<?xml version="1.0" encoding="UTF-8"?><article article-type="normal" xml:lang="en">
   <front>
      <journal-meta>
         <journal-id journal-id-type="publisher-id">PALEVO</journal-id>
         <issn>1631-0683</issn>
         <publisher>
            <publisher-name>Elsevier</publisher-name>
         </publisher>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="pii">S1631-0683(19)30185-X</article-id>
         <article-id pub-id-type="doi">10.1016/j.crpv.2019.10.007</article-id>
         <article-categories>
            <subj-group subj-group-type="type">
               <subject>Research article</subject>
            </subj-group>
            <subj-group subj-group-type="heading">
               <subject>General Palaeontology, Systematics, and Evolution (Vertebrate Palaeontology)</subject>
            </subj-group>
            <series-title>General Palaeontomogy, Systematics, and Evolution/Paléontologie générale, systématique et évolution</series-title>
            <series-title>(Vertebrate Palaeontology/Paléontologie des Vertébrés)</series-title>
         </article-categories>
         <title-group>
            <article-title>The most ancient evidence of a diseased lagomorph: Infectious paleopathology in a tibiofibular bone (Middle Miocene, Germany)</article-title>
            <trans-title-group xml:lang="fr">
               <trans-title>L’évidence la plus ancienne d’un lagomorphe malade : paléopathologie infectieuse dans un os tibiofibulaire (Miocène moyen, Allemagne)</trans-title>
            </trans-title-group>
         </title-group>
         <contrib-group content-type="authors">
            <contrib contrib-type="author" corresp="yes">
               <name>
                  <surname>Moncunill-Solé</surname>
                  <given-names>Blanca</given-names>
               </name>
               <email>blanca.moncunill@udc.es</email>
               <email>blanca.moncunill@gmail.com</email>
               <xref rid="aff0005" ref-type="aff">
                  <sup>a</sup>
               </xref>
               <xref rid="aff0010" ref-type="aff">
                  <sup>b</sup>
               </xref>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Isidro</surname>
                  <given-names>Albert</given-names>
               </name>
               <email>aisidro.cot@gmail.com</email>
               <xref rid="aff0015" ref-type="aff">
                  <sup>c</sup>
               </xref>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Blanco</surname>
                  <given-names>Alejandro</given-names>
               </name>
               <email>alejandro.blancoc@udc.es</email>
               <xref rid="aff0010" ref-type="aff">
                  <sup>b</sup>
               </xref>
               <xref rid="aff0020" ref-type="aff">
                  <sup>d</sup>
               </xref>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Angelone</surname>
                  <given-names>Chiara</given-names>
               </name>
               <email>chiara.angelone@uniroma3.it</email>
               <xref rid="aff0005" ref-type="aff">
                  <sup>a</sup>
               </xref>
               <xref rid="aff0025" ref-type="aff">
                  <sup>e</sup>
               </xref>
               <xref rid="aff0030" ref-type="aff">
                  <sup>f</sup>
               </xref>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Rössner</surname>
                  <given-names>Gertrud E.</given-names>
               </name>
               <email>roessner@snsb.de</email>
               <xref rid="aff0020" ref-type="aff">
                  <sup>d</sup>
               </xref>
               <xref rid="aff0035" ref-type="aff">
                  <sup>g</sup>
               </xref>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Jordana</surname>
                  <given-names>Xavier</given-names>
               </name>
               <email>xavier.jordana@uab.cat</email>
               <xref rid="aff0040" ref-type="aff">
                  <sup>h</sup>
               </xref>
            </contrib>
            <aff-alternatives id="aff0005">
               <aff>
                  <label>a</label> Dipartimento di Scienze, Università degli Studi Roma Tre, Largo S. Leonardo Murialdo 1, 00146 Roma, Italy</aff>
               <aff>
                  <label>a</label>
                  <institution>Dipartimento di Scienze, Università degli Studi Roma Tre</institution>
                  <addr-line>Largo S. Leonardo Murialdo 1</addr-line>
                  <city>Roma</city>
                  <postal-code>00146</postal-code>
                  <country>Italy</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0010">
               <aff>
                  <label>b</label> Centro de Investigacións Científicas Avanzadas (CICA), As Carballeiras s/n, Campus de Elviña, Universidade da Coruña, 15071 A Coruña, Spain</aff>
               <aff>
                  <label>b</label>
                  <institution>Centro de Investigacións Científicas Avanzadas (CICA), As Carballeiras s/n, Campus de Elviña, Universidade da Coruña</institution>
                  <city>A Coruña</city>
                  <postal-code>15071</postal-code>
                  <country>Spain</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0015">
               <aff>
                  <label>c</label> Department of Orthopedics, Hospital Universitari Sagrat Cor, 08029 Barcelona, España</aff>
               <aff>
                  <label>c</label>
                  <institution>Department of Orthopedics, Hospital Universitari Sagrat Cor</institution>
                  <city>Barcelona</city>
                  <postal-code>08029</postal-code>
                  <country>España</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0020">
               <aff>
                  <label>d</label> SNSB - Bayerische Staatssammlung für Paläontologie und Geologie (BSPG), Richard-Wagner-Str. 10, 80333 München, Germany</aff>
               <aff>
                  <label>d</label>
                  <institution>SNSB - Bayerische Staatssammlung für Paläontologie und Geologie (BSPG)</institution>
                  <addr-line>Richard-Wagner-Str. 10</addr-line>
                  <city>München</city>
                  <postal-code>80333</postal-code>
                  <country>Germany</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0025">
               <aff>
                  <label>e</label> Institut Català de Paleontologia Miquel Crusafont (ICP), Edifici Z ICTA-ICP, Carrer de les Columnes s/n, Campus de la Universitat Autònoma de Barcelona, 08193 Cerdanyola del Vallès, Barcelona, Spain</aff>
               <aff>
                  <label>e</label>
                  <institution>Institut Català de Paleontologia Miquel Crusafont (ICP), Edifici Z ICTA-ICP, Carrer de les Columnes s/n, Campus de la Universitat Autònoma de Barcelona</institution>
                  <city>Cerdanyola del Vallès</city>
                  <state>Barcelona</state>
                  <postal-code>08193</postal-code>
                  <country>Spain</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0030">
               <aff>
                  <label>f</label> Key Laboratory of Vertebrate Evolution and Human Origins, Institute of Vertebrate Paleontology and Palaeoanthropology, Chinese Academy of Sciences, 142 Xi Zhi Men Wai Da Jie, 100044 Beijing, China</aff>
               <aff>
                  <label>f</label>
                  <institution>Key Laboratory of Vertebrate Evolution and Human Origins, Institute of Vertebrate Paleontology and Palaeoanthropology, Chinese Academy of Sciences</institution>
                  <addr-line>142 Xi Zhi Men Wai Da Jie</addr-line>
                  <city>Beijing</city>
                  <postal-code>100044</postal-code>
                  <country>China</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0035">
               <aff>
                  <label>g</label> Department of Earth and Environmental Sciences, Paleontology &amp; Geobiology, Ludwig-Maximilians-Universität München, Richard-Wagner-Str. 10, 80333 München, Germany</aff>
               <aff>
                  <label>g</label>
                  <institution>Department of Earth and Environmental Sciences, Paleontology &amp; Geobiology, Ludwig-Maximilians-Universität München</institution>
                  <addr-line>Richard-Wagner-Str. 10</addr-line>
                  <city>München</city>
                  <postal-code>80333</postal-code>
                  <country>Germany</country>
               </aff>
            </aff-alternatives>
            <aff-alternatives id="aff0040">
               <aff>
                  <label>h</label> Unitat d’Antropologia, Departament de Biologia Animal, Biologia Vegetal i Ecologia, Edifici C Facultat de Biociències, Universitat Autònoma de Barcelona, 08193 Cerdanyola del Vallès, Barcelona, Spain</aff>
               <aff>
                  <label>h</label>
                  <institution>Unitat d’Antropologia, Departament de Biologia Animal, Biologia Vegetal i Ecologia, Edifici C Facultat de Biociències, Universitat Autònoma de Barcelona</institution>
                  <city>Cerdanyola del Vallès</city>
                  <state>Barcelona</state>
                  <postal-code>08193</postal-code>
                  <country>Spain</country>
               </aff>
            </aff-alternatives>
         </contrib-group>
         <pub-date-not-available/>
         <volume>18</volume>
         <issue seq="2">8</issue>
         <issue-id pub-id-type="pii">S1631-0683(19)X0009-3</issue-id>
         <fpage seq="0" content-type="normal">1011</fpage>
         <lpage content-type="normal">1023</lpage>
         <history>
            <date date-type="received" iso-8601-date="2019-08-09"/>
            <date date-type="accepted" iso-8601-date="2019-10-13"/>
         </history>
         <permissions>
