacteria, this is often responsible for abscesses and respiratory infections in rabbits

There are a number of risk factors and predilections including: 

• Breed - Angoras, miniature lops and dwarfs are more prone to dermatitis due to their dense coats

• French and giant lops are also prone to bacterial skin infections due to the large skin folds around their perineum and chin

• Sex - Female rabbits develop skin infections more often than male rabbits

• Dental disease or chronic upper respiratory disease, due to the possible obstruction of the nasolacrimal duct leading to epiphora (watering of the eye) and ptyalism (hypersalivation) preventing grooming
• Obesity or musculoskeletal disease that inhibits grooming or maintaining normal stance during urination, causing urine scalding
• Chronic diarrhea
• Urinary incontinence
• Parasitic infections of mites or fleas
• Compromised immune systems due to age or illness
• Fungal infections such as ringworm
• Trauma such as bites or lacerations
• Injection reactions

Your veterinarian will take a full history and perform a clinical examination of your pet. If your veterinarian suspects a bacterial skin infection they may perform culture and sensitivity tests to identify infection-causing bacteria. This will be be performed using either exudate or skin samples. Identification of a bacteria will confirm diagnosis and allow your veterinarian to advise the most effective antibiotic therapy. 

As bacterial skin infections are often secondary to other diseases, tests may be carried out to investigate the cause. In cases of facial dermatitis radiographs may be taken to identify dental disease. Biochemistry, blood tests and ultrasonography may also be performed to diagnose any underlying gastrointestinal or urinary disease that may be a causative factor. A skin biopsy may also be taken if to rule out the chance of neoplasia (abnormal growth of tissue).

Supportive

Removal of matted fur from the lesions will allow your pet to be bathed and kept dry. As your rabbit’s skin is very fragile your veterinarian will clip the fur, taking great care not to damage the skin. It may be necessary to sedate your pet in order to do this. Your rabbit’s skin will be cleaned with either a chlorhexidine or iodine wash which is effective against yeasts and bacteria. As moisture provides the ideal environment for bacteria growth your pet will be carefully dried.

Medication

Antibiotic therapy may be necessary for your pet’s treatment. For mild infections topical treatment using antimicrobial shampoos, sprays or creams may be effective. For more severe or generalized conditions, treatment with antibiotics is considered the most effective option. 

The cultures performed by your veterinarian during diagnosis will guide your veterinarian in choosing the antibiotic specific to the bacteria. The length of treatment will depend on the severity and depth of your pet’s infection.

As bacterial infections can be painful for your pet NSAIDs may be prescribed to offer analgesia for your pet. An antibiotic or antiseptic cream may also be prescribed by your veterinarian. Corticosteroid creams are known to be effective for reducing inflammation, however, prolonged use can thin already delicate skin; this will be a consideration for your veterinarian when prescribing creams for your pet.