Fish Diseases
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                  Aquarium Fish- Diagnosis, Diseases and Treatments
Observe the activity and body language of the fish in the water. It is important to know the normal
behavior of the species of fish being evaluated. For example, male bettas (Betta splendens) are
often kept in small bowls without filtration or temperature control. They normally use the midlevel
or upper level of the bowl; however, when the temperature drops too low, they sit on the bottom
and are reluctant to move. Also, the foraging behavior of certain fish may be confused with
abnormal behavior.

Abnormal Behaviors Common to Sick Fish

Coughing--flaring of the operculum followed by rapid closure in an attempt to dislodge an
irritant from the gills, which is suggestive of gill disease.

Flashing--rubbing against objects, which is suggestive of an ectoparasitic infestation.

Piping--gulping air at the surface, indicating hypoxia due to oxygen-poor water, gill disease, or
anemia.

Circling (controlled) or whirling (uncontrolled.)--suggestive of blindness and neurologic disease,
respectively.

Drifting--aimless, unpropelled motion indicative of weakness and imminent death.

Abnormal posture--floating at the surface, which may suggest disorders such as swim bladder
or neurologic disease. Or in the case of goldfish, a lack of fiber in flake food diets often
results in poor intestinal motility, resulting in air accumulating in the intestines. This air
causes the fish to float abnormally at the surface.


Quarantine and initial treatment
Isolate sick fish, especially those suspected of having an infectious disease, from other fish in a
separate aquatic system until they have recovered. Consider a broad -spectrum therapy, such as a
prolonged immersion with a low concentration of copper during the quarantine period. Provide
Specific treatment of fish in quarantine exhibiting parasitic, fungal, or bacterial infections once a
diagnosis is made.

Common Noninfectious Disorders In Aquarium Fish
Common husbandry-related disorders in fish include toxicities caused by ammonia, nitrites, heavy
metals, and poisons introduced into the aquatic system.

Traumatic injury related EO capture or aggressive tank mates is another husbandry-related
problem.

Lateral line erosion, or hole-in-the-head syndrome, is a condition resulting in ulceration of the skin
associated with the sensory tissue on the head and lateral line of a fish. The cause of this condition
is unknown, but it improves by addressing husbandry problems such as improving the diet, (feeding
natural foods) and correcting water quality problems.

Air embolism, or gas bubble disease, is diagnosed by observing gas bubbles in the fins, gills, and
eyes of fish. It is caused by cavitating pumps (usually requires pumps of 1/2 horsepower or larger)
that force oxygen and nitrogen into solution. Cavitalion occurs when the pump sucks in air either at
the intake (when an air stone is placed near the intake) or through a broken valve.

Malnutrition is another possible contributor to disease. The exact nutritional requirements of
most fish are unknown, so an underlying deficiency of certain nutrients may be difficult to detect
and may predispose fish to secondary diseases. Conditions such as hepatic lipidosis. emaciation, loss
of dorsal musculature, disproportionate bodies (big heads and small bodies), and gastrointestinal
disorders (e.g. constipation) are most likely directly related to the diet. Obesity and hepatic
lipidosis are associated with a high dietary fat intake. Ideally, fish should be fed a diet identical to
their natural diet.

Common Infectious Disorders In Aquarium Fish
Pet fish are susceptible to bacterial, fungal, and viral infections as well as parasitic infestations. A
common husbandry-related cause of infectious disease is failure to quarantine new fish before
introducing them to the established system. As a result, outbreaks involving pathogenic organisms
occur. New fish should be quarantined in a separate system for four to six weeks before, their
introduction into an established system with other fish. Monitor fish in quarantine for clinical signs
of disease. Consider a broad-spectrum therapy, such as a prolonged immersion with a low
concentration of copper (see boxed text titled "Copper treatment" on page 851) or formalin, as a
prophylactic treatment.