            <copyright-statement>© 2019 Académie des sciences. Published by Elsevier B.V. All rights reserved.</copyright-statement>
            <copyright-year>2019</copyright-year>
            <copyright-holder>Académie des sciences</copyright-holder>
         </permissions>
         <self-uri xmlns:xlink="http://www.w3.org/1999/xlink" content-type="application/pdf" xlink:href="main.pdf">
                        Full (PDF)
                    </self-uri>
         <abstract abstract-type="author">
            <p id="spar0005">Few pathological cases have been identified in fossils of small mammals. Here we report the most ancient paleopathological evidence identified in a lagomorph (Ochotonidae, middle Miocene). The tibiofibular bone was macro- and microscopically (μCT) inspected to provide a diagnosis, an etiology, and its possible relationship with the individual's cause of death. Osteogenesis (reactive bone growth) and osteolysis, processes related with neoplasms and infections, are identified in the abnormal bony region. Its location (juxta-articular) and morphology allow us to identify it as a joint infection (septic arthritis) consequential of a violent mechanism, such as a bite. Both the origin of bone accumulation (avian pellets) and the poor vital state of the specimen (with a joint infection) point to predation as the most probable cause of death. Up to now, lagomorph paleopathologies had only been described in insular populations, and the present one is the first evidence in a mainland specimen.</p>
         </abstract>
         <trans-abstract abstract-type="author" xml:lang="fr">
            <p id="spar0010">Peu de cas pathologiques ont été identifiés dans des fossiles de petits mammifères. Nous rapportons ici les preuves paléopathologiques les plus anciennes identifiées chez un lagomorphe (Ochotonidae, Miocène moyen). L’os tibiofibulaire a fait l’objet d’une inspection macroscopique et microscopique (μCT) afin de fournir un diagnostic, son étiologie et sa relation possible avec la cause de décès de l’individu. L’ostéogenèse (croissance osseuse réactive) et l’ostéolyse, processus liés aux néoplasmes et aux infections, sont identifiés dans la région anormale de l'os. Sa localisation (juxta-articulaire) et sa morphologie permettent de l’identifier comme une infection articulaire (arthrite septique) consécutive à un mécanisme violent, tel qu’une morsure. L’origine de l’accumulation osseuse (granulés aviaires) et le mauvais état vital du spécimen (avec une infection articulaire) indiquent que la prédation est la cause de décès la plus probable. Jusqu’à présent, les paléopathologies lagomorphes n’avaient été décrites que dans des populations insulaires, et celle-ci est la première preuve sur un spécimen du continent.</p>
         </trans-abstract>
         <kwd-group>
            <unstructured-kwd-group>Goldberg site, MN6, Ochotonid, Osteolysis, Septic arthritis, Small mammals</unstructured-kwd-group>
         </kwd-group>
         <kwd-group xml:lang="fr">
            <unstructured-kwd-group>Gisement de Goldberg, MN6, Ochotonidé, Ostéolyse, Arthrite septique, Petits mammifères</unstructured-kwd-group>
         </kwd-group>
         <custom-meta-group>
            <custom-meta>
               <meta-name>presented</meta-name>
               <meta-value>Handled by Lorenzo Rook</meta-value>
            </custom-meta>
         </custom-meta-group>
      </article-meta>
   </front>
   <body>
      <sec id="sec0005">
         <label>1</label>
         <title id="sect0025">Introduction</title>
         <p id="par0005">Occasionally, biological remains of extinct species show pathological conditions (<xref rid="bib0355" ref-type="bibr">Rothschild and Martin, 2006</xref>). Developmental disorders, stress marks, tumors, infections or traumas are among the most common. Because these abnormalities are comparable to those observed in extant living beings, paleontologists can provide an accurate diagnosis and can investigate their etiology (<xref rid="bib0355" ref-type="bibr">Rothschild and Martin, 2006</xref>; <xref rid="bib0380" ref-type="bibr">Shufeldt, 1893</xref>). Paleopathological investigations can unveil many biological aspects of extinct species, <italic>inter alia</italic> traits of their immunology, physiology, life history, behavior, and of inter- and intraspecific interactions (<xref rid="bib0020" ref-type="bibr">Anné et al., 2016</xref>, <xref rid="bib0060" ref-type="bibr">Böhmer and Rössner, 2018</xref> and <xref rid="bib0145" ref-type="bibr">Hone and Tanke, 2015</xref>; <xref rid="bib0355" ref-type="bibr">Rothschild and Martin, 2006</xref> and <xref rid="bib0440" ref-type="bibr">Waldron, 2009</xref>). In this regard, non-lethal pathologies that leave a trace in bones or teeth over time are of special significance (<xref rid="bib0105" ref-type="bibr">Foth et al., 2015</xref>). The big boom of paleopathological studies is relatively recent, coinciding with the improvement of non-invasive diagnostic techniques (<xref rid="bib0240" ref-type="bibr">Mariani-Costantini et al., 1996</xref> and <xref rid="bib0375" ref-type="bibr">Shaffer and Baker, 1997</xref>). Pathological abnormalities have been described in a wide range of fossils, including plants, invertebrates (mainly trilobites), and vertebrates (such as fishes, amphibians, reptiles, carnivorans, several odd-toed and even-toed ungulates, and primates) (<xref rid="bib0020" ref-type="bibr">Anné et al., 2016</xref>, <xref rid="bib0060" ref-type="bibr">Böhmer and Rössner, 2018</xref>, <xref rid="bib0090" ref-type="bibr">Dieguez et al., 1996</xref>, <xref rid="bib0095" ref-type="bibr">Flynn et al., 2013</xref>, <xref rid="bib0105" ref-type="bibr">Foth et al., 2015</xref>, <xref rid="bib0130" ref-type="bibr">Haridy et al., 2019</xref>, <xref rid="bib0220" ref-type="bibr">Lyras et al., 2016</xref>, <xref rid="bib0225" ref-type="bibr">Lyras et al., 2019</xref>, <xref rid="bib0295" ref-type="bibr">Pawłowska et al., 2014</xref>, <xref rid="bib0300" ref-type="bibr">Petit and Khalloufi, 2012</xref>, <xref rid="bib0345" ref-type="bibr">Rooney, 1997</xref> and <xref rid="bib0350" ref-type="bibr">Rothschild and Laub, 2013</xref>). Only a few paleopathological conditions have been described in small mammals, mainly in rodents. <xref rid="bib0210" ref-type="bibr">Luna et al. (2017)</xref> noted the presence of fractures, enthesial changes, osteoarthroses, and other abnormal conditions in several species of rodents (Cueva Tixi, middle to late Holocene, Argentina). The paleoparasitological analysis in rodent coprolites carried out by <xref rid="bib0370" ref-type="bibr">Sardella and Fugassa (2009)</xref> detected the presence of nematodes (Cerro Casa de Piedra, Holocene, Argentina). In fossil lagomorphs, <xref rid="bib0455" ref-type="bibr">Zoboli (2003)</xref> and <xref rid="bib0460" ref-type="bibr">Zoboli et al. (2018)</xref> described several abnormal conditions (arthrosis, periostitis, osteomalacia, fractures, osteosarcoma, osteonecrosis, etc.) of remains in <italic>Prolagus sardus</italic> (<xref rid="bib0435" ref-type="bibr">Wagner, 1829</xref>), a middlePleistocene–Holocene endemic insular ochotonid from Sardinia (Italy). Paleopathologies reported in continental lagomorphs are completely lacking, in spite of the fact that the members of this order are extremely common, widespread and abundant in the fossil record, especially since the Neogene onwards.</p>
         <p id="par0010">In the present research, we report on the most ancient known paleopathology in the order Lagomorpha up to now (middle Miocene, MN6), and the first ever documented on a mainland taxon. The aims of this study are: (1) to describe and assess this bony abnormality macro- and microscopically (μCT); and (2) to provide a diagnosis and to determine its etiology as well as the cause of death of the individual.</p>
      </sec>
      <sec id="sec0010">
         <label>2</label>
         <title id="sect0030">Material and methods</title>
         <sec id="sec0015">
            <label>2.1</label>
            <title id="sect0035">Geological setting</title>
            <sec>
               <p id="par0015">The examined pathological tibiofibular bone comes from the Goldberg site, a fossiliferous locality of the Nördlinger Ries, Bavaria, southern Germany (<xref rid="fig0005" ref-type="fig">Fig. 1</xref>). Nördlinger Ries is a circular, shallow depression (22–24 km in diameter), formed by one of the cosmic impacts of a binary stony meteorite, at approximately 14–15 Ma (<xref rid="bib0005" ref-type="bibr">Abdul Aziz et al., 2008</xref>, <xref rid="bib0025" ref-type="bibr">Arp, 1995</xref>, <xref rid="bib0030" ref-type="bibr">Arp, 2006</xref>, <xref rid="bib0070" ref-type="bibr">Buchner et al., 2013</xref> and <xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref>). The depression was filled with an enclosed evaporitic soda shallow-water lake, which probably existed for a time span of 0.3 to 2 Ma (<xref rid="bib0155" ref-type="bibr">Jankowski, 1981</xref>). The Goldberg site (among other coeval, neighboring sites as Steinberg-Spitzberg or Wallerstein) is a spring mound of calcareous cool-water tufa (“travertine” hills) that rose at the level of a sublacustrine spring water source (<xref rid="bib0025" ref-type="bibr">Arp, 1995</xref>, <xref rid="bib0030" ref-type="bibr">Arp, 2006</xref> and <xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref>). It is assumed that, during certain periods, the spring mounds emerged from the soda crater lake as little islands. Fissures and pockets were formed in the sediments in the subaerial medium, and birds of prey used their crevices for resting or nesting. Their regurgitated pellets were accumulated in the late freshwater stages, forming the fossil vertebrate assemblages. <italic>Miotyto montispetrosi</italic>
