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13. Skin: Fish do not have a keratonized skin. The outermost living cells of the skin are
covered by a cuticle that is made up of mucus, mucopolysaccharides, immunoglobulins and
free fatty acids. The epidermins is composed of stratified squamous cells and may be from 4-20
cells thick. The dermis is immediately below the epidermis and is the location of the pigment
cells (melanophores, xanthophores, iridophores). The scales are calcified plates that originate in
the dermis and extend toward the exterior of the fish in an overlapping fashion and are covered
by the epidermis.
The skin is extremely important the ability of fish to maintain proper osmoregulatory
function. The skin also acts as the initial barrier to infection. It contains leukocytes and
macrophages in addition to immunoglobulins.
II. FISH DISEASE TREATMENTS
In the United States, the U.S. Food and Drug Administration has regulatory authority over the
use of therapeutic compounds in animals. Very few compounds have a label, or FDA approval,
for use in fish. A label will specify the species of animal (in this case, species of fish), the disease
to be treated, the method of administration and dose, and any withdrawal time for food
animals. Individuals involved with the treatment of fish disease should become fully aware of
the most current information regarding disease treatment compounds, especially when treating
food animals.
There are two broad strategies when administering fish disease treatments. Compounds such
as copper sulfate, potassium permanganate, and formalin are added to the water to treat
external parasite infections, external fungal infections and external bacterial infections (most
commonly those diseases caused by the Flavobacterium). The compounds are added to the
water to achieve a particular concentration in terms of mg/L (= ppm). Most commonly the
treatments are administered as prolonged treatments; ie. they are placed in the water and
allowed to dissipate with time. The second strategy in disease treatment is the incorporation of
an antibacterial compound into the feed. This is done to treat systemic bacterial infections.
Currently there are two antibacterials that have a label for use in fish an are available:
Terramycin (Pfizer) and Romet-30 (Sulfadimethoxine/Ormetoprim, Hoffman-LaRoche).
Sulfamerazine (American Cyanimide) has a label but is no longer available. The antibacterial is
fed to the fish to provide a quantity of drug/fish weight per day for a specified number of days.
The administration of medication via the feed necessitates that the fish are still actively feeding.
Antibiotics are rarely administered as water baths in aquaculture, due to the large volume of
water to be treated. Because of problems with resistance to the two available antibacterials,
most fish health specialists consider it necessary to determine the antibiotic resistance pattern of
particular bacterial isolate before the antibacterial treatment is applied.
METAZOA
1. Monogenetic Trematodes (e.g. Gyrodactylus, Dactylogyrus)
Monogenetic trematodes are a group of flat worms that complete their life cycle on a
single host. A major identifying characteristic of these helminths is their organ of attachment,
the haptor. This is at the posterior end and may have 0, 1 or 2 pair of anchors and a number of
small hooklets around the periphery. Other identifying characteristics include the presence or
absence of “eye spots.”
Lesions observed are primarily hemorrhage and necrosis of epithelial tissue of the gill
and skin.
Diagnosis is made by the microscopic examination of fresh skin scrapings or gill
clippings for the presence of the parasites. Treatment may include bath applications of formalin
or potassium permanganate.
2. Digenetic Trematodes
Digenetic trematodes are helminths that require several hosts on which to complete their
life cycle. The majority of digenetic trematodes that infect fish do so as a metacercaria or “grub”
stage. In general, the life cycle of these digenetic trematodes consists of the adult worm living
in the gut of a fish-eating bird. Eggs from the worm are shed into the water with the bird feces.
These eggs hatch to form a free swimming larva (miracidium). The miracidium must find an
appropriate snail or clam host to infect. Once in the snail or clam, the miracidium goes through
several developmental stages and emerges as a free-swimming larva (cercaria). The cercaria
find a fish host, penetrate the fish and migrate to a specific part of the fish where they encyst
and become the metacercaria (grub). The fish containing the metacercaria must be eaten by a
fish-eating bird for the parasite to complete its life cycle.
Some metacercaria are very specific with respect to the location (organ/tissue) they infect
on the fish host. Others are not so specific. Usually the presence of digenetic trematodes does
not have serious health consequences to the fish host. However, in very heavy infections or
infections of specific organs (e.g. Diplostomum, the eye fluke may cause blindness), the fish may
be adversely effected.
Diagnosis is based on microscopic examination of fresh materials or materials prepared
for histological examination. Identification to genus and species may require a knowledge of
the life cycle and primary hosts present in a particular environment.
There are not treatments for digenetic trematodes.
3. Acanthocephalans
Acanthocephalans are spiny-headed worms that are found as adults in the intestine of
the fish. Larval worms may be found in the internal organs. Acanthocephalans have a complex
life cycle which includes an amphipod as the first intermediate host and may include a fish as a
second intermediate host.
