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Research article · 2023 · Full text

International Journal of Veterinary Sciences and Animal Husbandry

Successful treatment of Otodectes cynotis infestation in domestic African pygmy hedgehogs (Atelerix albiventris): A case report

Ushma PatelSoham Mukherjee

Volume 8(1) · Pages 103–105 · DOI: 10.22271/veterinary.2023.v8.i1b.476 ↗

Research areasDermatological diseases and infestationsBird parasitology and diseasesZoonotic diseases and public health

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Abstract

Author-written

Six domestic African pygmy hedgehogs (Atelerix albiventris) were treated for Otodectes cynotis infestation. Symptoms included skin lesions, itching, and slight lethargy. The hedgehogs were given a bath with a shampoo containing miconazole and chlorhexidine, and selamectin solution was applied to the skin in between the spines. Skin scraping was negative for mite infestation after 15 days of treatment, and the lesions, inflammation, and swelling decreased significantly. By day 30 of treatment, the hedgehogs were clear of any visible lesions on the body. These findings demonstrate the effectiveness of Miconazole and chlorhexidine shampoo and selamectin solution in the treatment of Otodectes cynotis infestation in domestic African pygmy hedgehogs.

Summary

Source-checked

Plain-language reading of the full paper, prepared with AI and checked against the text. Each point links to the authors' own words.

  1. Why it matters

    • Otodectes cynotis is a type of psoroptic mite that lives on the skin and in the ear canals of animals, leading to inflammation, itching, and skin lesions. View evidence ↗

      Why it matters

      Otodectes cynotis is a type of psoroptic mite that lives on the skin and in the ear canals of animals, leading to inflammation, itching, and skin lesions.

      In the paper's own words

      “Otodectes cynotis is a psoroptic mite that infests the ear canals and dwells on the skin surface of animals (Fig. 1), causing symptoms such as pruritus, inflammation, and skin lesions due to self-excoriations on the ears and head”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
    • Infestations by these mites are common in domestic hedgehogs and cause the animals significant distress and discomfort. View evidence ↗

      Why it matters

      Infestations by these mites are common in domestic hedgehogs and cause the animals significant distress and discomfort.

      In the paper's own words

      “Acariasis due to Otodectes cynotis is commonly found in domestic hedgehogs, and can cause significant discomfort and distress for the affected animals”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  2. The question

    • The authors aimed to describe the successful treatment of six domestic African pygmy hedgehogs infested with Otodectes cynotis and identify preventive measures and causes. View evidence ↗

      The question

      The authors aimed to describe the successful treatment of six domestic African pygmy hedgehogs infested with Otodectes cynotis and identify preventive measures and causes.

      In the paper's own words

      “In this case report, we describe the successful treatment of six domestic African pygmy hedgehogs with Otodectes cynotis infestation, as well as possible causes of infestation and preventive measures.”

      Page 1

      Found in: Introduction

      Read it in the full textOpen PDF at page 1 ↗
  3. What they did

    • The study involved six domestic African pygmy hedgehogs presenting with itching, slight lethargy, and skin lesions. View evidence ↗

      What they did

      The study involved six domestic African pygmy hedgehogs presenting with itching, slight lethargy, and skin lesions.

      In the paper's own words

      “Six domestic African pygmy hedgehogs were presented with skin lesions characteristic of dermatophytosis, pruritus and slight lethargy.”

      Page 1

      Found in: Case presentation

      Read it in the full textOpen PDF at page 1 ↗
    • Diagnosis was confirmed through physical exams, otoscope ear canal examinations, and mineral oil ear swab cytology. View evidence ↗

      What they did

      Diagnosis was confirmed through physical exams, otoscope ear canal examinations, and mineral oil ear swab cytology.

      In the paper's own words

      “Physical examination, ear canal examination using otoscope and mineral oil ear swab cytology [3] was performed on the ears for confirmatory diagnosis [4], which revealed the presence of Otodectes cynotis mites (Fig. 6).”

      Page 1

      Found in: Case presentation

      Read it in the full textOpen PDF at page 1 ↗
    • To minimize stress and injury, diagnostic procedures were performed under isoflurane gas anesthesia. View evidence ↗

      What they did

      To minimize stress and injury, diagnostic procedures were performed under isoflurane gas anesthesia.