                  <xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref>, the barn owl described from Steinberg, was the main agent of accumulation (<xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref>). The vertebrate assemblages contain mostly small vertebrates, including fishes, amphibians, reptiles, birds, and small mammals (<xref rid="bib0030" ref-type="bibr">Arp, 2006</xref>; <xref rid="bib0135" ref-type="bibr">Heizmann and Fahlbusch, 1983</xref>; <xref rid="bib0325" ref-type="bibr">Rachl, 1983</xref>; <xref rid="bib0450" ref-type="bibr">Ziegler, 1983</xref>). The state of preservation of these fossil remains is excellent (<xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref> and <xref rid="bib0135" ref-type="bibr">Heizmann and Fahlbusch, 1983</xref>).</p>
            </sec>
            <sec>
               <p id="par0020">The age of the Goldberg site dates back to the Early Astaracian (middle Miocene, MN6), younger than 14.7 Ma (<xref rid="bib0065" ref-type="bibr">Bolten, 1977</xref> and <xref rid="bib0185" ref-type="bibr">Lindsay et al., 1989</xref>). The paleoclimate of this region at that moment has been interpreted as semi-arid with a mean annual rainfall of 584 ± 252 mm (<xref rid="bib0055" ref-type="bibr">Böhme et al., 2006</xref> and <xref rid="bib0135" ref-type="bibr">Heizmann and Fahlbusch, 1983</xref>).</p>
            </sec>
         </sec>
         <sec id="sec0020">
            <label>2.2</label>
            <title id="sect0040">Specimen</title>
            <sec>
               <p id="par0025">A lagomorph right tibiofibular bone is described and examined (<xref rid="fig0010" ref-type="fig">Fig. 2</xref> and <xref rid="fig0015" ref-type="fig">Fig. 3</xref>; <xref rid="sec0085" ref-type="sec">Appendix S1</xref>). It is curated at the fossil mammal collection of the Staatliche Naturwissenschaftliche Sammlungen Bayerns–Bayerische Staatssammlung für Paläontologie und Geologie (SNSB–BSPG) in Munich (Germany) under number 1966XXXIV 3340. The specimen, as the other fossil remains from Goldberg, was gained from subjecting the blocks of calcareous tufa to dilute acetic acid (<xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref>).</p>
            </sec>
            <sec>
               <p id="par0030">The specimen was assigned to an adult individual based on the fusion state of its epiphyses. Although the proximal ones are impossible to evaluate due to the abnormal condition, the distal one is completely fused. In <italic>Oryctolagus cuniculus</italic>
                  <xref rid="bib0190" ref-type="bibr">Linnaeus, 1758</xref>, the growth plate of this latter fuses between the 16th and 28th weeks after birth (<xref rid="bib0170" ref-type="bibr">Kaweblum et al., 1994</xref> and <xref rid="bib0245" ref-type="bibr">Masoud et al., 1986</xref>), whereas no data is available for ochotonids. The examined specimen is attributed to the family Ochotonidae. Its geological age (middle Miocene, MN6), body size and morphology exclude its classification as a leporid. Actually, leporids settled definitively in Europe only in the latest Miocene (7 Ma), and their presence in European sites before 11 Ma is a matter of debate (<xref rid="bib0100" ref-type="bibr">Flynn et al., 2014</xref> and <xref rid="bib0200" ref-type="bibr">López Martínez, 2008</xref>). Moreover, the tibiofibula from Goldberg has a total length of 35 mm, and a weight of 126 g based on the transversal diameter of the distal epiphysis (allometric models in <xref rid="bib0260" ref-type="bibr">Moncunill-Solé et al., 2015</xref>). Both dimensions fit with its taxonomic placement among ochotonids (<xref rid="bib0265" ref-type="bibr">Moncunill-Solé et al., 2016a</xref>, fig. 3; <xref rid="bib0390" ref-type="bibr">Smith et al., 2018</xref>). Indeed, in the coeval, neighboring site of Steinberg (<xref rid="fig0005" ref-type="fig">Fig. 1</xref>), <xref rid="bib0135" ref-type="bibr">Heizmann and Fahlbusch (1983)</xref> reported the presence of two ochotonids: <italic>Prolagus oeningensis</italic>
                  <xref rid="bib0175" ref-type="bibr">König, 1825</xref> and <italic>Lagopsis verus</italic>
                  <xref rid="bib0140" ref-type="bibr">Hensel, 1856</xref>, the latter in larger quantities (<xref rid="bib0310" ref-type="bibr">Prieto et al., 2009</xref>). It is very likely that the pathological specimen from Goldberg pertains to one of these two species. However, as detailed studies and statistics about the postcranial bones of fossil ochotonids are lacking, we refrain to assess a generic taxonomic attribution of the tibiofibula.</p>
            </sec>
         </sec>
         <sec id="sec0025">
            <label>2.3</label>
            <title id="sect0045">Analytical tools</title>
            <sec>
               <p id="par0035">The most common methodology for studying paleopathological conditions is the histological analysis (<xref rid="bib0080" ref-type="bibr">D’Anastasio, 2004</xref>, <xref rid="bib0220" ref-type="bibr">Lyras et al., 2016</xref> and <xref rid="bib0225" ref-type="bibr">Lyras et al., 2019</xref>). Due to its destructive base, however, it is not recommended when the sample size is very small (<xref rid="bib0020" ref-type="bibr">Anné et al., 2016</xref>). Recently, other non-destructive analytical tools (μCT or electron microscopes) allow one to explore paleopathologies without damaging the remains (<xref rid="bib0020" ref-type="bibr">Anné et al., 2016</xref>, <xref rid="bib0060" ref-type="bibr">Böhmer and Rössner, 2018</xref>, <xref rid="bib0095" ref-type="bibr">Flynn et al., 2013</xref>, <xref rid="bib0105" ref-type="bibr">Foth et al., 2015</xref> and <xref rid="bib0355" ref-type="bibr">Rothschild and Martin, 2006</xref>). Because of the small size of our sample, we decided to evaluate the paleopathology macroscopically and via X-ray microtomography (μCT). The first methodology allows us to identify broadly the main important abnormalities of the bone, whereas the latter provides valuable data about the inner structure of the bone and the microstructural changes. The paleopathological bone was scanned using a phoenix|x-ray nanotom® m (GE Sensing &amp; Inspection Techonologies GmbH, Wunstorf/Hannover, Germany) at the Staatliche Naturwissenschaftliche Sammlungen Bayerns, in Munich. The complete bone was scanned at a voxel size of 0.0164 μm with a voltage of 120 kV and current of 70 μA and a 0.2-mm copper filter (dimensions 566 × 547 × 2326 bytes). A high-resolution μCT of the proximal part of the bone was also conducted (voxel size 0.0053 μm, voltage of 120 kV, current of 60 μA, 0.2 mm copper filter, dimensions 1548 × 2001 × 2364 bytes). Visualization, processing, and analysis of data were performed with software Amira 5.2.0 (Build 531) (Property of 1995–2008 Konrad-Zuse-Zentrum Berlin [ZIB] and 1999–2008 Visage Imaging, Inc.) and Avizo Standard Edition 7.1.0 (Property of 1995–2012 Konrad-Zuse-Zentrum Berlin [ZIB] and 1999–2012 Visualization Sciences Group [VSG], SAS).</p>
            </sec>
            <sec>
               <p id="par0040">For creating the interactive 3D model (<xref rid="sec0085" ref-type="sec">Appendix S1</xref>), the segmentation tool of AMIRA 5.2.0 was used to differentiate the tibiofibular bone from the modelling clay (used to mount the bone in the chamber of the μCT during scanning). The bone material selected from all slices was converted into a surface component (polygon mesh). Using Avizo 7.1.0, the number of faces of the model was reduced (polygon reduction tool). The surface was saved in Wavefront Format (OBJ). MeshLab v2016.12 (Property 2005–2017 Paolo Cignoni, Visual Computing Lab, and ISTI–CNR) allowed the conversion of OBJ Format into U3D File Format (U3D). This latter file was embedded into a PDF using Adobe Acrobat XI tools (Property 1984–2012 Adobe Systems Incorporated, 2003–2011 Solid Documents, LLC, and 1987–2012 IRIS SA). The protocols described by <xref rid="bib0365" ref-type="bibr">Ruthensteiner and Heß (2008)</xref> and <xref rid="bib0165" ref-type="bibr">van de Kamp et al. (2014)</xref> were followed.</p>
            </sec>
         </sec>
         <sec id="sec0030">
            <label>2.4</label>
            <title id="sect0050">Pathologies in extant lagomorphs</title>
            <sec>
               <p id="par0045">In order to achieve an accurate diagnosis of the studied pathology, comparison with pathologies of extant individuals is paramount. Extant lagomorphs are prone to a large spectrum of diseases and disorders caused by multiple factors (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). They have been mainly described in domestic and farmed specimens of the European rabbit <italic>O</italic>. <italic>cuniculus</italic> (<xref rid="bib0320" ref-type="bibr">Quesenberry and Carpenter, 2004</xref>, <xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). The most frequent are abscesses (e.g., mandibular abscesses, ulcerative pododermatitis or hock joint infection), ophthalmic, skin, and dental diseases, digestive, neurological and locomotor disorders, as well as cardiorespiratory and urogenital pathologies (<xref rid="bib0320" ref-type="bibr">Quesenberry and Carpenter, 2004</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>).</p>
            </sec>
            <sec>
               <p id="par0050">Lagomorphs have a very fragile skeleton, which represents only 7–8% of their total weight (<xref rid="bib0330" ref-type="bibr">Raftery, 2014</xref> and <xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref>). Even though this offers advantages for a rapid escape, the lagomorphs also become more prone to skeletal problems. The most common affections of their musculoskeletal system are dysplastic and degenerative diseases, neoplasia, trauma (leg and vertebral fractures), infection, and pathologies with a nutritional base (<xref rid="bib0320" ref-type="bibr">Quesenberry and Carpenter, 2004</xref>; <xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref>; <xref rid="bib0420" ref-type="bibr">Turner et al., 2018</xref>). In addition, this mammalian group is distinguished by two immunological conditions: lymphopenia and low production of neutrophils (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). This makes them more susceptible to developing infectious diseases and to a high probability of hematogenous spread (<xref rid="bib0180" ref-type="bibr">Langley-Hobbs and Harcourt-Brown, 2014</xref>).</p>