In spite of heavy infections in the intestine, fish may not show signs of disease.
Occasionally a worm may perforate the intestine, leading to an abdominal peritonitis.
Diagnosis is based on microscopic examination of fresh materials or materials prepared
for histological examination.
There are no treatments for acanthocephalans.
4. Cestodes
Cestodes can be found as parasites of fish as adult worms in
the digestive tract or as larval worms in various organs and tissues of fish. Cestodes have a
complicated life cycle which involves and arthropod (copepod) intermediate host and
sometimes a second intermediate host, such as a fish.
The most serious impact on fish is usually due to a heavy infection of larval tissue
dwelling forms. As these larvae migrate through the tissues, they leave a tract of scar tissue.
Diagnosis is based on microscopic examination of fresh materials or materials prepared
for histological examination.
There are no compounds that have a label as treatments for cestodes in fish.
5. Nematodes
Nematodes have a complicated life cycle which may require one or two intermediate
hosts. Sometimes the fish is the final host, with the nematode being found in the intestine.
Larval forms of nematodes are found encysted in various organs and tissues.
Diagnosis is based on microscopic examination of fresh materials or materials prepared
for histological examination.
There are no compounds that have a label as treatments for nematodes in fish.
6. Crustaceans: Copepods and Branchiurans
A number of Crustacean Copepods are parasites of fish. Lernea, the anchor worm, is the
adult female of the species. As immature forms, the male and female are free-swimming
aquatic invertebrates. Once mating occurs, the male dies and the female searches for a fish host.
The organism attaches to the fish by a “anchor” structure that develops below the skin, usually
in the underlying muscle. The body of the parasite (“the worm”) trails outside the fish. There
may be two egg sacs on a gravid female.
Another common copepod parasite is Ergasilus. Ergasilus usually infect the gills of fish. They
attach by a pair of modified appendages that look like “ice tongs.”
The Branchiuran Argulus, also known as the fish louse, has a flattened disk-like
appearance. It infects the external surface of the fish, often being found underneath the
operculum. When present in large numbers, it can cause extensive skin necrosis.
Diagnosis is based on microscopic examination of fresh materials.
There are no compounds that have a label as treatments for crustacean parasites of fish.
IV. Pathology — Common Bacterial Diseases
1. Motile Aeromonad Septicemia
(Aeromonas hydrophila, Pseudomonas fluorescens)
Motile Aeromonad Septicemia, also known as Bacterial Hemorrhagic Septicemia is an
infection caused by the motile, gram negative bacteria Aeromonas hydrophila, Aeromonas
sobria, and others. For purposes of this presentation, Pseudomonas fluorescens is included in
this bacterial disease. Infection by these ubiquitous organisms is usually associated with stress
from such factors as crowding, elevated/changing water temperatures, reproduction/spawning,
and water quality. Signs of disease and lesions can be variable. They can include hemorrhage
at the base of the fins and on the skin, shallow to deep skin ulcers, swollen abdomen,
exophthalmia, and red colored ascites.
In some cases the internal organs can be liquified. Histologically, renal and splenic hemopoietic
tissue is reduced. Focal necrosis may be found in the cardiac muscle, liver, gonad an pancreatic
tissue. A serosanguinous exudate may also be present.
Diagnosis is based on culture and identification of the organism. Treatment often
consists of antibiotic therapy, usually delivered via the feed.
2. Furunculosis
(Aeromonas salmonicida)
Furunculosis is an infection caused by the non-motile, gram negative bacterium
Aeromonas salmonicida. This is most often considered to be a disease of salmonids, but the
bacterium is known to infect other species of fish. A particular characteristic of the bacterium is
that it produces a brown diffusible pigment on a bacterial agar that is rich in the amino acids
tyrosin an phenylalanine. A variant of Aeromonas salmonicida, termed achromogenic (does
not produce the brown diffusible pigment), causes Goldfish Ulcer Disease.
Considerable variation can be seen in the clinical presentation of this disease. The
chronic form of Furunculosis is characterized by a deep necrotic lesion of the muscle, the
“furuncle.” The acute form of the disease may be characterized by a diffuse hemorrhagic
condition. Histologically, hemorrhage and foci of bacteria can be seen in cardiac, hemopoietic,
hepatic and gill tissue. These foci or colonies of bacteria may be seen with or without a cellular
infiltrate. The lack of the infltrate is due to the leukocytlytic exotoxin produced by the
bacterium.
Diagnosis is based on gross and microscopic lesions and culture and identification of the
orgnanism. Treatment often consists of antibiotic therapy, usually delivered via the feed.