Bacterial Infections in Aquarium Fish
Bacterial disease is one of the most common causes of aquarium fish mortality. Most pathogenic
bacteria are gram-negative aerobes and facultative anaerobes. Immunosuppression due to stress,
poor nutrition, a poor environment, or parasitic infestations often leads to bacterial infections
with opportunistic pathogens. Clinical signs may vary but. often include lethargy, anorexia,
hemorrhages (erythema of the fins, mouth, or vent), cutaneous ulcers, fin rot, ascites,
exophthalmia, abnormal posturing, and color change. During postmortem examinations, the kidneys
provide the best location for bacterial culture in suspected cases of bacteremia or septicemia.
Bacterial cultures are best performed by microbiology laboratories that routinely culture
pathogenic bacteria from fish.

Fish with bacterial infections can be treated by placing antibiotics in gelatin diets, giving
commercially medicated foods, loading food with the antibiotic, or medicating by stomach tube.
Antibiotics can also be delivered by intramuscular or intra colon injection or through the water
either as a bath (10 to 60 minutes) or prolonged immersion ([greater or equal] 24 hr). Most
treatments are empirically derived, but formularies are available to guide antibiotic therapy.

Fungal Infections in Aquarium Fish
Fungal infections, another important cause of disease in fish, are usually the result of
immunosuppression associated with poor water quality, stress, and other diseases. Prolonged
treatment with antibiotics may also predispose fish to fungal infections. Saprolegniasis is a
catch-all term for while, fuzzy mold growth on this skin of fish. Saprdegnia is a genus of water mold
that commonly infects fish and their eggs. Immunosuppression, resulting from, for example, a drop
in temperature or stress from overcrowding, can predispose fish to such fungal infections. Fish
with fungal infections are treated with antifungal agents given orally in food, by injections, or by
the water-tome route.

Viral Infections in Aquarium Fish    
Fifty-six viruses have been reported in fish. Viral diseases are frequently associated
with secondary bacterial, fungal, or parasitic infections that may lead to a mis-diagnosis.

Lymphocystis disease, one of the first viral diseases described in fish, is common to freshwater
and marine fish. It is caused by a DMA iridovirus, and infected cells (fibroblasts) increase up to
50,000 times normal size. Advanced lesions exhibit large wartlike tumorous growths on the skin
and fins. The disease is transmitted by direct contact and is typically self-limiting, unless growths
around the mouth cause starvation. Regression of the lesions may take several months, and
affected fish should be isolated from other fish. Keep recovered fish isolated for at least one
month to prevent spread of the vims in other fish.

Carp pox, or cyprinid herpesvirus I or Herpesvirus cyprini, is typically a benign self-limiting disease
that causes epidermal hyper-plasia that appears as superficial, soft, white to gray, waxy or mucoid
lesions on the skin and fins of carp and koi. The lesions can persist for several months in affected
fish, especially in cooler water temperatures, but resolve when the water temperature warms in
the spring. Carp pox can result in systemic disease and high mortality in juvenile cyprinids (less
than 2 months of age), such as carp and koi.

Spring viremia of carp is a reportable viral disease caused by Rhabdovirus catpio that causes high
morbidity and mortality in cultivated carp, especially young carp, and related fish such as koi and
goldfish. Clinical signs of this viral infection are nonspecific because multiple organs are involved;
however, dropsy, darkened skin, and exophthalmia are common. Necropsy reveals small
hemorrhages throughout the body, ascites, peritonitis, enteritis, and edema of internal organs.
Outbreaks of the infection are commonly seen in the spring but can occur whenever the water
temperature drops below 64 F (17.8 C). A definitive diagnosis is made by virus isolation, or indirect
tests such as ELISA and virus neutralization are available to detect the virus in a fish population.
There is no treatment foe this disease, but keeping the water temperature above 68 r (20 C)
helps decrease the mortality. Depopulation of infected fish followed by disinfection (1 part bleach
to 10 parts water) of the habitat is recommended to control the disease.

