The most common diseases in marine fish and how to treat them

White spot, velvet, clownfish disease, flukes and HLLE: an overview of the most common diseases in marine fish, and why quarantine is the most important medicine.

Flame angelfish between corals in an aquarium
Photo: KoS, CC BY-SA 3.0, via Wikimedia Commons

Marine fish often fall ill in the first weeks after purchase, when the stress of collection and transport weakens their resistance. The big problem in a reef aquarium: most medications also kill corals, shrimp and snails. So prevention matters even more than in freshwater.

Quarantine: the best medicine

Keep each new fish for four to six weeks in a separate quarantine tank with its own cycled filter, heater and a few PVC pipes as hiding places. Observe daily. Many experienced keepers also treat new fish preventively in quarantine. Only when a fish is fully healthy and eating well does it go into the reef aquarium.

Overview

Marine ich (Cryptocaryon irritans)

Symptoms: white dots like grains of salt, flashing, rapid breathing. The best-known disease in marine fish. Read all about it in our article on marine ich and velvet.

Velvet (Amyloodinium ocellatum)

Symptoms: a fine, dusty coating on the skin, very rapid breathing, fish hanging at the surface. Much faster and more dangerous than ich: fish can die within a few days. See our article on marine ich and velvet.

Clownfish disease (Brooklynella hostilis)

Symptoms: thick white mucus that sloughs off in patches, dull colour, rapid breathing. Mainly affects clownfish, often wild-caught. Progresses quickly; treatment in a separate tank is needed.

Uronema

Symptoms: red patches and ulcers that deepen quickly. A single-celled parasite that mainly affects weakened fish, often also at reduced salinity.

Flukes (Neobenedenia, gill flukes)

Symptoms: flashing, cloudy eyes, rapid breathing. Skin flukes are hardly visible on the fish. A short freshwater dip with water at the same temperature and pH often makes them visible as small white specks that detach.

HLLE (Head and Lateral Line Erosion)

Symptoms: pits and erosion on the head and along the lateral line, especially in tangs and angelfish. The cause isn’t fully known; it is linked to diet, stress and fine particles from activated carbon. Varied food with plenty of algae and good water quality usually help.

Lymphocystis

Symptoms: white, cauliflower-like growths on fins or skin. A viral disease that looks unsightly but usually disappears on its own under good conditions. No treatment needed.

Treating: never in the reef aquarium

  • Copper, the most widely used treatment against ich and velvet, is deadly to corals and invertebrates. Only use it in a separate tank, and measure the concentration with a copper test.
  • Products labelled ‘reef safe’ are often ineffective or only weakly effective against parasites.
  • A UV steriliser can help reduce free-swimming parasites, but doesn’t cure sick fish.

Yawar deliberately gives no dosages: always follow the product’s instructions and, when in doubt, ask a vet experienced with fish. Always treat fish in a separate tank, never in the reef aquarium.