3. Enteric Septicemia of Catfish
(Edwardsiella ictaluri)
Enteric septicemia of catfish is caused by the gram negative
bacterium Edwardsiella ictaluri. This disease has been, for at least the past 15 years, the most
serious disease faced by the commerial cafish farmer. The bacterium will also infect a number
of other fish species. Although the clinical presentation of this disease can be variable, the
distribution of the lesions tend to be multifocal. Also, there may be a lesion on the head of the
fish, along the fissure between the frontal bones that has given rise to the common name “Hole
in the Head Disease” (Not to be confused with the Hole in the Head Disease in aquarium fishes
that has historically been associated with Hexamita — although there is little scientific basis for
this association).
Additional lesions that may be found in fish with Enteric Septicemia of Catfish include
hepatomegaly, splenomegaly, renomegaly; hemorrhagic enteritis; necrohemorrhagic hepatic
foci; necrotizing enteritis of the intestinal villi and presence of a serosanguinous exudate.
Field outbreaks of this disease tend to follow a unique temperature pattern; occurring
most commonly at water temperatures between 22-28C.
Diagnosis is based on presence of gross and microscopic signs and culture and
identification of the bacterium. It is important to note that this bacterium is particularly slow
growing. Very small colonies may be seen after 72-96 hrs of culture (most other bacterial fish
pathogens produce heavy growth within 24-48 hrs). Treatment may consist of antibiotic
therapy delivered via the feed. More recently the practice has been to take the fish off feed. The
benefits observed from doing this are thought to occur due to the reduction of the fecal to oral
route of transmission of the bacterium.
4. Bacterial Gill Disease
(Flavobacterium branchiophilum)
Bacterial gill disease is caused by the gram negative Myxobacter Flavobacterium
branchiophilum. This disease is also termed Environmental Gill Disease. The disease is
considered to be caused by a combination of a number of factors: small fish in crowded
conditions, poor water quality, overfeeding of a fine (dust-like) ration and presence of the
ubiquitous bacterium. These conditions are also characteristic of the environment for rearing
fry and small fingerling fish.
Signs of the disease include reduced feeding and crowding of the fish near the water
inlet. This is due to the compromised condition of the gills. The lesion caused by this bacterium
is a proliferation of the gill epithelium. Diagnosis of this disease is based primarly on
histological finding. The gill tissue may exhibit a moderate to severe diffuse proliferation of the
epithelial tissue that is most pronounced at the distal end of the primary lamellae. Secondary
lamellae may be fused. A Brown and Bren stain or a Gram stain may reveal long rod-shaped
bacteria that tightly adhere to the gill tissue.
Treatment and/or management of this disease is problematic. Losses may be reduced by
elimination of some of the above stresors. Some benefit has been achieved by taking the fish off
feed. Several compounds with potential therapeutic value are currently being evaluated to
satisfy FDA label requirements. These compounds, primarily chloramine-T an hydrogen
peroxide, are considered to act as “disinfectants” to reduce the number of pathogenic bacteria
present. Any managment strategy for this disease must also consider ways to reduce the stress
inherent in the culture system.
5. Columnaris
(Flavobacterium columnare)
Columnaris is caused by the gram negative Myxobacteria Flavobacterium columnare.
Previous names for this bacterium have included Flavobacterium columnaris, Flexibacter
columnaris, Cytophaga columnaris, Chondrocccus columnaris and others. The infection is most
commonly and external infection found on the body and/or gills. In some instances a systemic
infection is also found. The bacterium is a ubiquitous bacterium and the disease is often
associated with stress of the fish.
The clinical presentation of the fish may include shallow erosions of the skin, frayed fins,
and eroded gills. Lesions may take on a yellow color; the bacterium is a member of the yellow
pigmented bacteria (Flavobacterium).
Histologically, lesions found in the skin and gills are characterized by necrosis. Wet
mounts of scrapings of lesions will reveal long flexing rod-shaped bacteria that may aggregate
into a characteristic “haystack” which gave rise to the “Columnaris” name.
Diagnosis is often based on gross signs an presence of the characteristic “haystack”
aggregations of the bacteria. The bacterium can be cultured, but is usually most successful
when either Cytophaga agar or Ordal’s medium are used. The colonies have been described as
yellow rhizoid colonies that tightly adhere to the agar.
Treatment/management of this disease includes reduction of stress and application of
potassium permanganate or formalin to reduce the number of bacteria associated with external
infection. Antibiotic medicated feeds have been used for systemic infections, although there is
not an FDA lable for such an application.
6. Fish Mycobacteriosis
(Mycobacterium marinum, M. forituitum, and M.chelonei)
Fish mycobacteriosis is considered a chronic bacterial infection caused by one of the
acid-fast bacteria of the genus. Species such as M. marinum, M. forituitum, and M.chelonei are
among the most common species involved with infection of fish. These bacterium are capable
of infection in a wide range of fish species. Mycobacteriosis appears to be particularly
problematic in closed aquatic water recirculation systems, such as aquaria and recirculation
aquaculture systems.
