Disease I'd please

fin mike

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I need help identifying whatever is attacking my copperband butterfly I just recently acquired. I have him in a quarantine right now and I've been treating him with Acriflavine for the last three days. Unfortunately this malady has only gotten worse since its onset three days ago.

It's hard to see what's going on in the pictures, but there are several bumps that are protruding from only one side of its body. They are white in color and are relatively big. They almost look like clumps or some kind of large parasite. Almost like what lymphosistis would look like on the skin of the fish but not so cauliflower like. There is no redness but it is clearly irritating and spreading.

I've scrubbed the overview ID posts for a possible cause. Can't make a positive Id.

After I acclimated him, I ran him through Blue Life Safety Stop before he was introduced to the quarantine tank. The quarantine tank is a dedicated system with live rock. It's two years mature.

The fish acts fairly normal. He hunts on the rocks and swims in normal patterns. He actually ate some clam on the half shell. That's a positive sign.

I really need a strategy going forward. Any ideas?
 
It looks like Lympho to me, which is very common in butterflies in QT. Read this for more info : Lymphocystis
 
It could be bacterial. I would skip doing acriflavine in the QT and instead give the fish a bath in a separate bucket or container. See here for more info:
https://www.reef2reef.com/index.php?threads/Acriflavine.282887/

Followed by antibiotics if necessary.

Edit. It definitely could be lympho as well, I'm just used to seeing it more on the fins than the body.
 
It's definitely not lymph. It looks like it is under the skin enough to contort the scales, not individually, but in a 3-4 mil diameter. I can't get a good pick of it. It's seems like a bacterial infection but no redness yet.

I have some furan 2 on hand. Should I use it? Anything else I could try.

One more observation. The fish did flash today against the rocks and it looked like it scraped some of the infection off because tissue/ mucus/ slime coat was floating in the water. It also looks to my flasher wrasse to clean it.
 
Furan-2 is a good start. You can add in Kanaplex with that as well, and metroplex to widen the spectrum just a bit more. Dose the furan-2/kanaplex/metroplex every 48 hours after a 25% water change, for 10 days.
 
Furan-2 is a good start. You can add in Kanaplex with that as well, and metroplex to widen the spectrum just a bit more. Dose the furan-2/kanaplex/metroplex every 48 hours after a 25% water change, for 10 days.

Can I do that in a tank with live rock and hermits and other tiny critters?
 
Can I do that in a tank with live rock and hermits and other tiny critters?

No, you'll need a hospital tank. Sand and rock might throw off the dosage and I'm not sure those meds are invert safe.
 

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