            </sec>
            <sec>
               <p id="par0055">Particularly, wild lagomorphs have fewer dental diseases (feeding on buds and young leaves of bushes), skin diseases (benefits of grooming), and weight problems (not overweight) (<xref rid="bib0320" ref-type="bibr">Quesenberry and Carpenter, 2004</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). On the other hand, their natural habitat fosters a range of pathologies that are not common (or have a lower incidence) in domestic individuals (e.g., paratuberculosis, intestinal worms, myxomatosis, or other viral diseases) (<xref rid="bib0390" ref-type="bibr">Smith et al., 2018</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). Disabled wild lagomorphs (e.g., as consequence of a chronic diseases or a trauma) have higher probabilities to be caught by a predator (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>), whereas most of the domestic animals survive. That explains why literature provides a smaller number of documented medical cases of pathologies in wild lagomorphs, and a large amount in those that are kept in laboratories or private homes.</p>
            </sec>
            <sec>
               <p id="par0060">We compiled and listed in <xref rid="tbl0005" ref-type="table">Table 1</xref> data (description, incidence and prognosis) of known pathologies of extant lagomorphs related with osteogenesis and osteolysis.</p>
            </sec>
         </sec>
      </sec>
      <sec id="sec0035">
         <label>3</label>
         <title id="sect0055">Results</title>
         <sec id="sec0040">
            <label>3.1</label>
            <title id="sect0060">Macroscopic description</title>
            <sec>
               <p id="par0065">In the studied specimen, the tibia head (from the tibial plateaus to below the tibial crest, approximately 10 mm) and the most proximal part of the fibula, including the tibiofibular syndesmosis (<xref rid="fig0010" ref-type="fig">Fig. 2</xref> and <xref rid="fig0015" ref-type="fig">Fig. 3</xref>), are the regions affected by the pathology. A local disease affects the metaphysis (the narrow portion between the epiphysis and diaphysis formed mainly by cancellous bone) of the proximal epiphysis and it does not continue along the diaphysis (cortical bone).</p>
            </sec>
            <sec>
               <p id="par0070">A macroscopic examination allows us to identify two differentiated structures in the abnormal region: (1) a jagged-like contour of the metaphyseal border of the tibia (mainly); and (2) a complete rarefaction of the proximal third of tibia and fibula, with the presence of pit holes of different sizes. The proximal margin of the tibia is brittle and discontinuous, full of notches (osteolysis) and projections (osteogenesis) (<xref rid="fig0015" ref-type="fig">Fig. 3B–D</xref>). In addition to osteophytes and protuberances, an important suprafibular bony projection is located in the most proximal and lateral area of the tibia (<xref rid="fig0015" ref-type="fig">Fig. 3B</xref>). It ends in a more lateral position than tibia and fibula heads and, over its course from medial to lateral region, it increases in size. In lateral view (<xref rid="fig0015" ref-type="fig">Fig. 3D</xref>), the projection is oval (measuring approx. 3.5 × 1.75 mm) and very porous. The smooth surface of the proximal part of this projection and the curvature in anterior view point to a possible facet joint, which would accommodate the lateral condyle of the femur. The complete absence of tibial plateaus (osteolysis) exposes the medullary cavity (<xref rid="fig0015" ref-type="fig">Fig. 3E</xref>). Cancellous bone in the abnormal metaphysis is almost destroyed. Medullary cavity houses an incipient mesh of large bony fibers; one of them is crossing the cavity halfway (<xref rid="fig0015" ref-type="fig">Fig. 3E</xref>). Externally, the compact bone has a fragile and very porous appearance, with the presence of rounded holes of little to middle size (range: &lt; 0.04 mm–0.4 mm), principally located on the lateral and central region of the tibial head (<xref rid="fig0015" ref-type="fig">Fig. 3B–D</xref>). In contrast, those of the suprafibular bony projection display elliptic outlines (<xref rid="fig0010" ref-type="fig">Fig. 2D</xref>). At first glance, the surrounding areas of all these pit holes shows an increase of periosteal bone (periostitis).</p>
            </sec>
            <sec>
               <p id="par0075">Overall, the fibula does not present a major destruction of bone. The proximal epiphysis and diaphysis are complete (<xref rid="fig0015" ref-type="fig">Fig. 3B and D</xref>). Externally, it has a smooth surface with the presence of a few pores at the posterior and lateral side (<xref rid="fig0010" ref-type="fig">Fig. 2</xref> and <xref rid="fig0015" ref-type="fig">Fig. 3</xref>). Under normal conditions, tibia and fibula are connected by a syndesmosis at the proximal end (<xref rid="bib0115" ref-type="bibr">Grove and Whitehouse, 1941</xref>). The abnormal condition has a strong ankylosis of the two bones, with a reactive bone tissue that covers the most proximal end of the fibula (<xref rid="fig0015" ref-type="fig">Fig. 3D</xref>). From the lateral view, fibula and tibia are arranged in parallel, and an uncommon curvature is present in the most proximal region (<xref rid="fig0010" ref-type="fig">Fig. 2</xref> and <xref rid="fig0015" ref-type="fig">Fig. 3</xref>). The cause of this abnormal morphology is impossible to identify at simple sight, but it could be consequence of the strong ankylosis (reactive bone growth), a fracture, or both.</p>
            </sec>
         </sec>
         <sec id="sec0045">
            <label>3.2</label>
            <title id="sect0065">μCT examination</title>
            <sec>
               <p id="par0080">The examination of the slices of the μCT reveals the presence of periosteal growth (reactive bone growth, osteogenesis) throughout the pathological region (<xref rid="fig0020" ref-type="fig">Fig. 4</xref> and <xref rid="fig0025" ref-type="fig">Fig. 5</xref>). This growth of new bone is distributed irregularly, showing lacunar-like spots of different size (<xref rid="fig0020" ref-type="fig">Fig. 4A–C</xref>). These spots or foramina, located inside of new bone formation, could either be a new vascular supply inside the periosteal bone (what is very uncommon) or a cystic-like structure in the cortical new bone layers (what is the most probable, as a secondary phenomenon of a septic process). Periosteal growth is conspicuous in coronal slices of the tibia (<xref rid="fig0025" ref-type="fig">Fig. 5A–C</xref>), which shows clearly the apposition of two different layers of periosteal bone. The medial bone wall shows only a vertical line, but the lateral one has a different and more complex pattern, full of irregularities and cystic-like structures. Some isolated fragments (<xref rid="fig0025" ref-type="fig">Fig. 5A–C</xref>) are considered bony micro-sequestra, without the presence of fistulous tracts and cloacae. The presence of periosteal reaction is also evidenced around the regions of the pit holes of the cortical (at different levels) (<xref rid="fig0020" ref-type="fig">Fig. 4</xref> and <xref rid="fig0025" ref-type="fig">Fig. 5</xref>), confirming the macroscopic examination (periostitis). The ankylosis (osteogenesis) of the proximal articulation between tibia and fibula show both bones in a continuum (<xref rid="fig0025" ref-type="fig">Fig. 5E</xref>). This abnormal adhesion is a common and unspecific reaction of the joint, which is produced after different types of aggressions, including post-traumatic, degenerative, rheumatic or infectious pathologies (<xref rid="bib0430" ref-type="bibr">Venes, 2001</xref>).</p>
            </sec>
            <sec>
               <p id="par0085">On the other hand, there are evidences of different radiological density (rarefaction) between several regions of the metaphyseal pathology (but not present in the diaphysis). Particularly in coronal slices, this effect is marked comparing the medial and lateral cortical bones of the metaphyseal area (<xref rid="fig0025" ref-type="fig">Fig. 5A–C</xref>). These differences could be related with an overloading of the medial side or with differences between the distribution of the abnormal condition.</p>
            </sec>
            <sec>
               <p id="par0090">Finally, other microstructural changes have been noticed in the pathology. From transversal slices, in the union of the first quarter proximal region of the tibia with the rest, it is drawn a first step of a fistula (abnormal channel that connects internal organs among them or one of them to the outside surface of the body) from in to out (<xref rid="fig0020" ref-type="fig">Fig. 4B</xref>). Besides, the images allow us to observe several lines related with traumas or fractures. The first one is a healed fracture oblique line in the upper fibula, which is observed in coronal and sagittal slices (<xref rid="fig0025" ref-type="fig">Fig. 5D, F–G</xref>). The second one is located at the level of the fibula too, following a proximo-distal axis, but its outline and surrounding bone highlight that, with all likelihood, it occurred postmortem (<xref rid="fig0025" ref-type="fig">Fig. 5F</xref>). The slices of the inner region of the tibial diaphysis show the appearance of the cancellous bone with porosity (<xref rid="fig0025" ref-type="fig">Fig. 5A–C</xref>). However, it is much less specific than the injuries that are present in the cortical bone.</p>
            </sec>
         </sec>
      </sec>
      <sec id="sec0050">
         <label>4</label>
