Jennifer E. Graham Leporidae (rabbits and hares) and Ochotonidae (pikas) are the two families in the order Lagomorpha.27 With a worldwide distribution, this order contains 12 genera and 81 species (Box 41-1). Unlike rodents, lagomorphs have a second set of upper incisors known as “peg teeth.” Lagomorphs are born with three pairs of upper incisors, but the most lateral on each side is lost soon after birth. Jaw movements of rabbits, hares, and pikas are vertical or transverse. Lagomorphs are hindgut fermenters, herbivorous, and practice cecotrophy. Although lagomorphs were once classified as rodents, they only illustrate convergent evolution on the basis of their gnawing teeth.17 Although rabbits and hares have a short tail, pikas lack a tail.27 Most lagomorph males have testes located in a scrotum in front of the penis, similar to marsupials, and lack an os penis. Two to five pairs of mammary glands are found in females. Hearing, smell, and touch are well developed, and vocalizations in most species are minimal. Eyes are laterally positioned, providing a circular field of vision. Sensory hairs are positioned around the nose and above the eyes.17 The Leporidae family contains 54 species found within 11 genera.27 Although the term “hare” should probably be reserved for those animals in the Lepus genera, the terms rabbit and hare are often used interchangeably and applied incorrectly. Hares are born fully furred and precocial, are generally larger, and have ears larger than those of rabbits, with dark ear tips. Rabbits are born naked and blind and usually associate in groups compared with the more solitary hare. Hares and jackrabbits comprise 29 species in the genus Lepus, and rabbits have 25 species, 14 of which are Sylvilagus, or cottontails, in the remaining 10 genera. Unlike many other mammals, female leporids are usually larger than males. The long hindlimbs are well adapted for running, with thick hair, instead of footpads, on the soles of all the feet. The dental formula of leporids is usually (incisor [I] 2/1, canine [C] 0/0, premolar [P] 3/2, molar [M] 3/3) ×2 = 28. The European wild rabbit Oryctolagus cuniculus, which likely originated from the Iberian Peninsula and southern France following the end of the Pleistocene, is the origin of the domestic rabbit.27 Domestic rabbits range in size from 1 kilogram (kg) to over 7 kg and are divided into over 60 fancy and fur breeds and over 500 varieties.33 Box 41-2 lists biologic and physical data of domestic rabbits. Table 41-1 lists hematologic and serum biochemical values of the domestic rabbit and hare. TABLE 41-1 Hematologic and Serum Biochemical Values of the Domestic Rabbit6,7,20 and Hare12 * Black-tailed jackrabbit (Lepus californicus). g/dL, Gram per deciliter; IU/L, international unit per liter; MCH, mean corpuscular hemoglobin; MCHC, mean corpuscular hemoglobin concentration; MCV, mean corpuscular volume; mEq/L, milliequivalent per liter; µg, microgram; µL, microliter; pg, picogram. The family Ochotonidae (pikas, mouse hares, or conies), found in Eurasia and western North America (Figure 41-1), contains one living genus and one recently extinct genus and up to 37 subspecies.18,27 Pikas have long, fine, dense fur and short legs with five digits on each front foot and four digits on each rear foot. Weight ranges from 125 to 400 grams (g), and both genders are of the same size. The dental formula of pikas is (I 1/1, C 0/0, P 3/2, M 2/3) ×2 = 26. Females have four to six mammae. Males have abdominal testes that descend into the skinfolds at the base of the penis during breeding season. Pikas are generally social, but the social structure varies. Steppe-dwelling (burrowing) pikas may live in large colonies organized into family units, whereas the species found in talus and boulder-fields defend individual territories (Chris Ray, personal communication, 2012). Pikas gather food in late summer and stack it in heaps called “hay piles”; the weight of food in each pile can be up to 20 kg, and they can survive suboptimal conditions by feeding on these stores. They are primarily diurnal, most active in the early morning and evening, and do not hibernate.27 The steppe-dwelling pikas may be threatened by human encroachment, but all pikas may be most threatened by climate change.32 Domestic rabbits have specific recommended dietary requirements including 13% to 18% dry matter (DM) dietary crude protein; 12% to 16% dietary crude fiber; 7,000 international units (IU) vitamin A per kilogram of food; 40 milligrams (mg) vitamin E per kilogram of food; 2 mg vitamin K per kilogram of food; and 0.5% to 1% DM calcium.5 Of these requirements, fiber is especially important. Because fiber is essential for the production of short-chain fatty acids and gastrointestinal (GI) motility, diets