The clinical presentation of Fish Mycobacteriosis can be extremely variable. Signs can
include anorexia, emaciation, ulceration of the skin, spinal curvature, exophthalmia, lethargy,
and loss of equilibrium. In some cases the only observable sign is lethargy. Internal
examination may reveal grossly visible nodules (granulomas) in various internal organs.
Diagnosis is based on histological finding of granulomas with acid fast organisms.
Culture of the organisms on artificial media may be difficult.
Management of the disease often required depopulation of the infected population and
disinfection of the holding facility. Although various therepeutic protocols have been proposed
(most in the non-refereed literature), there is little scientific information supporting the efficacy
of any therepeutic treatment.
Of particular note is the fact that Fish Mycobacteriosis is a zoonotic disease. The bacterium is
thought to infect humans by gaining entry through cuts or abrasions in the skin. The bacterium
appears to be cold adapted, as is tends to localize in the skin of humans causing skin nodules.
11. Coldwater Disease
(Flavobacterium psychrophilum)
Coldwater Disease is caused by the gram negative Myxobacter Flavobacterium
psychrophilum. This disease is observed in fry and fingerling salmonids and is most commonly
observed when the fish are held at temperatures between 4.4 - 10C. Lesions may include open
lesions and erosion of the skin on the caudal peduncle, erosion of muscle on the caudal
peduncle, and loss of the caudal fin.
Diagnosis is based on observation of gross and microscopic lesions. Treatment is similar
to that practiced for Bacterial Gill Disease.
Unionized ammonia (NH3) is the toxic species that is capable of crossing the gill epithelium.
Chronic low concentrations of elevated unionized ammonia will result in a diffuse gill
epithelian proliferation. An acute, high concentration of ammonia will result in an ascites that
will lift the gill epithelium from the supporting primary and secondary lamellae. Compromised
gills result in reduction of the ability of the fish to conduct respiration and to excrete metabolic
wastes (ammonia).
Treatment of elevated ammonia may consist of reducing stocking rate, reducing feeding
rate and water changes to dilute the existing ammonia.
3. Gas Bubble Disease
Gas Bubble Disease is a condition when gases, present in the water at supersaturation
concentrations come out of solution to form gas emboli in the fish. These emboli may be under
the skin or in the blood vasculature. Emboli under the skin destroy the integrity of the skin as a
barrier to infection and as a tissue important for proper osmotic balance. Emboli in the blood
vasculature may block flow of blood, especially in the gills.
Supersaturation of gases can be the result of:
1. A rapid water temperature rise. The ability of water to hold dissolved gases
decreases as water temperature rises.
2. Algal bloom and photosynthetic activity
3. Imperfections in fittings and joints in plumbing systems. Small imperfections may
allow for air to be “sucked into” (cavitate into) the pipes supplying water to a fish holding
system.
4. Water from deep wells. When the water is drawn to the surface of the earth, the
pressure on that water is reduced.
5. Water released from the bottom of dams/water impoundments. Pressure on that
water is reduced similar to (4.) above.
4. Vitamin C Deficiency
Vitamin C is a necessary vitamin that most fish cannot produce themselves. It must be
provided in the diet. Diets with insufficient Vitamin C may result in a condition known as
“Broken Back Syndrome.” Vitamin C is important in the conversion of cartilage to bone. With
insufficient Vitamin C, proper ossification of cartilage does not occur. At locations of major
muscle mass on the fish, muscle tension may cause the vertebral column to take on a curved
appearance, giving rise to the common name.
A less visible impact of low dietary Vitamin C is a reduction of the functional
capabilities of the immune system. Fish fed a deficient diet may suffer from a variety of
facultative pathogens (pathogens normally present in the aquatic environment that become
problematic when the fish are stressed).
Diets are deficient in Vitamin C due to manufacture error or to improper storage.
Vitamin C is very labile at high temperatures. Long term storage of feeds may result in
degredation of the Vitamin C present.
Management of this condition is to feed diets with adequate Vitamin C. This can be
done by proper storage of feeds to prevent degredation of this vitamin.
5. Pantothenic Acid Deficiency
Pantothenic Acid Deficiency is a dietary vitamin deficiency disease that is characerized
by a gill tissue proliferation. Signs of the disease include respiratory distress and mortalities.
The gills may appear swollen. Diagnosis of the disease is based on observation of disease signs
and histological evaluation of the gills. The gills of effected fish will have a proliferation of the
gill epithelium that is most pronounced at the distal end of the primary lamellae. Care must be
taken to differentiate this condition from a number of other causes of gill epithelial
proliferation, including Bacterial Gill Disease (in which long gram negative rod-shaped bacteria
will be seen with a gram stain) and chronic unsatisfactory water quality.
Management includes proper storage of feeds to avoid deterioration of pantothenic acid
content.
Appendix 1