         <title id="sect0070">Discussion</title>
         <sec id="sec0055">
            <label>4.1</label>
            <title id="sect0075">Diagnosis</title>
            <sec>
               <p id="par0095">In the studied specimen, osteogenesis and osteolysis are the two principal processes observed in the abnormal bony region. Infectious diseases (bacterial, viral or fungal) and neoplastic disorders (osteosarcoma or osteochondroma) are the two main conditions that show both processes, whereas osteonecrosis solely related to osteolysis is excluded (<xref rid="tbl0005" ref-type="table">Table 1</xref>). <italic>In vivo</italic>, the differentiation between the first two pathological groups is problematic (<xref rid="bib0330" ref-type="bibr">Raftery, 2014</xref>). It is obtained combining histopathological examinations and biopsies, assessment of growth patterns, consistency, exudations, and X-ray images (<xref rid="bib0120" ref-type="bibr">Harcourt-Brown and Chitty, 2014</xref>). In our case, we will try to have to rely on evidences to exclude one of the two possible causes.</p>
            </sec>
            <sec>
               <p id="par0100">Neoplasias are uncommon in rabbits and hares (particularly in juveniles and young adults), especially those that affect the limbs (<xref rid="bib0410" ref-type="bibr">Tinkey et al., 2012</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). Osteochondromas are generally pedunculated injuries, not associated with bone destruction, and with a very low incidence in lagomorphs (<xref rid="bib0255" ref-type="bibr">Meuten, 2017</xref> and <xref rid="bib0405" ref-type="bibr">Suckow et al., 2012</xref>). Osteosarcomas mainly affect maxilla and mandible in lagomorphs (<xref rid="bib0235" ref-type="bibr">Manning et al., 1994</xref>). They have a distinguishable morphology (spicular) and generally never cross joints (adjacent bones are not affected) (<xref rid="bib0255" ref-type="bibr">Meuten, 2017</xref>). These specific traits (morphology, location, etc.) and their low incidence (<xref rid="tbl0005" ref-type="table">Table 1</xref>) allow us to rule out neoplastic conditions as the cause of the examined tibiofibular abnormality.</p>
            </sec>
            <sec>
               <p id="par0105">As for infectious diseases, epithelial and dermic abscesses are frequent in lagomorphs. The diagnosis <italic>in vivo</italic> of the affected limbs includes the observation of palpable masses, lameness, hair loss, and cellulitis (<xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref>). When an infectious disease affects bones, osteolysis and periosteal reaction are observed (<xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref>). Osteomyelitis, tuberculosis, and septic arthritis are the most common bony infections in lagomorphs (<xref rid="tbl0005" ref-type="table">Table 1</xref>). The first two entail an inflammation of the bone, whereas the latter is an infection of the joint (<xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref> and <xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref>). Tuberculosis can be excluded because it has a low incidence and it is not associated with a periosteal reaction (<xref rid="tbl0005" ref-type="table">Table 1</xref>), a process observed in the examined tibiofibula (<xref rid="bib0040" ref-type="bibr">Barthold et al., 2016</xref> and <xref rid="bib0340" ref-type="bibr">Rogers and Waldron, 1989</xref>). In addition, the origin of the <italic>Mycobacterium tuberculosis</italic> complex (the group of bacteria that includes <italic>Mycobaterium bovis</italic>, the main agent of tuberculosis in rabbits), is dated back to only 40,000 years ago (<xref rid="bib0235" ref-type="bibr">Manning et al., 1994</xref> and <xref rid="bib0445" ref-type="bibr">Wirth et al., 2008</xref>).</p>
            </sec>
            <sec>
               <p id="par0110">Osteomyelitis and septic arthritis affect different bony regions, although they are often difficult to distinguish, because one can trigger the other. Osteomyelitis, related with bone lysis and periosteal reaction, causes a heat, swollen, and painful limb. Septic arthritis is an inflammatory disease characterized by ticked periarticular tissues, synovial effusion, osteolysis, irregular joint space, erosions and periarticular osteophytes, and is associated with lameness, decreased range motion of the joint, soft tissue swelling, heat, and pain (<xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref>). In the examined specimen, the macroscopic and radiologic analyses (periosteal reaction, ankylosis and lysis) and the local affection of the juxta-articular region are consistent with the diagnosis of a septic arthritis of the knee (<xref rid="tbl0005" ref-type="table">Table 1</xref>). We cannot evaluate the kind of affection that would be presented in the femoral condyles, but the radiological patterns of the studied individual put aside the diagnosis of degenerative joint disease (progressive deterioration of the articular cartilage) and post-traumatic joint disease.</p>
            </sec>
         </sec>
         <sec id="sec0060">
            <label>4.2</label>
            <title id="sect0080">Etiology</title>
            <sec>
               <p id="par0115">In septic arthritis, the bacterium reaches the synovium of the bone/joint using two possible ways: (1) direct, primary (infection of the bone, joint or surrounding soft tissues, e.g., an osteomyelitis in the metaphysis of a long bone), and (2) indirect, secondary (hematogenous spread, bacteremia or septicemia, from a primary focus of infection). In the former case, several conditions can be susceptible of bone infection: trauma (fracture or fissure), puncture/penetrating wounds (seeds or pieces of hay that penetrate the skin), or bite wounds (fights with other rabbits or predators) (<xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). Moreover, skin infections (ulcerative pododermatitis, nail-bed infection, abrasions or furunculosis) can extend to underlying soft tissues, bones or joints (<xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref> and <xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref>). It is also known that primary infections could spread via bloodstream or lymph causing secondary infections in any other organ system (especially on thoracic cavity or abdomen) (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>).</p>
            </sec>
            <sec>
               <p id="par0120">The assessment of the patterns of the injury, the microscopical analysis of the abnormal area, as well as the affected body region (hindleg) allow us to consider that, with all likelihood, the septic arthritis was a peri-articular joint reaction to a violent mechanism as a bite. Thus, the entrance of the bacterium was direct (primary focus of infection). Bite wounds in lagomorphs could be consequential of combats among different individuals (intraspecific competition, especially among males) or could be inflicted by predators when lagomorphs try to escape or avoid their attack (e.g., carnivoran such as canids) (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). For the moment, we cannot identify the potential causative species.</p>
            </sec>
            <sec>
               <p id="par0125">The bacteria related with septic arthritis in lagomorphs are pyogenic ones, including staphylococci (e.g., <italic>Staphylococcus aureus</italic>), <italic>Pasteurella multocida</italic>, <italic>Pseudomonas</italic>, <italic>Fusiformis</italic>, and anaerobic ones (<xref rid="bib0275" ref-type="bibr">Nade, 2003</xref> and <xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref>). <xref rid="bib0425" ref-type="bibr">Varga (2014)</xref> described that the most common bacterium isolated from infected bite wounds in lagomorphs is <italic>P</italic>. <italic>multocida</italic>, a Gram-negative coccobacillus of small size.</p>
            </sec>
         </sec>
         <sec id="sec0065">
            <label>4.3</label>
            <title id="sect0085">Cause of death of the individual</title>
            <sec>
               <p id="par0130">The strong necrotic and osteogenic changes observed in the tibiofibular bone highlight that the pathology certainly had a large impact on the life of the individual, affecting locomotion, feeding or predator escaping, among other vital activities. Abscessed joints are swollen and very painful, and the individual limps and keeps immobile, avoiding moving (<xref rid="bib0280" ref-type="bibr">Oglesbee, 2012</xref>; <xref rid="bib0305" ref-type="bibr">Praag et al., 2010</xref> and <xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). The infection can lead to a permanent disability of the articular movement, preventing feeding or safeguarding. Additionally, the locomotive reduction entails a poor blood circulation, and consequently a decrease of the vital conditions (<xref rid="bib0305" ref-type="bibr">van Praag et al., 2010</xref>). Infections have a very poor prognosis in this mammalian group (<xref rid="tbl0005" ref-type="table">Table 1</xref>), and a generalized spread of the infection (septicemia) can cause a rapid death (<xref rid="bib0335" ref-type="bibr">Richardson, 2000</xref> and <xref rid="bib0405" ref-type="bibr">Suckow et al., 2012</xref>).</p>
            </sec>
            <sec>
               <p id="par0135">In natural environments, the decreased mobility and the poor vital conditions of individuals with septic arthritis make them easy targets for predators (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). Indeed, the vertebrate assemblages from Goldberg are mainly the result of the piling of pellets regurgitated by birds of prey (<xref rid="bib0110" ref-type="bibr">Göhlich and Ballmann, 2013</xref>). In this regard, the cause of death of the concerned ochotonid is probably related to predation, and not a direct consequence of the infection (e.g., septicemia).</p>
