Rabbit Hemorrhagic Disease

Todayโ€™s path rounds are on ๐ซ๐š๐›๐›๐ข๐ญ ๐ก๐ž๐ฆ๐จ๐ซ๐ซ๐ก๐š๐ ๐ข๐œ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‘๐š๐›๐›๐ข๐ญ ๐ก๐ž๐ฆ๐จ๐ซ๐ซ๐ก๐š๐ ๐ข๐œ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž is a viral infection of rabbits, as the name would suggest. This disease has been implicated in many massive mortality events in rabbits, with 90% of exposed rabbits dying from the disease.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
This disease affects ๐๐จ๐ฆ๐ž๐ฌ๐ญ๐ข๐œ rabbits, such as pet rabbits and those in rabbitries. Many wild rabbit species are considered to be resistant to the disease.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
RHD is caused by a ๐œ๐š๐ฅ๐ข๐œ๐ข๐ฏ๐ข๐ซ๐ฎ๐ฌ, which is a fairly uncommon virus family. The virus spreads by direct contact with infected rabbits, or exposure to viral particles in the air or on surfaces.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
The biggest problem caused by RHD is ๐๐ข๐ฌ๐ฌ๐ž๐ฆ๐ข๐ง๐š๐ญ๐ž๐ ๐ข๐ง๐ญ๐ซ๐š๐ฏ๐š๐ฌ๐œ๐ฎ๐ฅ๐š๐ซ ๐œ๐จ๐š๐ ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง. This is a very complex condition, where the bodyโ€™s normal balance between forming clots and breaking down clots is disturbed. This results in the animals having profuse bleeding from some tissues, and ๐ข๐ง๐Ÿ๐š๐ซ๐œ๐ญ๐ข๐จ๐ง (blocked blood flow to a tissue) in other areas. The infarctions occur where blood clots have formed inappropriately, completely blocking a blood vessel. This ultimately results in ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ (cell death) of the tissue that vessel normally supplies.

Clinically, these animals present with sudden death, and often have hemorrhage coming from their nose. Poor bunnies ๐Ÿ˜ฅ

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
The disease can be diagnosed by identifying the virusโ€™ DNA, or by showing that the rabbit has developed antibodies against the virus. However, the necropsy findings are fairly characteristic so the pathologist often has a good idea before proceeding with specific testing!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
Unfortunately, there is no treatment. One of the best methods of prevention is disinfecting anything coming into contact with rabbits, in areas where RHD has been found. There are a few vaccines available now, however depending on your location they may be difficult to get. With outbreaks happening in new areas frequently, rabbit owners must be very diligent to protect their fluffy friends!

๐๐ก๐จ๐ญ๐จ๐ฌ
1) A rabbit with the classic sign of RHD, blood from the nostrils.
2) A rabbit with ๐ข๐œ๐ญ๐ž๐ซ๐ฎ๐ฌ (yellowing of the tissue) due to liver necrosis from RHD.
3) A sad, shrunken, necrotic liver, combined with a dark, infarcted kidney from RHD.
4) A kidney with pinpoint hemorrhages all over its surface.
5) Some very hemorrhagic and sad lungs.

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Terio, KA, McAloose, D, St. Leger, J. Pathology of Wildlife and Zoo Animals. 2018.

Photos 1, 3-5 ยฉ Noahโ€™s Arkive contributors Gregg, King, Castillo-Alcala, Park licensed under CC BY-SA 4.0.
Photos 1, 3-5 ยฉ Wikimedia Commons contributor Rabbit Vet licensed under CC BY-SA 4.0.

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