the most commonly seen pathogen in aquariums is Flexibacter columnaris which is often mistaken for fungus, as most of us are taught that white fuzzy growth on the skin of a fish means fungus.
however, white or grayish white, fuzzy looking lesions that occur on normal skin, mouth or fins are much more likely due to columnaris. true fungus generally grows on infected wounds or torn fins .. in other words, it grows on dead tissue.
symptoms of this disease include grayish-white spots on some part of the head, fins, gills, or body usually surrounded by an area with a reddish tinge. the columnaris lesions on different species of fish vary in size, location, and appearance. these may appear thread-like, particularly around the mouth, giving rise to the incorrect name of 'mouth fungus'. characteristic lesions can appear on the back, the fins, gills and belly. catfish, in particular, tend to have lesions on their bellies and sides. fins will deteriorate and sores may appear on the body. the gills may be affected, giving rise to bacterial gill disease. It may cause 'shimmying' behaviour in fishes, particularly livebearers. Mollies, for some reason, seem to be particularly susceptable. although columnaris most commonly involves external infections it can occur as an internal systemic infection with no visible external signs.
Columnaris is opportunistic and strikes when a fish is stressed. Poor water quality, sudden changes in conditions, wide temperature swings, high nitrate concentrations, low dissolved oxygen concentration, crowding, shipping, and bullying can also trigger columnaris.
Columnaris is more virulent at temperatures above 77 degrees. summertime is "prime time" for this disease and fish almost always suffer significant losses when shipped in warmer weather. hard water with a high Ph seems to accelerate the course. under appropriate conditions columnaris can spread rapidly and cause catastrophic losses. one strain has a virulence that is low and it takes a few days to kill the fish. a highly virulent strain will kill a fish in under 24 hours.
If your fish has the highly virulent strain, there is not much that you can do to stop it or treat it. fish often die so quickly that there may not even be enough time for them to show any external signs of infection.
Treatment: First, slowly lower the temperature in the tank to 75°F to slow the course of the disease. also, since columnaris thrives in low oxygen conditions, the addition of an airstone or lowering the water level to create more splash from the filter will also help.
the most effective treatment for columnaris if the fish is still eating is medicated food containing oxytetracycline. Aquatronics makes such a food, as does Zeigler.
often however, the fish is not eating by the time symptoms are noticed. Antibiotics in the water would be the next treatment option. Erythromycin (Maracyn), nitrofurazone, nifurpirinol, acriflavine, chloramphenicol or tetracycline can be used to treat the columnaris itself. however, a fish infected with columnaris often falls prey to a secondary infection which is resistant to both of these. therefore, a combination of Maracyn and Maracyn Two or tetracycline and kanamycin is recommended. CONTINUE TREATMENT FOR A MINIMUM OF 10 DAYS.