            </sec>
         </sec>
         <sec id="sec0070">
            <label>4.4</label>
            <title id="sect0090">Paleopathology in lagomorphs</title>
            <sec>
               <p id="par0140">The study of paleopathologies is indeed a quite new field of research. However, there is an important scarcity of evidences of paleopathological conditions in lagomorphs and other small mammals compared with large ones. This fact may be consequence of several reasons. The study of small mammals is based on dental remains, which are the most numerous and best preserved parts of small mammals as fossils (sometimes the only to be preserved). Skeletal elements are less likely to be preserved and are less studied, as taxonomy is based mainly on teeth. In addition, dental diseases have a minor incidence in wild animals (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). On the other hand, extinct and extant lagomorphs are considered small/medium mammal species (70–300 g) (<xref rid="bib0385" ref-type="bibr">Smith, 2008</xref>). Their little dimensions could be a factor that hampers the observation, assessment, and diagnosis of abnormal bony conditions (<xref rid="bib0210" ref-type="bibr">Luna et al., 2017</xref>). Moreover, lagomorphs show a fast life history (marked by an earlier reproduction maturity, large litter size, and short lifespan, some of them do not live more than one or two years) (<xref rid="bib0315" ref-type="bibr">Promislow and Harvey, 1990</xref> and <xref rid="bib0385" ref-type="bibr">Smith, 2008</xref>). Thus, their interaction period with the environment is lesser than in large mammals, as well as the probability of suffering some pathological disorders. In the wild, injured or sick individuals are at increased risk of predation (<xref rid="bib0425" ref-type="bibr">Varga, 2014</xref>). Although they could survive, this will depend on their ability as individual (for feeding and avoiding predators) and the biological traits of their species (social behavior). In general, the presence of paleopathological changes (e.g., fused fracture or chronic pathologies) highlights survival of the individual for a certain time period (<xref rid="bib0210" ref-type="bibr">Luna et al., 2017</xref> and <xref rid="bib0240" ref-type="bibr">Mariani-Costantini et al., 1996</xref>). Accordingly, <xref rid="bib0240" ref-type="bibr">Mariani-Costantini et al. (1996)</xref> proposed that paleopathologies will be more frequent in large powerful species, with a complex social behavior and remarkable defensive abilities (<xref rid="bib0010" ref-type="bibr">Adams, 1990</xref>), conditions quite contrary to the biology of lagomorphs (<xref rid="bib0390" ref-type="bibr">Smith et al., 2018</xref>).</p>
            </sec>
            <sec>
               <p id="par0145">Studies of paleopathological dental or maxilla/jaw remains of lagomorphs are not available in the literature. Instead, there are citations of probable abnormal conditions. <xref rid="bib0075" ref-type="bibr">Crusafont et al. (1955)</xref> erected the species <italic>Heterolagus albaredae</italic>
                  <xref rid="bib0075" ref-type="bibr">Crusafont et al., 1955</xref> (Molí Calopa, Spain, MN3b) based on an unnoticed pathological specimen of <italic>Lagopsis penai</italic>
                  <xref rid="bib0360" ref-type="bibr">Royo, 1928</xref> with “wrongly” inclined lower molars (<xref rid="bib0195" ref-type="bibr">López Martínez, 1989</xref>). <xref rid="bib0050" ref-type="bibr">Berzi (1967)</xref> described an unusual possible pathological condition (a diastema between the third and fourth lower premolars) in <italic>Prolagus savagei</italic>
                  <xref rid="bib0050" ref-type="bibr">Berzi, 1967</xref> (Italy, late Pliocene, MN16a). <xref rid="bib0205" ref-type="bibr">López Martínez and Thaler (1975)</xref> argued that this condition was consequence of anomalous fossilization. <xref rid="bib0205" ref-type="bibr">López Martínez and Thaler (1975)</xref> noticed that, in the material of <italic>Prolagus crusafonti</italic> López Martínez, 1975 (in <xref rid="bib0205" ref-type="bibr">López Martínez and Thaler, 1975</xref>) from Can Poncic (Spain, early late Miocene, MN9), there is a high incidence of teeth with an irregular occlusal surface. They associated this condition on teeth with a necrotic process affecting the mandibular condyle. That part of the jaw is not preserved in the mentioned material. López <xref rid="bib0195" ref-type="bibr">López Martínez (1989, p. 108)</xref>, p. 108) refers to a high number of pathological teeth of <italic>Titanomys calmaensis</italic>
                  <xref rid="bib0415" ref-type="bibr">Tobien, 1974</xref> from La Chaux-de-Fonds (Switzerland, MN2a) (<xref rid="bib0415" ref-type="bibr">Tobien, 1974</xref>, figs. 81, 84, 85, 87) supposedly characterized by divergent axes of the tooth shafts. However, the figures in <xref rid="bib0415" ref-type="bibr">Tobien (1974, figs. 81, 87)</xref> show a minimally inclined shaft that makes us refrain to define it as pathological. At any rate, the incidence of lagomorph paleopathological teeth is minimal in Eurasian collections and they have been limited mainly to fractures or growth out of axis probably due to feeding accidents and wrong position during eruption respectively. The evidence for those conditions is a bizarre or unusual occlusal surface pattern. The individuals in which those conditions were observed were adults and apparently lived with the pathological condition without being seriously affected (CA, pers. obs.).</p>
            </sec>
            <sec>
               <p id="par0150">The first attempt to diagnose pathological conditions in fossil lagomorphs was based on postcranial elements of <italic>P</italic>. <italic>sardus</italic>, the middle Pleistocene–Holocene endemic ochotonid of Corsica and Sardinia. <xref rid="bib0455" ref-type="bibr">Zoboli (2003)</xref> and <xref rid="bib0460" ref-type="bibr">Zoboli et al. (2018)</xref> reported abnormal conditions in Sardinian materials, mainly related to traumas and infections, but secondarily to tumors and malnutrition conditions. Congenital diseases, on the other hand, were completely excluded. The authors also noticed that the incidence of diseased remains was less than 2%. Their results are in line with the several studies focused on the description of abnormal conditions in insular mammals (<xref rid="bib0015" ref-type="bibr">Adrover, 1972</xref>, <xref rid="bib0085" ref-type="bibr">Dermitzakis et al., 2006</xref>, <xref rid="bib0160" ref-type="bibr">Jordana et al., 2011</xref>, <xref rid="bib0220" ref-type="bibr">Lyras et al., 2016</xref>, <xref rid="bib0225" ref-type="bibr">Lyras et al., 2019</xref>, <xref rid="bib0230" ref-type="bibr">Maempel, 1993</xref> and <xref rid="bib0290" ref-type="bibr">Palombo and Zedda, 2016</xref>). Also, in those cases, pathological conditions are mainly related to nutritional (long-term malnutrition, deficiency of some elements or vitamins) or environmental (traumatic or degenerative) causes. The prevalence of pathological specimens in those samples ranges from 0.2 to 10%.</p>
            </sec>
            <sec>
               <p id="par0155">Insular environments are characterized by a lower predation pressure than in mainland ones (<xref rid="bib0395" ref-type="bibr">Sondaar, 1977</xref>). Specially in small mammals, this different selective pressure entails a modification of the life history, such as a longer lifespan (<xref rid="bib0285" ref-type="bibr">Palkovacs, 2003</xref>). In this regard, <xref rid="bib0260" ref-type="bibr">Moncunill-Solé et al., 2015</xref> and <xref rid="bib0265" ref-type="bibr">Moncunill-Solé et al., 2016a</xref> noticed a longer lifespan in <italic>Prolagus apricenicus</italic>
                  <xref rid="bib0250" ref-type="bibr">Mazza, 1987</xref> than in mainland extant ochotonids. As bigger animals live longer, it is possible that also the insular endemic Sardinian chronospecies <italic>Prolagus figaro</italic> López Martínez, 1975 (in <xref rid="bib0205" ref-type="bibr">López Martínez and Thaler, 1975</xref>) and <italic>P</italic>. <italic>sardus</italic>, which weighed almost double than coeval congeneric species (<xref rid="bib0270" ref-type="bibr">Moncunill-Solé et al., 2016b</xref>), had a longer lifespan, in spite of the fact that it coexisted with the Sardinian dhole <italic>Cynotherium sardoum</italic>
                  <xref rid="bib0400" ref-type="bibr">Studiati, 1857</xref>, which was a small prey hunter (<xref rid="bib0215" ref-type="bibr">Lyras et al., 2006</xref>). Thus, due to the longer lifespan of insular lagomorphs, it is not surprising that most of the evidence of paleopathological conditions in lagomorphs have been recorded in insular forms (<xref rid="bib0455" ref-type="bibr">Zoboli, 2003</xref> and <xref rid="bib0460" ref-type="bibr">Zoboli et al., 2018</xref>).</p>
            </sec>
            <sec>
               <p id="par0160">To sum up, the finding of an extinct mainland ochotonid showing a pathological condition is a rarity. Thus, the abnormal tibiofibular bone from Goldberg site is exceptional. The diagnosis, etiology, and cause of death of the individual that are provided here give us clues about the paleobiological traits of mainland lagomorph species (e.g., survival capacity or circumstances of death) and their role in the ecological habitats (e.g., interaction between species and environments). Although lacking detailed statistical studies, the prevalence of paleopathological conditions in mainland ochotonids is lower than in populations of insular endemics.</p>
            </sec>
         </sec>
      </sec>
      <sec id="sec0075">
         <label>5</label>
         <title id="sect0095">Conclusions</title>
         <sec>
