Rabbit Syphilis or Treponematosis: Complete Care Guide
Understanding rabbit syphilis: symptoms, diagnosis, treatment, and prevention for rabbit owners.

Rabbit Syphilis or Treponematosis: A Comprehensive Guide
Rabbit syphilis, medically known as treponematosis, is a bacterial infection that affects rabbits and can cause significant health complications if left untreated. This condition is caused by the bacterium Treponema cuniculi, which can spread through various transmission routes and manifest in distinctive ways. Understanding this disease is crucial for rabbit owners and veterinarians to ensure proper diagnosis, treatment, and prevention strategies. While the name “syphilis” may sound alarming, modern veterinary medicine has developed effective treatment protocols that can resolve the infection within weeks when diagnosed and treated promptly.
What is Treponematosis?
Treponematosis is a bacterial infection caused by the spirochete bacterium Treponema cuniculi. This pathogenic organism primarily affects the skin and mucous membranes of rabbits, creating characteristic lesions and sores. The disease has been recognized in rabbit populations for decades and remains a significant concern in multi-rabbit households and breeding facilities. Unlike its human equivalent, rabbit syphilis does not affect humans and poses no zoonotic risk to people handling infected animals.
The bacterium is relatively host-specific and thrives in the mucous membrane tissues of rabbits. Once established, the infection can persist for extended periods, sometimes remaining dormant before manifesting clinically. This dormancy period makes early detection challenging in some cases, as infected rabbits may show no symptoms for months or even years until triggered by stress or immunosuppression.
Transmission and Risk Factors
Rabbit syphilis spreads through multiple transmission routes, making it a concern in various rabbit populations. The primary transmission method is sexual contact between infected and uninfected rabbits, which is why the disease is particularly prevalent in breeding colonies and multi-rabbit households where rabbits have direct contact. However, transmission is not limited to sexual contact alone.
Vertical transmission from mother to offspring is documented, with infection occurring either at birth or through nursing, as the bacterium can be present in milk. Additionally, the disease can spread through direct contact with lesions on infected rabbits, particularly when non-infected rabbits groom or have skin-to-skin contact with affected areas. In rare cases, rabbits living singly with no apparent exposure to other rabbits have contracted the disease, suggesting possible environmental transmission or activation of dormant infections.
Stress factors play a crucial role in disease manifestation. Rabbits with dormant infections may not show clinical signs until experiencing significant stress, such as environmental changes, dietary modifications, concurrent illness, or breeding activity. This stress-triggered activation explains why some rabbits suddenly develop symptoms despite having no recent exposure to infected individuals.
Clinical Symptoms and Signs
The clinical presentation of rabbit syphilis is distinctive and often recognizable to experienced veterinarians. The most characteristic symptom is the appearance of skin lesions, particularly at mucocutaneous junctions where skin meets mucous membranes. These affected areas typically include the nose, lips, genitals, eyelids, and around the eyes.
Primary symptoms include:
- Red, inflamed skin lesions that progress to ulcers
- Crusty, scabby sores that may bleed or exude fluid
- Deep ulcerations with raw, inflamed appearance
- Matting and loss of hair around affected areas
- Swelling and edema around lesions
- Excessive salivation (hypersalivation)
- Ocular discharge and crusty material around eyes
- Blood in the urine (hematuria)
- Discomfort or pain during urination
Lesions can persist for several months if untreated, gradually worsening over time. In chronic cases, lesions may develop a horny, thick appearance as secondary changes occur. Some rabbits experience reduced appetite due to discomfort, particularly if lesions affect the mouth or face.
Beyond skin manifestations, reproductive complications are significant. Infected rabbits may experience reduced fertility, metritis (uterine infection), spontaneous abortion, and neonatal mortality in offspring. These reproductive effects underscore the importance of treating infected breeding rabbits promptly to prevent disease transmission to subsequent generations.
Diagnostic Approaches
Veterinarians employ multiple diagnostic strategies to confirm rabbit syphilis, as diagnosis can be challenging and often requires multiple approaches:
Presumptive Diagnosis: Most commonly, veterinarians diagnose treponematosis based on clinical history and physical examination findings. The distinctive appearance of lesions at mucocutaneous junctions, combined with the rabbit’s background and exposure history, often provides sufficient evidence for presumptive diagnosis. This clinical approach allows for rapid initiation of treatment without delay.
Biopsy and Histology: Skin biopsies of affected lesions can be sent to laboratory for histopathological examination. This confirmatory method involves collecting tissue samples from active lesions and examining them microscopically. Histology can identify the spirochete organisms and confirm the diagnosis definitively. Wound scrapings can also be examined, though negative results do not definitively rule out the condition.
Serology (Blood Testing): Blood tests to detect antibodies against Treponema cuniculi are available but have limitations. Results can take up to 12 weeks to obtain, and the test only shows positive results if the infection has been present for at least 8 to 12 weeks. This delayed response makes serology less practical for acute cases requiring immediate treatment decisions. Additionally, not all infected rabbits develop sufficient immune response for reliable serological detection.
Response to Treatment: Veterinarians may use treatment response as a diagnostic tool. If a rabbit responds rapidly to appropriate antibiotic therapy with resolution of lesions, this confirms the presumptive diagnosis retrospectively. This pragmatic approach is common in clinical practice when other diagnostics are inconclusive.
Treatment Protocols
Treatment of rabbit syphilis is relatively straightforward when administered correctly, with antibiotics being the cornerstone of therapy. Injectable penicillin is the gold standard treatment and represents the most effective cure for the infection.
Standard Treatment Regimen: The typical treatment protocol involves penicillin G (benzathine/procaine formulation) administered at a dose of 42,000 to 84,000 IU/kg, given intramuscularly or subcutaneously. Treatment is repeated at intervals of 5 to 7 days for a total of 4 to 5 weeks, with a minimum of 4 to 6 injections. Most rabbits show clinical improvement during treatment, with lesions beginning to heal and crust formation reducing.
