Help with Disease ID

Colin Fowler

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So I had Ich in my tank. I put all the fish into a QT for 77 days. Treated them with Copper and Prazo. Fisher did great. All survived and thrived. They have been back in my DT for 5 days, and one Pajama Cardinal did, and another has a large white growth and so does my Blue Jaw Trigger. Pics attached. So frustrating! Anyone know what this is? It’s not Ich, it larger and kind of fluffy. Pics suck but best I could get. On the lueJaw, the white SpotOn the leftis a reflection on his eye. It the one on the right

2AFBED98-7660-40C3-812D-A6E92B249621.jpeg


10903754-4470-4491-8B22-F8D98837EBB5.jpeg
 
So I had Ich in my tank. I put all the fish into a QT for 77 days. Treated them with Copper and Prazo. Fisher did great. All survived and thrived. They have been back in my DT for 5 days, and one Pajama Cardinal did, and another has a large white growth and so does my Blue Jaw Trigger. Pics attached. So frustrating! Anyone know what this is? It’s not Ich, it larger and kind of fluffy. Pics suck but best I could get. On the lueJaw, the white SpotOn the leftis a reflection on his eye. It the one on the right

2AFBED98-7660-40C3-812D-A6E92B249621.jpeg


10903754-4470-4491-8B22-F8D98837EBB5.jpeg
Maybe Lymphocystis? They are large white growths, maybe from the stress of being moved for QT back to the DT?
 
Looks like lympho to me on the cardinal I cannot tell on the trigger, it could also be an infection.

Has it slowly grown or did it make itself quickly noticeable?

Any other symptoms?

It’s pretty common for fish to show symptoms of lymph after treatment in meds, like with humans, it does weaken the immune system. High quality nutrition (soaking foods in selcon, zoecon, and/or vita chem) and clean water will help.

So long as it doesn’t grow over the gills or mouth (keeping it from breathing or eating) you should be fine. In those extreme cases, it can be gently scraped off with a razor blade (almost never necessary).

Lympho often looks like cauliflower or cottony growths.

If it’s an infection it should grow and rot and perhaps look reddish. If this doesn’t happen, you’re probably fine.
 
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Looks like lympho to me on the Cardinal I cannot tell on the trigger, it could also be an infection.

Has it slowly grown or did it make itself quickly noticeable?

Any other symptoms?

It’s pretty common for fish to show symptoms of lymph after treatment in meds, like with humans, it does weaken the immune system. High quality nutrition (soaking foods in selcon, zoecon, and/or vita chem) and clean water will help.

So long as it doesn’t grow over the gills or mouth (keeping it from breathing or eating) you should be fine. In those extreme cases, it can be gently scraped off with a razor blade (almost never necessary).

Lympho often looks like cauliflower or cottony growths.

If it’s an infection it should grow and rot and perhaps look reddish. If this doesn’t happen, you’re probably fine.
It appeared pretty quickly. I just noticed them this evening, and they defiantly were not there on Saturday night. They do look like a cottony growth.
 
It appeared pretty quickly. I just noticed them this evening, and they defiantly were not there on Saturday night. They do look like a cottony growth.
Sounds like lympho, I wouldn’t stress at this point. :)
 
Thanks. Having just let the tank go fallow for 77 days I thought OMG, what now?!!
Pretty common, actually. Rest easy, chances are you’re good to go! :)
 
Just in case, do you have any antibiotics if the "white-ish" area are a bacterial infection?
From our own Humblefish:
Bacterial infections:

Symptoms - Sometimes it's self-describing: Popeye/cloudy eyes, fin & tail rot, dropsy (bloated fish), etc. But some other bacterial infections, such as furunculosis, hemorrhagic septicemia, etc., can have varying visible symptoms. Any redness or open sores/wounds on a fish should be viewed with suspicion. Also, a white film or fungus-looking growth may denote a bacterial infection. It’s important to note that in many cases a bacterial infection is usually secondary in nature to a parasitic infestation such as ich, meaning if a fish has been battling ich for a while then his immune system has been lowered. This makes infection more likely for many opportunistic, harmful bacteria.

Treatment options - Broad spectrum antibiotic medication i.e. one that treats both gram-positive and gram-negative bacterial diseases. Examples of this include Furan-2, Kanamycin aka Seachem Kanaplex, Nitrofuracin Green Powder, Triple Sulfa Powder, or a combination of using both Erythromycin & Minocycline. The latter can be accomplished (albeit expensively) by using freshwater Maracyn 1 & 2 and then doubling the dosage for saltwater use. When battling a particularly nasty bacterial infection, combining Furan-2, Kanaplex and metronidazole (ex. Seachem MetroPlex) can be very effective (and safe). Props to “hedgedrew” for enlightening me of this.
 

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