      In the paper's own words

      “To reduce handling stress and injury to the animal and the veterinarian, these were performed under mask induction of 5% isoflurane gas anaesthesia at 2 lit./min oxygen flow rate for 1 minute followed by mask maintenance of 2% isoflurane at 1.5 lit./min oxygen flow rate till the end of the procedure”

      Page 1

      Found in: Case presentation

      Read it in the full textOpen PDF at page 1 ↗
    • To treat secondary dermatophytosis, the hedgehogs were bathed in a shampoo containing 2% miconazole and chlorhexidine. View evidence ↗

      What they did

      To treat secondary dermatophytosis, the hedgehogs were bathed in a shampoo containing 2% miconazole and chlorhexidine.

      In the paper's own words

      “To control the secondary dermatophytosis, the hedgehogs were given a bath with a shampoo containing 2% miconazole and chlorhexidine [5, 6].”

      Page 2

      Found in: Treatment

      Read it in the full textOpen PDF at page 2 ↗
    • All hedgehogs received a topical application of selamectin solution at a dose of 45 mg per animal between their spines. View evidence ↗

      What they did

      All hedgehogs received a topical application of selamectin solution at a dose of 45 mg per animal between their spines.

      In the paper's own words

      “Once dry, selamectin solution @ 45 mg/animal [4] (Radicate by Veko) was also applied on the skin in between the spines for all the hedgehogs (Fig. 7).”

      Page 2

      Found in: Treatment

      Read it in the full textOpen PDF at page 2 ↗
    • The animals were also treated with amoxicillin-clavulanate (12.5 mg/kg twice daily for 5 days) and meloxicam (0.2 mg/kg once daily for 3 days). View evidence ↗

      What they did

      The animals were also treated with amoxicillin-clavulanate (12.5 mg/kg twice daily for 5 days) and meloxicam (0.2 mg/kg once daily for 3 days).

      In the paper's own words

      “Individual hedgehogs were weighed (Fig. 5) and treated with amoxicillin-clavulanate at 12.5 mg/kg BID for 5 days and meloxicam at 0.2 mg/kg OD for 3 days”

      Page 2

      Found in: Treatment

      Read it in the full textOpen PDF at page 2 ↗
  4. What they found

    • By day 7 of treatment, there was a significant reduction in itching, swelling, inflammation, and the size of the lesions. View evidence ↗

      What they found

      By day 7 of treatment, there was a significant reduction in itching, swelling, inflammation, and the size of the lesions.

      In the paper's own words

      “The lesions progressively reduced along with the inflammation and swelling, and a stark reduction in itching was observed by day 7 (Fig. 8).”

      Page 3

      Found in: Outcome

      Read it in the full textOpen PDF at page 3 ↗
    • Follow-up mineral oil ear swab cytology performed 15 days after treatment showed no remaining mite infestation. View evidence ↗

      What they found

      Follow-up mineral oil ear swab cytology performed 15 days after treatment showed no remaining mite infestation.

      In the paper's own words

      “Mineral oil ear swab cytology was performed again after 15 days, which was negative for mite infestation.”

      Page 3

      Found in: Outcome

      Read it in the full textOpen PDF at page 3 ↗
    • All visible body lesions had completely disappeared by day 30 of the treatment. View evidence ↗

      What they found

      All visible body lesions had completely disappeared by day 30 of the treatment.

      In the paper's own words

      “By day 30 of treatment, the hedgehogs were clear of any visible lesions on the body (Fig. 9).”

      Page 3

      Found in: Outcome

      Read it in the full textOpen PDF at page 3 ↗
    • No symptoms returned during a 45-day monitoring period following the initial treatment. View evidence ↗

      What they found

      No symptoms returned during a 45-day monitoring period following the initial treatment.

      In the paper's own words

      “Monitoring of the animals was done for 45 days after initial treatment but no signs of re-appearance of symptoms were observed.”

      Page 3

      Found in: Outcome

      Read it in the full textOpen PDF at page 3 ↗
  5. What it means

    • The authors conclude that selamectin solution is an effective treatment for Otodectes cynotis infestations in domestic African pygmy hedgehogs. View evidence ↗

      What it means

      The authors conclude that selamectin solution is an effective treatment for Otodectes cynotis infestations in domestic African pygmy hedgehogs.

      In the paper's own words

      “This case report demonstrates the effectiveness of selamectin solution in the treatment of Otodectes cynotis infestation in domestic African pygmy hedgehogs (Fig. 10).”

      Page 3

      Found in: Conclusion and Discussion

      Read it in the full textOpen PDF at page 3 ↗
    • The authors recommend preventing infestations by avoiding overcrowding and the sharing of contaminated equipment or bedding, as poor husbandry practices often lead to acariasis. View evidence ↗

      What it means

      The authors recommend preventing infestations by avoiding overcrowding and the sharing of contaminated equipment or bedding, as poor husbandry practices often lead to acariasis.