            <p id="par0170">Paleopathologies in small mammals are of major scientific interest. Their description and assessment allow us to improve their biological knowledge, but also to approach the history and evolution of diseases scientifically. Publications that deal about abnormal conditions in small fossil mammals are extremely few. We try to start filling this gap in lagomorphs, an order of small mammals extremely common and widespread in the Neogene of Europe. The present paper reports the most ancient evidence of a pathology in an extinct lagomorph (Goldberg site, middle Miocene, MN6). The abnormal condition of the tibiofibula is the result of a septic arthritis caused by a violent mechanism such as a bite. As a consequence, the individual became an easy target for birds of prey. The abnormal tibiofibular bone from the Goldberg site is the only pathology documented in a mainland fossil lagomorph up to now. The paleontological research focused in fossil dental remains exclusively; the small dimensions of the skeletal elements and the specific biology (e.g., short life) of lagomorphs are the main factors that may explain the low prevalence of pathologies in the fossil lagomorph record, especially in mainland environments.</p>
         </sec>
      </sec>
   </body>
   <back>
      <ack>
         <title id="sect0100">Acknowledgments</title>
         <p id="par0175">This research is supported by the Xunta de Galicia, Spain (ED481B 2018/046, B.M-S.; ED481B 2017/027, A.B.), the Visiting Professor grant of the President's International Fellowship Initiative of the Chinese Academy of Science, China (C.A.), the Spanish Agencia Estatal de Investigación, and the European Regional Development Fund of the European Union, Spain (CGL2016-76431-P, C.A.), the CERCA Program, Generalitat de Catalunya (C.A), and a Grant of Excellence Departments to the Dipartimento di Scienze, Roma Tre University (MIUR-Italy, Art. 1, C. 314-337 L. 232/2016, C.A). We are indebted to Dr. Estella Böhmer, Juan Pérez García, and Dr. Alejandro Tarragó for their valuable and helpful comments in the diagnosis of the paleopathology. Special thanks are also due to Luis Blanco for the revision of the French version.</p>
      </ack>
      <app-group>
         <app>
            <sec id="sec0085">
               <label>Appendix A</label>
               <title id="sect0110">Supplementary data</title>
               <sec>
                  <p id="par0185">
                     <supplementary-material xmlns:xlink="http://www.w3.org/1999/xlink" id="upi0005" xlink:href="main.assets/mmc1.pdf"/>
                  </p>
               </sec>
            </sec>
         </app>
      </app-group>
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   <floats-group>
      <fig id="fig0005">
         <label>Fig. 1</label>
         <caption>
            <p id="spar0015">Schematic map of Germany and detail of the Nördlinger Ries (Bayern, southern Germany). The position of the meteorite crater and its limits is highlighted in light grey. The black dots indicate towns and cities, whereas the dark grey squares indicate fossil localities with middle Miocene faunas (Goldberg and Steinberg). The data is from the <xref rid="bib0045" ref-type="bibr">Bayerisches Geologisches Landesamt (2004)</xref>. The scale bar represents 2 km.</p>
         </caption>
         <caption xml:lang="fr">
            <p id="spar0020">Plan schématique de l’Allemagne et détail de la localité de Nördlinger Ries (Bavière, Sud de l’Allemagne). La position du cratère de météorite et de ses limites est surlignée en gris clair. Les points noirs indiquent les villes et les cités, tandis que les carrés gris foncé indiquent les localités fossilifères avec des faunes du Miocène moyen (Goldberg et Steinberg). Données : <xref rid="bib0045" ref-type="bibr">Bayerisches Geologisches Landesamt (2004)</xref>. L’échelle représente 2 km.</p>
         </caption>
         <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="main.assets/gr1.jpg"/>
      </fig>
      <fig id="fig0010">
         <label>Fig. 2</label>
         <caption>
            <p id="spar0025">Paleopathological tibiofibular bone of ochotonid from the Goldberg site (middle Miocene, MN6). A. Complete bone. B. 3D Reconstruction of the complete bone. C. Anterior view. D. Lateral view. E. Medial view of the proximal end of the bone. The scale bar represents 10 mm.</p>
         </caption>
         <caption xml:lang="fr">
            <p id="spar0030">Os tibiofibulaire paléopathologique du gisement de Goldberg (Miocène moyen, MN6). A. Os complet. B. Reconstruction 3D de l’os complet. C. Vue antérieure. D. Vue latérale. E. Vue médiale de l’extrémité proximale de l’os. L’échelle représente 10 mm.</p>
         </caption>
         <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="main.assets/gr2.jpg"/>
      </fig>
      <fig id="fig0015">
         <label>Fig. 3</label>
         <caption>
            <p id="spar0035">Detailed drawings of the paleopathological region of the tibiofibular bone of the ochotonid (Goldberg site, MN6). A. Scheme of the complete bone. B. Anterior view. C. Antero-Medial view. D. Antero-Lateral view. E. Proximal view. A: anterior; L: lateral; P: proximal. The scale bar represents 10 mm.</p>
         </caption>
         <caption xml:lang="fr">
            <p id="spar0040">Dessins détaillés de la région paléopathologique de l’os tibiofibulaire de l’ochotonidé (gisement de Goldberg, MN6). A. Schéma de l’os complet. B. Vue antérieure. C. Vue antéromédiale. D. Vue antérolatérale. E. Vue proximale. A : antérieure ; L : latérale ; P : proximale. L’échelle représente 10 mm.</p>
         </caption>
         <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="main.assets/gr3.jpg"/>
      </fig>
      <fig id="fig0020">
         <label>Fig. 4</label>
         <caption>
            <p id="spar0045">μCT images of paleopathological region of the tibiofibular bone (1966XXXIV 3340) in transverse views. A–E. Slices at different levels (see cutting line in each case), from distal to proximal. The red dashed lines split the cortical bone from the periosteal reaction. A: anterior; bp: bony projection; c: cortical bone; F: fibula; fi: fistula; L: lateral; ls: lacunar-like spot; mc: medullary cavity; o: osteophyte; T: tibia; pr: periosteal reaction. The scale bar represents 5 mm.</p>
         </caption>
         <caption xml:lang="fr">
            <p id="spar0050">Images μCT de la région paléopathologique de l’os tibiofibulaire (1966XXXIV 3340) en vues transversales. A–E. Coupes à différents niveaux (voir les lignes de coupe dans chaque cas), de distal à proximal. Les lignes pointillées rouges séparent l'os cortical de la réaction périostée. A : antérieure ; bp : projection osseuse ; c : corticale ; F : fibule ; fi : fistule ; L : latérale ; ls : tache lacunaire ; mc : cavité médullaire ; o : ostéophyte ; T : tibia ; pr : réaction périostée. L’échelle représente 5 mm.</p>
         </caption>
         <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="main.assets/gr4.jpg"/>
      </fig>
      <fig id="fig0025">
         <label>Fig. 5</label>
         <caption>
            <p id="spar0055">μCT images of paleopathological region of the tibiofibular bone (1966XXXIV 3340). A–D. Coronal views. E–G. Sagittal views. Cutting lines indicate the level of the slices. The red dashed lines split the cortical bone from the periosteal reaction. A: anterior; ak: ankylosis; bms: bony micro-sequestra; bp: bony projection; c: cortical bone; D: distal; F: fibula; hfl: healed fracture line; L: lateral; ls: lacunar-like spot; mc: medullary cavity; pfl: postmortem fracture line; T: tibia; pr: periosteal reaction. The scale bar represents 5 mm.</p>
         </caption>
         <caption xml:lang="fr">
            <p id="spar0060">Images μCT de la région paléopathologique de l’os tibiofibulaire (1966XXXIV 3340). A–D. Vues coronales. E–G. Vues sagittales. Les lignes de coupe indiquent le niveau des images. Les lignes pointillées rouges séparent l'os cortical de la réaction périostée. A : antérieure ; ak : ankylose ; bms : micro-séquestre de l’os ; bp : projection osseuse ; c : corticale ; D : distale ; F : fibule ; hfl : ligne de fracture guérie ; L : latérale ; ls : tache lacunaire ; mc : cavité médullaire ; pfl : ligne de fracture post-mortem ; T : tibia ; pr : réaction du périoste. L’échelle représente 5 mm.</p>
         </caption>
         <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="main.assets/gr5.jpg"/>
      </fig>
      <table-wrap id="tbl0005">
         <label>Table 1</label>
         <caption>
            <p id="spar0065">Skeletal pathologies in extant lagomorphs related with lysis and formation of bone tissue. A brief description, incidence, and prognosis are provided. Information has been taken from <xref rid="bib0335" ref-type="bibr">Richardson (2000)</xref>, <xref rid="bib0150" ref-type="bibr">Ishikawa et al. (2012)</xref>, <xref rid="bib0280" ref-type="bibr">Oglesbee (2012)</xref>, <xref rid="bib0405" ref-type="bibr">Suckow et al. (2012)</xref>, <xref rid="bib0125" ref-type="bibr">Harcourt-Brown and Langley-Hobbs (2014)</xref>, <xref rid="bib0425" ref-type="bibr">Varga (2014)</xref>, <xref rid="bib0255" ref-type="bibr">Meuten (2017)</xref>, <xref rid="bib0035" ref-type="bibr">Azadian et al. (2018)</xref>, and <xref rid="bib0420" ref-type="bibr">Turner et al. (2018)</xref>.</p>
         </caption>
         <caption xml:lang="fr">
            <p id="spar0070">Pathologies squelettiques chez les lagomorphes actuels liés à la lyse et à la formation de tissu osseux. Une brève description, l’incidence et les pronostics sont fournis. Informations de <xref rid="bib0335" ref-type="bibr">Richardson (2000)</xref>, <xref rid="bib0150" ref-type="bibr">Ishikawa et al. (2012)</xref>, <xref rid="bib0280" ref-type="bibr">Oglesbee (2012)</xref>, <xref rid="bib0405" ref-type="bibr">Suckow et al. (2012)</xref>, <xref rid="bib0125" ref-type="bibr">Harcourt-Brown and Langley-Hobbs (2014)</xref>, <xref rid="bib0425" ref-type="bibr">Varga (2014)</xref>, <xref rid="bib0255" ref-type="bibr">Meuten (2017)</xref>, <xref rid="bib0035" ref-type="bibr">Azadian et al. (2018)</xref>, et <xref rid="bib0420" ref-type="bibr">Turner et al. (2018)</xref>.</p>
