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The
rhino-horned rabbit was bleeding
"Where's the bleeding from?" I asked Nurse Ann. Ten
bright red blood smeared the newspapers lining the floor of
the cage and merged to form a big mess overnight for the past
three nights. Was the rabbit bleeding to death? A dead patient
was not good for the reputation of any veterinary
practice.
When I lifted the rabbit by the scruff of her neck, there was
no drop of blood on her body. There were two foot sores as big
as a one-cent coin but they were clean and there was no drop
of redness.
"The rabbit must be bleeding from the "rhino"
nose when she rubbed it as it would be itchy." Nurse Ann
speculated. "The conical crusty horn is still sticking up
nine days after your anti-sarcoptic-mange
injection."
Usually
it took 7 days for the crusty skin to fall off, but this was
taking a longer time. The rabbit was skinny and I had given it
a lower dose of the anti-mite injection as it was weak and
might just die after the injection. A dead rabbit would sadden
the owners and ruin a veterinary reputation no matter what
explanation would be given.
The
death of a beloved companion rejects any explanation of the
risks of treating a rabbit suffering from several months of
stress from the attack of Sarcoptic Mange mites and bacteria.
The mites were mating profusely on the skin surface. The
female mites tunnel inside the skin, creating multiple
channels and producing eggs. The young hatch and goes to the
skin surface, feed on the serum produced as a result of skin
mutilation from constant scratching. They mature and mate and
repeat the cycle.
Usually one anti-mite injection will eliminate the mites and
new skin would re-grow in 7 days' time. In this rabbit, there
was bleeding seen on the newspaper for the past three days.
What caused this bleeding? Every time, I examined the rabbit,
she had no bleeding spots. Her body was cleaned as she was a
fastidious groomer. The silent type. No emotions. No
expression of joy in seeing Nurse Ann or me. Stoic in her
suffering from the intense itch caused by several thousands of
skin mites tunnelling in her body.
I had to catch her before the bleeding. I managed to find the
source of bleeding. It was actually the foot sores on the
underside of both feet. Red rings of blood not licked off by
the rabbit shone when I grasped her neck and put her upside
down in the afternoon.
The rabbit was kept in a small cage. The mites on the floor of
the cage might have invaded the areas, caused intense
itchiness and the rabbit would have tried to relieve the itch
by licking the sores.
Should I cover up the sores below the feet or leave them open so that the
oxygen in the air would prevent the proliferation of the anaerobic bacteria from
infecting the deeper part of the wound?
I did not give any antibiotic injection as the rabbit was
strong enough to fight against the infection. She was less
itchy.
Nurse Ann hand fed the rabbit earlier as
the big nose and mouth crust caused pain and the rabbit had
stopped eating in the first three days.
I decided to expose the wounds so that they would heal better
in this hot and humid climate.
The rabbit eliminated most of the mites after ten days. We
felt relieved when the huge pointed "rhino" nose
fell off. New healthy skin, pink and shiny grew to replace the
diseased cells.
The owners were not aware that the rabbit was suffering from a
sarcoptic mange infestation but they were kind enough to get
her treated instead of putting her to sleep. Huge crusts on
the ear edges, nose and paws were the areas favoured by the
Sarcoptic Mange mites which could only be seen under the
microscope after a skin scraping was done.
The total veterinary and nursing cost for 16 days was one hundred and
sixty dollars, but the young owners were caring to get this
rabbit treated rather than be euthanased.
"There is the risk of dying after the anti-mite
injection," I warned the owners.
"Is there any other choice?"
"You can apply the smelly insecticide wash onto the
crusty areas but the rabbit will lick off the insecticide and
be poisoned by mouth. There is no other method of treatment
more effective and cleaner than the anti-mite injection."
The owners understood the risks involved. Three injections
were given to treat the mites, the bacteria and to reduce the
itchiness. Could this rabbit die after the injections?
She was skin and bones. Fortunately, she did not pass away and
over the next 14 days, she was almost healthy. She was sent
home to celebrate the New Year.
Buying a brand new rabbit
will be a cheaper option and that will be what the older
post-World War Two generation would do. However, younger
Singaporeans are better educated and many don't abandon sick
pets or replace them with new ones.
See: Early
Sarcoptic Mange in the Dog
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