Koi herpesvirus infection is an acute viral disease that can cause high morbidity and mortality in
carp and koi. Clinical signs of the viral infection are nonspecific, but severe gill lesions with red and
white patches (edema and necrosis), pale raised patches of skin, and sunken eyes are common.
Affected fish may also exhibit neurologic signs such as erratic swimming and disorientation. Clinical
disease commonly appears in a collection of koi and carp during the spring or summer within two to
four weeks after introducing new fish to the system or returning from a koi show. The mortality
related to koi herpesvinis infection typically occurs in water temperatures between 64 and 81 F
(17.8 and 27,2 C). A definitive diagnosis is based on positive results on culture or polymerase chain
reaction testing (diagnostic laboratory at me University of Georgia). there is no treatment for koi
herpesvinis infection, and surviving fish should be considered earners. Therefore, depopulation
followed by disinfection of the habitat is recommended, to control disease.

Parasitic Infestations in Aquarium Fish
Parasitic infestations are common in fish. They are diagnosed by wet mount examination of the
mucus (from skin), fins, or gills as mentioned above.

Parasitic protozoa

Ciliate protozoa have a direct life cycle, and most are commensal. However, a few are notoriously
pathogenic. Ichthyophtbirius multifiliis (known as Ich) in freshwater fish and
Cryptocaryon irritant in marine fish are highly pathogenic ectoparasites that feed on host cells.
Trichodina species in freshwater and marine fish is another pathogenic dilate protozoan that can
damage the gills and skin when large numbers of the protozoan are present. Chilodonella piscicola
and Chilodonella hexasticha in freshwater fish and Brooklynella hostilis in marine fish are ciliate
protozoa that cause excessive mucus production and hemorrhage in the gills. Tetrabymena species
in Freshwater fish and Uronema species in marine fish are normally free-living commensals that
become secondary pathogens that are highly invasive and can be found in internal organs. Epistylis
species in freshwater fish are ectocommensal ciliate protozoa that create white tufts on hard
surfaces of the fish, such as the fin rays and scales.

Flagellate protozoa may have direct life cycles; some have resistant cyst stages, The
hemoflagellates have indirect life cycles. Ichthyohodo necator (also called Costia necatrix) in
freshwater and marine fish attaches to skin and gills, feeding on host cells and causing epithelial
hyperplasia and goblet cell destruction. Amylioodinium species is a common dinollagellate parasite in
topical marine fish that affects both teleost and elasmobranchs, such as sharks and rays. It is
detected by identifying the trophonts in wet mount preparations of the skin or gills. Piscinoodinium
species, the freshwater counterpart to Amyloodinium species, contains chlorophyll and causes
velvet disease, or rust disease, in topical pet fish. Fish with heavy infestations exhibit a rusty or
yellow sheen to the affected skin. Hexamita and Spironucleus species in freshwater and marine
fish are flagellate protozoa in the gastrointestinal tract of fish that can cause anorexia, lethargy,
and death.

Fish exhibiting scant, mucoid feces should be examined for a possible intestinal flagellate
infestation. Massive systemic infections, especially with Spironucleus species, are lethal. Other
flagellates, such as Cryptobia species, can also be important pathogens. Trypanosome infections are
usually asymptomatic, and their pathogenesis is unknown. Trypanosomes are incidental findings in
blood films or in imprints of tissues such as the kidneys.

Other protozoal parasites include the microsporidia, such as Plistophora hypbessobryconis in
freshwater fish that causes neon tetra disease. Myxosporidia species are highly pathogenic, usually
intracellular, and involve all organs.

Treatment of Protozoa
Protozoal infestations are usually treated topically with medicated dips or baths. The distinction
between a dip and a bath may vary among authors as does the preference for dosages, but in
general a dip is exposure to a medicated solution for less than 15 minutes, whereas a bath is for a
longer period. Prolonged immersion treatments are those that provide a constant exposure of the
medication over several days. Parasitic protozoa can be treated with formalin (0.125 to 0.250 ml
37% formaldehyde/L) as a one- to 60-minute bath; malachite green (0.1 to 0,15 mg/L) as a
prolonged immersion; salt (10 to 30 g/L as a bath up to 30 min (a four- to five-minute salt solution
dip for freshwater fish or freshwater dip for marine fish); or formalin (0.02 ml 37%
formaldehyde/L) phis malachite green (0.1 mg/L) as a prolonged immersion. Formalin solutions
should not be used if they contain white paraformaldehyde precipitates.