         </caption>
         <alt-text>Table 1</alt-text>
         <oasis:table xmlns:oasis="http://www.niso.org/standards/z39-96/ns/oasis-exchange/table">
            <oasis:tgroup cols="4">
               <oasis:colspec colname="col1"/>
               <oasis:colspec colname="col2"/>
               <oasis:colspec colname="col3"/>
               <oasis:colspec colname="col4"/>
               <oasis:thead valign="top">
                  <oasis:row>
                     <oasis:entry rowsep="1" align="left">Condition</oasis:entry>
                     <oasis:entry rowsep="1" align="left">Description</oasis:entry>
                     <oasis:entry rowsep="1" align="left">Incidence</oasis:entry>
                     <oasis:entry rowsep="1" align="left">Prognosis</oasis:entry>
                  </oasis:row>
               </oasis:thead>
               <oasis:tbody>
                  <oasis:row>
                     <oasis:entry align="left">Infectious disease</oasis:entry>
                     <oasis:entry align="left">Osteomyelitis: bacterial infection of the bone, characterized by an osteolysis (bone porosity) and secondary new bone production adjacent to the infected area (periosteal reaction, thicken of compact bone and cortex), resulting in osteitis, periostitis, and spongiosclerosis. Drainage tracts appear in severe cases. Primary or secondary (contamination of wounds, open fractures or ulcerative pododermatitis)</oasis:entry>
                     <oasis:entry align="left">Common (chronic in some cases)</oasis:entry>
                     <oasis:entry align="left">Fair–Poor<xref rid="tblfn0005" ref-type="table-fn">
                           <sup>a</sup>
                        </xref>
                     </oasis:entry>
                  </oasis:row>
                  <oasis:row>
                     <oasis:entry/>
                     <oasis:entry align="left">Tuberculosis: macro and microscopical lesions, including granulomatous inflammation of bone, with caseous necrosis (osteolytic process, from cancellous to cortical bone, leading to osteoporosis) and little areas of osseous proliferation (absence or little periosteal reaction, sequestra are rare, and cloacae are not formed). Bacilli reach skeleton via the bloodstream. In long bones, it is localized in the metaphyseal or epiphyseal region</oasis:entry>
                     <oasis:entry align="left">Rare</oasis:entry>
                     <oasis:entry align="left">No data<xref rid="tblfn0010" ref-type="table-fn">
                           <sup>b</sup>
                        </xref>
                     </oasis:entry>
                  </oasis:row>
                  <oasis:row>
                     <oasis:entry/>
                     <oasis:entry align="left">Septic arthritis: infection (bacterial, viral or fungal) of the synovial fluid of the limb joints. It is characterized by a rapidly destruction of bone, osteonecrosis, considerable proliferation of new bone, and (partial or complete) bony ankylosis. Primary (penetrating injury, wound) or secondary (hematogenous spread, contamination of traumatic injuries, or extension of a primary osteomyelitis [metaphyseal spread] or an infection of soft tissues)</oasis:entry>
                     <oasis:entry align="left">Rare</oasis:entry>
                     <oasis:entry align="left">Poor<xref rid="tblfn0015" ref-type="table-fn">
                           <sup>c</sup>
                        </xref>
                     </oasis:entry>
                  </oasis:row>
                  <oasis:row>
                     <oasis:entry align="left">Neoplasia</oasis:entry>
                     <oasis:entry align="left">Osteosarcoma: bone lysis and hyperplasia (periosteal and endosteal new bone growth and production of tumor bone, “spicular” form). Generally, they are centered in the metaphysis and they rarely cross joints (adjacent bones are not involved). “Sunburst” appearance in X-ray images</oasis:entry>
                     <oasis:entry align="left">Rare<xref rid="tblfn0020" ref-type="table-fn">
                           <sup>d</sup>
                        </xref>
                     </oasis:entry>
                     <oasis:entry align="left">Poor<xref rid="tblfn0025" ref-type="table-fn">
                           <sup>e</sup>
                        </xref>
                     </oasis:entry>
                  </oasis:row>
                  <oasis:row>
                     <oasis:entry/>
                     <oasis:entry align="left">Osteochondroma: pedunculated lesions (globular “bath-sponge” form) located in the cortical surface (metaphyseal and diaphysis region, not involving the epiphysis), generally in the direction of muscle traction. There is neither osteolysis nor periosteal reaction. The cortex of the bone and the overlying tumorous mass are continuous. Their projection is opaque on X-ray images</oasis:entry>
                     <oasis:entry align="left">Rare</oasis:entry>
                     <oasis:entry align="left">Fair<xref rid="tblfn0030" ref-type="table-fn">
                           <sup>f</sup>
                        </xref>
                     </oasis:entry>
                  </oasis:row>
                  <oasis:row>
                     <oasis:entry align="left">Osteonecrosis</oasis:entry>
                     <oasis:entry align="left">Necrotic region (osteolysis) in bones as a result of the loss of blood supply. It could be the consequence of a trauma, fracture or dislocation. Located mainly on the femoral head, the proximal humerus, the femoral condyles, and the carpal and tarsal bones</oasis:entry>
                     <oasis:entry align="left">No data<xref rid="tblfn0035" ref-type="table-fn">
                           <sup>g</sup>
                        </xref>
                     </oasis:entry>
                     <oasis:entry align="left">Fair<xref rid="tblfn0040" ref-type="table-fn">
                           <sup>h</sup>
                        </xref>
                     </oasis:entry>
                  </oasis:row>
               </oasis:tbody>
            </oasis:tgroup>
         </oasis:table>
         <table-wrap-foot>
            <fn-group>
               <fn id="tblfn0005">
                  <label>a</label>
                  <p>Extremely difficult to treat. Prolonged therapy of systemic antibiotics and surgical debridement or amputation of the infected region.</p>
               </fn>
               <fn id="tblfn0010">
                  <label>b</label>
                  <p>No information, few cases diagnosed.</p>
               </fn>
               <fn id="tblfn0015">
                  <label>c</label>
                  <p>Initial acute diagnoses and an aggressive treatment may lead to a fair prognosis. Long-term antibiotic therapy, surgical debridement, and in last instance amputation. Recurrences are common.</p>
               </fn>
               <fn id="tblfn0020">
                  <label>d</label>
                  <p>In dogs, large-sized breeds or individuals are at higher risk of developing an osteosarcoma (unclear relationship in rabbits). The lifespan of laboratory and domestic rabbits have been prolonged, entailing an increase of the neoplastic incidence in the last period.</p>
               </fn>
               <fn id="tblfn0025">
                  <label>e</label>
                  <p>Generally, it is associated with metastasis to thoracic organs, abdomen or subcutaneous tissue. Even with an early proper diagnosis and a small size of tumor, the prognosis is poor.</p>
               </fn>
               <fn id="tblfn0030">
                  <label>f</label>
                  <p>They stop growing once the individual has reached skeletal maturity. In some occasions, the lesion resorbed or was incorporated into the metaphysis later.</p>
               </fn>
               <fn id="tblfn0035">
                  <label>g</label>
                  <p>No information available.</p>
               </fn>
               <fn id="tblfn0040">
                  <label>h</label>
                  <p>Successful treatment.</p>
                  <p>
                     <sup>a</sup> Extrêmement difficile à traiter. Antibiothérapie systémique prolongée, chirurgie ou amputation de la région infectée.</p>
                  <p>
                     <sup>b</sup> Aucune information, peu de cas diagnostiqués.</p>
                  <p>
                     <sup>c</sup> Les diagnostics aigus initiaux et un traitement agressif peuvent conduire à un pronostic correct. Antibiothérapie à long terme, débridement chirurgical et amputation de dernière minute. Les récidives sont courantes.</p>
                  <p>
                     <sup>d</sup> Chez les chiens, les races ou les individus de grande taille présentent un risque plus élevé de développer un ostéosarcome (relation incertaine chez le lapin). La durée de vie des lapins de laboratoire et domestiques a été prolongée, entraînant une augmentation de l’incidence néoplasique au cours de la dernière période.</p>
                  <p>
                     <sup>e</sup> En général, il est associé à des métastases aux organes thoraciques, à l’abdomen ou aux tissus sous-cutanés. Même avec un diagnostic correct précoce et une petite taille de la tumeur, le pronostic est mauvais.</p>
                  <p>
                     <sup>f</sup> Ils cessent de croître une fois que l’individu a atteint la maturité squelettique. Dans certaines occasions, la lésion résorbée ou incorporée à la métaphyse plus tard.</p>
                  <p>
                     <sup>g</sup> Pas d’information disponible.</p>
                  <p>
                     <sup>h</sup> Traitement couronné de succès.</p>
               </fn>
            </fn-group>
         </table-wrap-foot>
      </table-wrap>
   </floats-group>
</article>