      In the paper's own words

      “It is important to take preventive measures to avoid infestation with Otodectes cynotis mites as acariasis in African pygmy hedgehog is a common finding in individuals subjected to poor husbandry practices and avoiding overcrowding and sharing contaminated bedding or equipment.”

      Page 3

      Found in: Conclusion and Discussion

      Read it in the full textOpen PDF at page 3 ↗

Figures & tables

From the original paper
Self-excoriation leading to aural haematoma.Figure 1Page 2Severe itching using hind legFigure 2Page 2Denuding of spine from mantleFigure 3Page 2Crusting on ear pinnaFigure 4Page 2Weighing of individual hedgehog.Figure 5Page 2Microscopic view in 10X of Otodectes cynotisFigure 6Page 2Application of selamectin spot-onFigure 7Page 2Lesions in remission post 1 week.Figure 8Page 3Complete eradication of lesions on day 30Figure 9Page 3Chronology of therapeutic management of OtodectesFigure 10Page 3
FULL TEXT Original article · reflowed for reading

Introduction

Otodectes cynotis is a psoroptic mite that infests the ear canals and dwells on the skin surface of animals (Fig. 1), causing symptoms such as pruritus, inflammation, and skin lesions due to self-excoriations on the ears and head [1] . Acariasis due to Otodectes cynotis is commonly found in domestic hedgehogs, and can cause significant discomfort and distress for the affected animals [2] . In this case report, we describe the successful treatment of six domestic African pygmy hedgehogs with Otodectes cynotis infestation, as well as possible causes of infestation and preventive measures.

Figure 1. Self-excoriation leading to aural haematoma.
Self-excoriation leading to aural haematoma.↗ Enlarge
Figure 1
Self-excoriation leading to aural haematoma.

Self-excoriation leading to aural haematoma.

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗

Case presentation

Six domestic African pygmy hedgehogs were presented with skin lesions characteristic of dermatophytosis, pruritus and slight lethargy. Flakes were present on the skin mantle, and selfmutilation due to excessive itching of ears using hind legs was observed in three hedgehogs (Fig. 2). The lesions consisted of scabs on the external ear pinna, over the digits, around the nose, denuding of spine from mantle and forehead, pinnal dermatitis and a powder-like deposit on the face (Fig. 3). Another hedgehog sustained aural haematoma in the right ear pinna (Fig. 4). Physical examination, ear canal examination using otoscope and mineral oil ear swab cytology [3] was performed on the ears for confirmatory diagnosis [4] , which revealed the presence of Otodectes cynotis mites (Fig. 6). To reduce handling stress and injury to the animal and the veterinarian, these were performed under mask induction of 5% isoflurane gas anaesthesia at 2 lit./min oxygen flow rate for 1 minute followed by mask maintenance of 2% isoflurane at 1.5 lit./min oxygen flow rate till the end of the procedure [5] .

Figure 6. Microscopic view in 10X of Otodectes cynotis
Microscopic view in 10X of Otodectes cynotis↗ Enlarge
Figure 6
Microscopic view in 10X of Otodectes cynotis

Microscopic view in 10X of Otodectes cynotis

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗
Figure 4. Crusting on ear pinna
Crusting on ear pinna↗ Enlarge
Figure 4
Crusting on ear pinna

Crusting on ear pinna

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Original paper figureSource PDF · page 2 ↗
Figure 3. Denuding of spine from mantle
Denuding of spine from mantle↗ Enlarge
Figure 3
Denuding of spine from mantle

Denuding of spine from mantle

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗
Figure 2. Severe itching using hind leg
Severe itching using hind leg↗ Enlarge
Figure 2
Severe itching using hind leg

Severe itching using hind leg

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗

Treatment

To control the secondary dermatophytosis, the hedgehogs were given a bath with a shampoo containing 2% miconazole and chlorhexidine [5,6] . The shampoo was lathered on the body, scrubbed with a soft bristle toothbrush, and left on for 10 minutes before being thoroughly rinsed with lukewarm water. Care was taken to avoid letting water enter the eyes, nose, ears, and mouth of the animals. Once dry, selamectin solution @ 45 mg/animal [4] (Radicate by Veko) was also applied on the skin in between the spines for all the hedgehogs (Fig. 7). Individual hedgehogs were weighed (Fig. 5) and treated with amoxicillin-clavulanate at 12.5 mg/kg BID for 5 days and meloxicam at 0.2 mg/kg OD for 3 days, which resolved the dermatitis and aided in the resolution of one hedgehog's aural haematoma. The animal enclosures were disinfected and sundried to ensure annihilation of ectoparasites and its stragglers [6] .