containing less than 10% crude fiber often result in enteritis. The preferred diet for the pet rabbit is a high-quality, high-fiber (15% to 16% crude fiber) pelleted diet containing 13% to 18% (ideally 16%) crude protein, at a rate of cup pellets per 2.3 kg body mass divided into two meals per day.7 A fiber content below 15% may increase the potential for anorexia and diarrhea, and one greater than 16% reduces feed palatability. However, a fiber content of 18% to 22% helps prevent obesity in pet rabbits and often is used in mature laboratory animals. Some rabbits do well when pellets are offered ad libitum (freely), unless overeating and obesity become problems or an inadequate amount of loose hay is consumed. The pellets are supplemented with loose hay (mixed grass hay, timothy hay, or high-quality dried grass clippings) ad libitum. Alfalfa hay may be offered throughout the growth stages and then discontinued because of its high protein and calcium content. The diet can be supplemented with a small amount of dark fibrous, leafy greens and fresh vegetables (1 cup per 2.3 kg body mass) and small amounts (up to 1 tablespoon per 2.3 kg body mass) of fresh fruit, daily or several times per week. It should be noted that growing rabbits and females in late gestation may require twice as much food, and lactating females may consume three times as much food as an adult in maintenance. The skeleton in rabbits represents only 7% to 8% of the body weight (as opposed to 12% to 13% in cats).16 Rabbits are prone to fractures of the back and hindlimbs because of hindlimb musculature and the delicate nature of the skeleton. Support of the hindquarters is essential when transporting rabbits to avoid causing injury; rabbits may be carried with one hand under the thorax or holding the scruff, with the second hand supporting the hindquarters. The rabbit should be placed in a cage with its rear facing the back of the cage and the hindquarters supported to reduce chances of injury from the rabbit kicking. A nonslip mat should be used when examining the rabbit or placing the animal in the cage. Alternatively, the rabbit can be wrapped in a towel with the head covered to prevent struggling. A hand may be placed over the eyes to calm the rabbit while using care not to obstruct the nostrils, since rabbits are obligate nasal breathers. Hyperthermia should be avoided when using a towel during handling or examination. Noises or smells from predator animals may stress the sensitive rabbit. Multiple sites, including the marginal ear veins, central ear artery, jugular vein, cephalic vein, and the lateral saphenous vein, may be used for venipuncture in rabbits.16 Use of the ear veins and artery is not ideal because hematoma formation, bruising, or vessel thrombosis and skin sloughing can result. Alcohol may be used to part the fur and visualize the vessel. In some cases, clipping or plucking of the fur may be useful. If clippers are used, care should be taken to avoid damaging the delicate skin of the rabbit. An ideal site for venipuncture is the lateral saphenous vein. The rabbit is restrained in a towel, with the head covered and a rear limb gently extended. The restrainer holds off the vein with pressure across the proximal thigh. The vessel lies across the lateral surface of the tibia just proximal to the hock. Following sample acquisition, gentle digital pressure over the venipuncture site or application of a brief pressure wrap helps prevent hematoma formation. The cephalic or lateral saphenous veins are the preferred sites for intravenous catheter placement. Intraosseous access is with a spinal needle placed within the trochanteric fossa of the femur. Intramuscular injections may be given into the large lumbar muscles on either side of the spine.16 Care should be taken to avoid damaging the sciatic nerve if injecting into the hindlimb musculature. If the hindlimbs are used for injection, the cranial aspect of the rear leg, the quadriceps, should be used. Anesthetic agents can be administered to rabbits in a variety of ways, including topical, injectable, inhalant, and combination protocols. Anesthesia involves many considerations such as stability of the patient, monitoring, anesthetic agents used, and others. The reader should consult additional texts for complete information on anesthesia in rabbits.14,15,19,21,29 A variety of injectable anesthetic–analgesic combinations have been used in rabbits. Injectable anesthetic protocols may include parasympatholytics, phenothiazines, benzodiazepines, α2-adrenergic agonists, ketamine, propofol, tiletamine–zolazepam, and others.21 Parenteral anesthetics are typically administered via the following routes: subcutaneous, intramuscular, intraperitoneal, intravenous, and intraosseous. In addition, the veterinarian