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Clinical signs of dacryocystitis include a milky discolouration of the precorneal tear film, epiphora, crust formation along the affected eyelid margins and a caseous discharge from the nostril. The condition can be unilateral or bilateral. The clinician may have to apply digital pressure on the lacrimal sac to observe a milky discharge from the lacrimal punctum. Keratitis and conjunctivitis are sometimes observed. A white crust on medial canthus is a frequent early clinical sign.
 
Clinical signs of dacryocystitis include a milky discolouration of the precorneal tear film, epiphora, crust formation along the affected eyelid margins and a caseous discharge from the nostril. The condition can be unilateral or bilateral. The clinician may have to apply digital pressure on the lacrimal sac to observe a milky discharge from the lacrimal punctum. Keratitis and conjunctivitis are sometimes observed. A white crust on medial canthus is a frequent early clinical sign.
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==Aetiology==
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==Aetiology==
    
The prime agent of aetiological significance is [[Cheek Teeth Malocclusion – Rabbit|dental malocclusion]]. The constant growth of the teeth combined with the low bone density of the rabbit skull results in the migration of the roots of the teeth leading to:
 
The prime agent of aetiological significance is [[Cheek Teeth Malocclusion – Rabbit|dental malocclusion]]. The constant growth of the teeth combined with the low bone density of the rabbit skull results in the migration of the roots of the teeth leading to:
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A survey conducted by Leo Laboratories in 1994 yielded:
 
A survey conducted by Leo Laboratories in 1994 yielded:
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#Staphyloccus spp.  
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#''Staphyloccus'' spp. - non-haemolytic, 17 isolates; haemolytic coagulase -ve, 10 isolates; haemolytic coagulase +ve, 5 isolates.
-non-haemolytic, 17 isolates;  
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#''Streptococcus'' spp. - non-haemolytic, 4 isolates; alpha-haemolytic, 2 isolates
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-haemolytic coagulase -ve, 10 isolates;
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#''Pasteurella'' spp. - Pasteurella aerogenes 2 isolates, Pasteurella multocida 3 isolates, unidentified Pasteurella spp. 2 isolates,
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-haemolytic coagulase +ve, 5 isolates
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#''Bacillus'' spp. - 7 isolates,  
#Streptococcus spp.  
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-non-haemolytic, 4 isolates;
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-alpha-haemolytic, 2 isolates
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#''Corynebacterium'' spp. - 5 isolates,  
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#Pasteurella spp.  
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#''Enterobacter'' spp. - 3 isolates
-Pasteurella aerogenes 2 isolates,
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-Pasteurella multocida 3 isolates,
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#''E coli'' - (non-haemolytic) 3 isolates  
-unidentified Pasteurella spp. 2 isolates,
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#Bacillus spp. 7 isolates,  
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#''Pseudomonas'' spp. - Pseudomonas vesicularis 2 isolates, unidentified Pseudomonas spp. 1 isolate,  
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#Corynebacterium spp. 5 isolates,
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#''Branhamella'' spp. - one isolate
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#Enterobacter spp. 3 isolates
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#''Proteus'' spp. - one isolate
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#E coli (non-haemolytic) 3 isolates
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#''Acinetobacter junii'' - one isolate
 
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#Pseudomonas spp.
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-Pseudomonas vesicularis 2 isolates,
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-unidentified Pseudomonas spp. 1 isolate,
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#Branhamella spp. one isolate
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#Proteus spp. one isolate
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#Acinetobacter junii one isolate
      
#No isolates were detected in 12 specimens.  
 
#No isolates were detected in 12 specimens.  
    
As well as dental disorders, a triggering factor for the establishment and persistence of infection is thought to be the ammonia produced either by the degenera­tion of urinary urea in a poorly absorptive litter (Okerman 1988) or from a pet maintained on an imbalanced (high protein) diet (Jenkins 1991). I always counsel the owners of affected animals to attend to hygiene and diet simultaneously. Peat moss /Turf mould is recommended as hutch litter due to its ability to absorb the ammonia produced by the decomposition of urinary urea.
 
As well as dental disorders, a triggering factor for the establishment and persistence of infection is thought to be the ammonia produced either by the degenera­tion of urinary urea in a poorly absorptive litter (Okerman 1988) or from a pet maintained on an imbalanced (high protein) diet (Jenkins 1991). I always counsel the owners of affected animals to attend to hygiene and diet simultaneously. Peat moss /Turf mould is recommended as hutch litter due to its ability to absorb the ammonia produced by the decomposition of urinary urea.
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