Dear Jay,
Thanks for the protocol. Whether fortunately or unfortunately, neither Crypto nor flukes are my problem. It is spontaneous pale-face disease. Can you make a guess at its cause and appropriate treatment? It appears to be contagious because it first suddenly appeared in my aquarium with the addition of a new unquarantined fish many years ago. Several fish including a tang, damselfish, and basslet instantly and simultaneously got it; others (notably a couple of clownfish that are still clowning around) didn't. If I recall correctly (because it was long ago), some other fish may have died (a couple of damselfish, clowns, and maybe tangs, but I'm guessing, I really don't remember). Of the tang, damselfish, and basslet that survived, the loss of all facial color progressed caudally somewhat over 5-10 years, but very slowly and never caudal to the pectoral fins. However, the tang and damsel did have possibly unrelated caudal fin deterioration and the tang also exhibited severe open lesion of the caudal peduncle. Despite these symptoms lasting for years and years on end, none of the surviving fish ever showed any behavioral deficits or effects whatsoever. The tang was King of the aquarium until he finally succumbed (I had hoped he'd do so years sooner so I could restock the tank). But I've given up on waiting for the damselfish to die. It is still alive (it is at least 15 years old now) and I'm afraid it will infect any new fish I want to add to the aquarium. I care a lot about my fish and I don't want to kill even a damselfish. I've got a new tang that has already been waiting in quarantine for me to get this sorted out for a couple of months already.
Here's what I've tried to date. I added metranidazole and nitrofurantoin to all fish food in the display tank for about two months. I subsequently moved the damsel to a quarantine tank, and I've tried sequentially treating it with a 5 min freshwater dip, extended hyposalinity, 5 successive weekly treatments of 2.5 mg/l praziquantel, 2 weeks 5mg/l copper sulfate, and now 4 days into a 5 day nitrofurazone treatment that I may repeat. The one thing I can say for certain is that the damsel shows no improvement. Any thoughts or suggestions? Thanks in advance for your advice.
Cheers, Peter