should be aware of the specifics of different anesthetic drugs used in rabbits; for example, the use of tiletamine–zolazepam has been associated with nephrotoxicity in rabbits.11 Table 41-2 lists agents commonly used in the chemical restraint, anesthesia, and analgesia of domestic rabbits. TABLE 41-2 Chemical Restraint, Anesthetic, and Analgesic Agents Commonly Used in the Domestic Rabbit7,23 IM, Intramuscularly; IP, intraperitoneally; IV, intravenously; PO, orally; SC, subcutaneously. Inhalant anesthesia is the primary component of most anesthetic regimens in small mammals.21 Isoflurane and sevoflurane are commonly used inhalant anesthetic agents. Induction with an inhalant anesthetic is typically administered via a face mask. Premedication and supplemental injectable anesthesia, along with careful restraint to prevent injury, is recommended for rabbits during induction. For maintenance of anesthesia, endotracheal intubation is ideal to protect the upper airway and assist ventilation. Blind and direct techniques may be used to facilitate intubation in rabbits. In either case, it is helpful if the head and neck of the rabbit is hyperextended, as this will allow for the alignment of the larynx and the trachea with the oropharynx.21 Care should be taken to ensure that the rabbit is adequately premedicated and relaxed to allow for atraumatic intubation. In addition, it is important to avoid overextension of the neck, which could result in damage to the spine. Laryngeal mask airway (LMA) is a new method being used for delivering a gas anesthetic. The LMA is an airway device used as an alternative to a face mask or an endotracheal tube.3 LMA precludes the need for intubation in rabbits and may minimize laryngeal trauma. Pasteurella multocida is a non–spore-forming, bipolar, gram-negative rod. Although P. multocida is a common cause of mortality in brown hares (Lepus europaeus) in Europe, the bacterium is associated most commonly with disease in domestic rabbits.7 P. multocida is transmitted from acutely infected rabbits, through direct contact, via fomites, or via inhalation or wounds.7,25 The incubation period of P. multocida is about 2 weeks. In a survey of rabbits with signs of upper respiratory disease, P. multocida was the most common isolated bacterium in greater than 50% of rabbits.30 The bacteria colonize the nares or cause production of nasal exudate if the host is unable to resist infection. Snuffles, a common upper respiratory tract disease in domestic rabbits, is caused by a local overgrowth of P. multocida in the nasal epithelium. However, cultures of the nasal epithelium are frequently positive for P. multocida in clinically normal adult rabbits housed in institutional colonies (40% to 72%)10 and in conventional rabbitries (28% to 31%).9 P. multocida may proliferate and spread via the trachea (to the lungs), the nasolacrimal ducts (to the conjunctiva), the eustachian tube (to the middle ear, inner ear, and then the brain), or the bloodstream (septicemia) to the lungs, heart (endocarditis), reproductive organs (orchitis and pyometra-endometritis), skin, and subcutis (subcutaneous abscesses).7,25 Pasteurellosis infection in the lungs may result in fibrinopurulent pneumonia, pleuritis, and cranioventral pulmonary abscesses. Ophthalmic involvement (conjunctivitis, hypopyon, or retrobulbar abscesses) also may be seen with pasteurellosis. Serologic tests such as enzyme-linked immunosorbent assay (ELISA), and polymerase chain reaction (PCR) tests are available to detect pasteurellosis in rabbits. Culture and sensitivity testing are recommended because organisms other than Pasteurella species may be isolated. Torticollis (head tilt or wry neck) in domestic rabbits usually is caused by the extension of P. multocida infection from the nasal cavity to the inner ear via the eustachian tube and middle ear or may arise centrally in the medulla or cerebellum (Figure 41-2).7 Other causes to consider, although less common, are otitis externa, cranial trauma, listeriosis, encephalitozoonosis, ascarid migration, or extension of ear mite infection. If infection is unilateral, the head of the rabbit tilts down on the affected side. Occasionally, nystagmus may be present. Affected middle ears are characterized by tympanic bullae filled with thick, yellow exudate, which may be seen on radiographic or computed tomography (CT) examination of the skull. The head tilt may or may not respond to antibiotic therapy. Additional supportive care measures, including syringe feeding and protection of the down eye, which may be prone to ulceration from rolling, may be warranted. Prognosis is favorable if a positive response is exhibited within the first week after therapy, and therapy is continued for 1 week after the resolution of clinical signs.