Critical Administration Route: The method of antibiotic administration is absolutely critical to treatment success and safety. Penicillin must NEVER be administered orally to rabbits, as oral penicillin causes fatal disruption of normal gastrointestinal flora, potentially resulting in severe diarrhea and death. All penicillin treatment must be delivered via injection to bypass the gastrointestinal tract and ensure therapeutic efficacy.
Alternative Antibiotics: In cases where penicillin is contraindicated or unavailable, alternative antibiotics may be considered. Chloramphenicol or florfenicol represent potential alternatives, though efficacy may vary. However, these alternatives should be used cautiously and only under veterinary guidance, as penicillin remains the most reliably effective agent.
Supportive Care: During treatment, maintaining clean and dry lesions accelerates healing. Topical antibiotics or protective ointments may be applied to lesions to prevent secondary bacterial infection and promote wound healing. Pain management with analgesics such as meloxicam may be provided if rabbits show signs of discomfort. Monitoring food intake and general health is essential, as treatment should not negatively impact appetite or behavior.
Prognosis: The prognosis for treated rabbits is excellent. Symptoms typically resolve within a couple of weeks of initiating appropriate treatment, with complete resolution expected by the end of the treatment course. Rabbits that have been exposed but show no symptoms should also receive prophylactic treatment to prevent disease development and avoid re-infection scenarios.
Multi-Rabbit Household Management
In households with multiple rabbits, careful management is essential to prevent disease spread and recurrence. If one rabbit is diagnosed with treponematosis, all rabbits that have had contact with the infected individual should receive treatment, regardless of whether they show symptoms. This comprehensive approach prevents asymptomatic carriers from serving as a source of re-infection.
During treatment, infected rabbits should ideally be isolated or housed separately to minimize contact with other rabbits. Physical barriers between cages prevent direct contact and reduce transmission risk. After completing treatment, rabbits can typically be reintegrated into the household without restriction, as successfully treated rabbits should no longer harbor viable bacteria.
Regular health monitoring of all household rabbits is recommended, particularly watching for early signs of skin lesions or behavioral changes that might indicate disease development. This vigilance allows for prompt recognition and treatment if the disease reappears.
Prevention and Husbandry Strategies
Preventing rabbit syphilis requires attention to several husbandry and management practices:
- Quarantine new rabbits for 2 to 4 weeks before introducing them to existing rabbits
- Screen breeding rabbits for signs of disease before mating
- Maintain clean housing environments with regular disinfection
- Practice good hygiene when handling multiple rabbits to avoid transferring bacteria between animals
- Provide appropriate nutrition and stress reduction to maintain immune function
- Avoid overcrowding in rabbitries or breeding facilities
- Consider testing breeding stock in high-risk facilities
When to Seek Veterinary Care
Rabbit owners should contact a veterinarian promptly if they notice any skin lesions on their rabbit, particularly at mucocutaneous junction areas. Early intervention leads to faster resolution and prevents potential complications. A thorough head-to-tail examination by a veterinarian will help identify all lesions and guide appropriate diagnostic and treatment decisions.
Frequently Asked Questions
Q: Can rabbit syphilis spread to humans?
A: No, rabbit syphilis does not pose any risk to humans. Treponema cuniculi is species-specific and only affects rabbits. Humans cannot contract this disease from infected rabbits.
Q: How long does treatment typically take?
A: Treatment typically takes 4 to 5 weeks, consisting of 4 to 6 injections spaced 5 to 7 days apart. Most rabbits show improvement within a couple of weeks of starting treatment.
Q: Can rabbits be re-infected after successful treatment?
A: Yes, rabbits can be re-infected if exposed to other infected rabbits. In multi-rabbit households, all rabbits should be treated to prevent re-infection cycles.
Q: What if my rabbit shows no improvement after treatment?
A: If lesions do not improve or worsen during treatment, contact your veterinarian immediately. Alternative diagnoses should be considered, and treatment adjustments may be necessary.
Q: Is rabbit syphilis always symptomatic?
A: No, some rabbits carry dormant infections without showing symptoms. Stress or other factors may trigger disease manifestation in previously asymptomatic carriers.
Q: Should I treat asymptomatic rabbits exposed to infected rabbits?
A: Yes, prophylactic treatment of exposed rabbits is recommended to eliminate potential infection and prevent disease recurrence in the household.
References
- What is rabbit syphilis? — Vet Help Direct. 2025-05-13. https://vethelpdirect.com/vetblog/2025/05/13/what-is-rabbit-syphilis/
- Rabbit Syphilis or Treponematosis — Brampton Veterinarian. 2025. https://bramptonveterinarian.com/rabbit-syphilis-or-treponematosis/
- Case Study: Gozal’s Syphilis — House Rabbit Network. https://www.rabbitnetwork.org/resources/articles/rabbit-health-articles/case-study-gozals-syphilis/
- Treponematosis – rabbit syphilis — MediRabbit. http://www.medirabbit.com/EN/Skin_diseases/Bacterial/Syph_gen.html
- Sexually Transmitted Bacterial Infections in Rabbits — PetMD. https://www.petmd.com/rabbit/conditions/reproductive/c_rb_treponematosis
- Bacterial and Mycotic Diseases of Rabbits — MSD Veterinary Manual. https://www.msdvetmanual.com/exotic-and-laboratory-animals/rabbits/bacterial-and-mycotic-diseases-of-rabbits
- Diagnosis and Therapeutic Management of Treponematosis in Rabbits — CABI Digital Library. https://www.cabidigitallibrary.org/doi/pdf/10.5555/20163095694
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