ABSTRACT. Five rabbits suffering from diarrhea were diagnosed with proliferative enteropathy (PE). Histopathology revealed a thickened mucosa consisting of hyperplastic intestinal epithelium and infiltration of inflammatory cells mainly consisted of macrophages. In the affected epithelial cytoplasm, numerous curved bacillus-like organisms were observed in the Warthin-Starry silver stain and electron microscopy observation. In polymerase chain reactions, Lawsonia intracellularis-specific DNA fragment were amplified from affected ileal tissue extracted DNA in each case and present 5 cases were confirmed to be L. intracellularis infection. Serum collected from the affected rabbit was immunohistochemically reactive with L. intracellularis in tissue sections from pigs with porcine proliferative enteropathy, as well as with tissue sections from the five affected rabbits. [5,7]. L. intracellularis infection is known to cause proliferative enteropathy (PE) that is characterized by intestinal mucosa thickened with gross material and histopathological evidence of hyperplastic mucosal epithelium [7].Due to its appearance as an intracellular parasite, L. intracellularis was previously referred to as an Intracellular Campylobacter Like Organisms (ICLOs) [7,10,11]. ICLOs infections in pig, hamster, and rabbit have since been confirmed to be L. intracellularis infection [3,7]. In Japan, ICLO infections in rabbit have been reported [12], but until now, no evidence of the presence of L. intracellularis in infected rabbit has been presented. Here we report five field cases of rabbits diagnosed with PE in which L. intracellularis infection is confirmed by amplification of L. intracellularis DNA using polymerase chain reaction (PCR). We also demonstrate the successful use of serum obtained from affected rabbit for the immunohistochemical (IHC) detection of L. intracellularis.Four adult rabbits (cases 1-4) housed together in the one field at a wildlife park in the eastern area of mainland Japan developed diarrhea simultaneously. These rabbits were destroyed humanely, and preserved in formalin, and then sent to our laboratory. Case 5 was a 3-month-old female rabbit, housed separately in a conventional cage, which suffered from diarrhea and body weight loss. This rabbit was destroyed humanely and autopsied in our laboratory.Alimentary tract tissue samples, including duodenum, jejunum, ileum, cecum, and colon were collected and routinely fixed (or re-fixed) in 15% neutral-buffered formalin. Samples embedded in paraffin were then cut into 4 mm sections that were stained with hematoxylin and eosin (H&E). Selected sections were also stained with Gram's (MacCallum-Goodpasture method), Warthin-Starry silver (W-S), and Ziehl-Neelsen (modified Fite method) stains. For ultrastructual study, formalin fixed tissues were cut into 1 mm cubes, fixed in 2.66% glutaraldehyde for 2 hr, post-fixed in 1% osmium tetroxide and then embedded in epoxy resin. Ultra-thin sections, stained doubly with uranyl acetate and lead citrate, were examined using a tra...