Lagomorpha (Pikas, Rabbits, and Hares)
Biology
Normal Values
Measurement
Rabbit
Hare*
Hematologic Parameters
Packed cell volume (%)
30–50
48 (42–55)
Hemoglobin (g/dL)
8.0–17.5
15.8 (13.5–18.4)
Red blood cells (3106/µL)
4–8
7.8 (6.5–9.0)
MCV (µm3)
58.0–75.0
—
MCH (pg)
17.5–23.5
—
MCHC (%)
29–37
—
Platelets (3103/µL)
290–650
—
White blood cells (3103/µL)
5–12
7 (2–16)
Neutrophils (%)
35–55
42 (13–82)
Lymphocytes (%)
25–60
49 (16–80)
Monocytes (%)
2–10
5 (1–16)
Eosinophils (%)
0–5
3 (0–11)
Basophils (%)
2–8
0.5 (0–1.5)
Chemistry Parameters
Alkaline phosphatase (IU/L)
4–70
—
Alanine aminotransferase (IU/L)
14–80
—
Aspartate aminotransferase (IU/L)
14–113
—
Bicarbonate (mEq/L)
16.2–31.8
—
Total bilirubin (mg/dL)
0–0.75
—
Calcium (mg/dL)
8–14.8
—
Chloride (mEq/L)
92–112
—
Cholesterol (mg/dL)
12–116
—
Creatinine (mg/dL)
0.5–2.6
—
Glucose (mg/dL)
75–150
—
Lactic acid dehydrogenase (IU/L)
34–129
—
Total lipids (mg/dL)
280–350
—
Phosphorus (mg/dL)
2.3–6.9
—
Potassium (mEq/L)
3.5–7
—
Total protein (g/dL)
5.4–7.5
5.6 (2–5)
Albumin (g/dL)
2.5–5.0
—
Globulin (g/dL)
1.5–3.5
—
Sodium (mEq/L)
138–155
—
Triglycerides (mg/dL)
124–156
—
Urea nitrogen (mg/dL)
15–50
—
Feeding
Selected Techniques
Physical Restraint
Venipuncture and Injection sites
Anesthesia
Agent
Dosage
Comments
Buprenorphine
0.01–0.05 mg/kg, SC, IP, or IV, every 6–12 hours
Analgesia
Butorphanol
0.1–0.5 mg/kg, SC, IM, or IV, every 4 hours
Analgesia
Carprofen
2.2 mg/kg, PO, every 12 hours
Nonsteroidal anti-inflammatory; chronic joint pain
Diazepam
1–3 mg/kg IM
Preanesthetic; tranquilizer
Flunixin meglumine
0.3–2.0 mg/kg, SC, IM, every 12–24 hours
Analgesia; nonsteroidal anti-inflammatory
Use for no more than 3 days
Isoflurane
3%–5% induction; 1.5%–3% maintenance
Inhalant anesthetic of choice
Ketamine/diazepam
15 mg/kg and 0.3 mg/kg, IM, or 20–30 mg/kg and 1–3 mg/kg, IM
Anesthesia
Follow with isoflurane
Ketamine/midazolam
15–25 mg/kg
0.5–1 mg/kg, IM
Anesthesia
Follow with isoflurane
Ketoprofen
1 mg/kg, IM, every 12–24 hours
Musculoskeletal pain; nonsteroidal anti-inflammatory
Meloxicam
0.3–1.0 mg/kg, PO, q12-24 hours
Musculoskeletal pain; nonsteroidal anti-inflammatory
Midazolam
1–2 mg/kg, IM
Preanesthetic; tranquilizer
Oxymorphone
0.05–0.2 mg/kg, SC or IM, q8-12 hours
Analgesia
Propofol
2–3 mg/kg (or to effect), IV
Induction after premedication
Maintain with approximately 1 mg/kg every 15 minutes
Sevoflurane
To effect
Inhalant anesthesia
Infectious Diseases
Bacterial Diseases
Lagomorpha (Pikas, Rabbits, and Hares)
Chapter 41