Help! Lost 2 clowns to Brooklynellosis

[C_Hubaker_]

Hello,
So over the last 3 days I’ve lost 2 clowns to what I believe to be Brooklynellosis. They were happy and healthy less than a week ago. I haven’t added anything new in 2 months and they had been in the tank for 4 months. My black clown came down with it and it advances very quickly overnight and by the time I noticed any symptoms he was too far gone, covered in slime, breathing extremely heavily, and completely disoriented. He lasted about 30 minutes after I noticed symptoms. My other ocellaris clown was showing no symptoms but I knew he would likely get sick because now the whole tank would be infected. Sure enough I moved him to a QT and the next day he started showing early signs of Brooklynellosis. I searched all over my local pet stores and called LFS’s and I could not find formalin to save my life. I had read this was the only thing that could truly help them and I just couldn’t get any. So I ordered it online and the best I could do was get it in 2 days. It was a long shot but I tried it. I had been FW dipping to try to buy myself more time as well as using some API General Cure to dose the QT tank just to try to stall until I could start formalin dips. Unfortunately he died this morning hours before the formalin came. My question is this:

I have one other fish, a six line wrasse in that tank with them. I’m assuming he’s now infected, so I moved him to the QT tank. I know brook generally effects clowns more, and my wrasse is showing no signs that he is sick, but how should I treat him now that he is the only fish left? Formalin dips? Or is that only for external symptoms? Do I continue to dose the QT with general cure and leave the DT fallow for 6 weeks? Any help would be appreciated. Thank you!

 

[Crabs McJones]

You'll still want to threat the wrasse. While it may not be showing symptoms, it most likely will still be a carrier of the parasite. The second its introduced to new fish you may have an outbreak again. Best to treat the remaining fish and allow the tank to sit fallow for 8 weeks
And welcome to R2R!

#WelcometoR2R

 

[C_Hubaker_]

Thank you!

What treatment is necessary? I’ve read 5 dips in the Quick Cure with one day inbetween dips? Any experience and success with this?

 

[Crabs McJones]

Humblefish has a guide on how to treat;
Treatment options - Formalin or acriflavine bath, followed by additional baths (as needed - but give the fish a day to recuperate in-between baths). You can use formalin in a QT (at a much lower concentration than the bath), but great care must be taken to provide plenty of gas exchange as formalin will quickly deplete the water of oxygen. For this reason, doing baths is the safer option as the fish can be pulled from the formalin if showing signs of distress. Acriflavine is probably the better option for in-tank QT use.

The following products contain formalin: Formalin-MS (preferred), Quick Cure,Aquarium Solutions Ich-X, Kordon Rid-Ich Plus.

Acriflavine can be found in Acriflavine-MS (preferred) and Ruby Reef Rally.

Metronidazole (exs. Seachem MetroPlex, Metro-MS, Hikari Metro+) is considered an alternative treatment for brook. A freshwater dip may provide temporary relief if you are unable to locate any of the aforementioned medications right away. Some even claim total eradication of the disease is possible just by performing multiple FW dips on the fish.

 

[C_Hubaker_]

Thanks so much!

 

[Ranjib]

#reefsquad