Figure 7. Application of selamectin spot-on
Application of selamectin spot-on↗ Enlarge
Figure 7
Application of selamectin spot-on

Application of selamectin spot-on

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗
Figure 5. Weighing of individual hedgehog.
Weighing of individual hedgehog.↗ Enlarge
Figure 5
Weighing of individual hedgehog.

Weighing of individual hedgehog.

Open full-size image ↗
Original paper figureSource PDF · page 2 ↗

Outcome

The lesions progressively reduced along with the inflammation and swelling, and a stark reduction in itching was observed by day 7 (Fig. 8). Mineral oil ear swab cytology was performed again after 15 days, which was negative for mite infestation. By day 30 of treatment, the hedgehogs were clear of any visible lesions on the body (Fig. 9). Monitoring of the animals was done for 45 days after initial treatment but no signs of re-appearance of symptoms were observed.

Figure 9. Complete eradication of lesions on day 30
Complete eradication of lesions on day 30↗ Enlarge
Figure 9
Complete eradication of lesions on day 30

Complete eradication of lesions on day 30

Open full-size image ↗
Original paper figureSource PDF · page 3 ↗
Figure 8. Lesions in remission post 1 week.
Lesions in remission post 1 week.↗ Enlarge
Figure 8
Lesions in remission post 1 week.

Lesions in remission post 1 week.

Open full-size image ↗
Original paper figureSource PDF · page 3 ↗

Possible causes of infestation

Otodectes cynotis mites can be transmitted through contact with infected animals or their environments. They can also be transmitted through the use of contaminated bedding or equipment. Poor hygiene and overcrowding may also contribute to the spread of these mites [6] .

Preventive measures

To prevent infestation with Otodectes cynotis mites, it is important to maintain good hygiene and regularly clean and disinfect the hedgehog's environment. It is also recommended to avoid overcrowding and to avoid sharing bedding or equipment with infected animals. Regular check-ups with a veterinarian can help identify and treat infestations early on.

Conclusion and Discussion

This case report demonstrates the effectiveness of selamectin solution in the treatment of Otodectes cynotis infestation in domestic African pygmy hedgehogs (Fig. 10). Numerous doses are typically required for compounds that have been utilised in the past to treat and manage ectoparasites in exotic pets, which raises the possibility of owner infringement, distressed animal leading to poor therapeutic outcome.

Figure 10. Chronology of therapeutic management of Otodectes
Chronology of therapeutic management of Otodectes↗ Enlarge
Figure 10
Chronology of therapeutic management of Otodectes

Chronology of therapeutic management of Otodectes

Open full-size image ↗
Original paper figureSource PDF · page 3 ↗

Selamectin, an endectocide, does not penetrate the blood brain barrier in the host thereby increasing its margin of safety [7] . It is practical to use against a variety of endo and ecto-parasites because of its lengthy duration of impact and wide spectrum of therapeutic activity [8] .

Dermatophytosis may develop as a result of stresses such as mite infestation. Crusting at the base of the spine is a defining feature of dermatophytosis [6] . This case report also exemplifies the auxiliary use of miconazole and chlorhexidine bath as a remedy against mild secondary dermatophytosis. The use of these treatments resulted in a significant reduction in symptoms and a complete resolution of the mite infestation.

It is important to take preventive measures to avoid infestation with Otodectes cynotis mites as acariasis in African pygmy hedgehog is a common finding in individuals subjected to poor husbandry practices and avoiding overcrowding and sharing contaminated bedding or equipment. These findings may be useful for veterinarians treating similar cases in the future.

References

3 in the original paper
  1. Fisher M, Beck W, Hutchinson M. Efficacy and safety of selamectin (Stronghold/Revolution) used off-label in exotic pets. Journal of Applied Research in Veterinary Medicine. 2007;5(3):87-96.
  2. Bishop BF. Selamectin: A novel broad-spectrum endectocide for dogs and cats. Veterinary Parasitology. 2000;91(3-4):163-176. Doi:10.1016/S03044017(00)00289-2.
  3. Digeronimo P. Therapeutic Review: Selamectin. Journal of Exotic Pet Medicine c2015. p. 25(1). Doi:10.1053/j.jepm.2015.11.001.

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