Trematodes
Monogenean (skin or gill fluke) infestation occurs in both freshwater and marine Fish. Monogeneans
are ectoparasites mat live on skin, gills, and fins. They contain a haptor (attachment organ) and
have a direct life cycle. Dactylogyrus species has four points at the anterior end. an anterior
sucker, four eye-spots, and a haptor with two large hooks surrounded by several small hooklets.
Gyrodactylus species has two points at the anterior end, an anterior sucker, no eyespots, and a
haptor with two large hooks surrounded by several small hooklets. This monogenean is viviparous
with internal embryos containing hooks. Clinical signs associated with monogenean infestation
include flashing and skin disorders because of the injury to skin caused by the parasite's
attachment and feeding behavior. The hooklets on the haptor penetrate epithelial cells.

Treatment of Monogenean
Monogeneans can be treated by using formalin (0.125 to 0.250 ml 37% formaldehyde/1) as a one- lo
60-minute bath; praziquantel (2 mg/L. for freshwater fish or 20 mg/L. for marine fish) as a one- to
three-hour bath; trichlorfon (dimethyl phosphonate; 0.25 to 1 mg/L) as a one-hour bath; or a salt
bath (30 to 35 g/L) in freshwater fish.

Digenetic trematodes are endoparasites with an indirect life cycle. The indirect life cycle of
digenetic trematodes involves a definitive host that is a fish-eating bird, a first intermediate host
that is a snail, and a second intermediate host that is a fish. Adults live in the gastrointestinal
tract and have two suckers and a Y-shaped gut. The metacercariae encyst throughout the body of
the fish intermediate host. Most fish with encysted metacercariae exhibit no signs of illness;
however, those with heavily infested organs may have organ dysfunction. Encysted digeneans are
difficult to treat, but praziquantel may reduce their number.

Parasitic crustaceans
Parasitic crustaceans include the Bianchima, which arc ectoparasites with a dorsoventrally
flattened body and prehensile suckers that attach to the bodies of fish. An example is Argulus
species (fish louse), which has a direct life cycle and causes cutaneous lesions and respiratory
distress. It is large enough to be seen grossly, and clients may observe the parasite's movements.

Copepods are another group of parasitic crustaceans with a diversity of body forms with variable
appendages An example is Lernaea species (anchor worm), which is an elongated copepod that
embeds its head into the skin of fish, leaving its Y-shaped egg sacs to hang from the fish. These
sacs can easily be seen grossly. The anchor worm has a direct life cycle and lives in fresh water.

Treatment of Crustacean Infestation
Organophosphates
Organophosphates are the typical treatment for parasitic crustacean infestations. Dichlorvos and
trichlorfon are the mast commonly used organophosphates for treating fish with parasitic
crustacean, monogenean, or leech infestation. Trichlorfon (0,5 to 1 mg'L) as a prolonged immersion
or dichlorvos (0.5 to 2 mg/L) as a 30- to 60-minute bath is effective. Diflubenzuron (Dimilin--Pond
Care) is a chitin synthesis inhibitor that when used at a dose of 0.01 mg/L as a prolonged immersion
treatment can also rid fish of crustacean cope-pod infestation.

Copper treatment
Copper (copper citrate or copper sulfate) is used to treat external parasites or bacterial or fungal
disease. The usual therapeutic concentration is 0.15 to 0.2 ppm, except for sensitive fish. The
concentration can be gradually increased (i.e. 0.01 ppm per day) to 0.2 ppm in sensitive fish. The
free copper ion is the active form, whose concentration depends on the total alkalinity of the
water. A higher concentration of copper sulfate is needed to provide therapeutic concentrations of
free copper ion as the alkalinity increases. Also, copper may be unstable in water with low alkalinity
(< 50 mg/L) and rapidly precipitates out as copper carbonate in water with high alkalinity (> 250
nig/L). Cheated copper (e.g. copper citrate or copper EDIA) may be more stable in marine water
and fresh water with high alkalinity than copper sulfate is, but its safety and efficacy are still
being evaluated.
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