Camallanus Worm - Levamisol diary

sasarivera

AC Members
May 4, 2005
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Thought I'd write about my experience treating the Camallanus Worm in my planted tank.

My tank
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specifications:
Pressured co2
Fluorescent lights (really old)
External filter Eheim 2217
UV Sterilizer when needed
fertilization with Seachem line
Eco Complete + flourite + gravel

Fauna
2 Angels
17 cardinals
8 rummy nose
2 darf rainbows
3 Silver Hatchet
4 Ottos
4 Clown loaches
1 big-fat-lazy SAE

Flora
Not really sure...
Sword, Lotus, Anubias barteri var. nana, Chain Sword, some kind of hair grass, Bacopa...
 
The finding...
The other day I noticed some reddish brown worm hanging out of my female Angel. After some searching I found it was most likely a camallanus infestation.
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Here it's a small description about the worm in question:

Camallanus is an intestinal parasitic infection. This malady is due to a nematode or parasitic
worm which is found in wild fresh and salt water fishes throughout the world . The infestation is characterized
by, among other things, the presence of tiny red thread structures protruding from the anus of
the infected host fish. Close inspection of the victim shows a swollen and irritated vent area. The worms
actually protrude 1/3 to 1/2 inch from the anus of the infected fish. This is about one fourth to one third
of the worm’s length. The worms are red from the victim’s blood in their gut.

As with most parasites, there are two main body functions of this worm, reproduction and nourishment.
The attachment inside the fishes gut is by what appears to be a simple row of long hooks.
Closer examination revels a burr like structure. Attachment to the intestinal wall causes considerable
damage to the host’s intestines. The remainder of the body of the worm is dedicated to reproduction.
Microscopic larvae from this parasite are constantly being produced and dumped into the water. A
secondary host is necessary to carry on the life cycle. But, once established in the copepods found in
most of our tanks, the nematode infection is easily transferred from hobbyist’s aquarium to aquarium
with nets, feeding utensils, water change devices and simple aspiration of splashes and spray from one
tank to another. This carries the infection rapidly around the hobbyists’ fish room in a matter of days.

The early signs of the parasite’s presence are typically unnoticed. The victims show a minor
swelling of the belly and may go off their food. Usually the fish have no problems laying eggs until the
infection has reached the stage of showing protrusion from the anus. In the end, the anus and reproductive
organs of the fish become so irritated and inflamed that secondary infection sets in and the swelling
causes enough hemorrhaging to cause the victim to bleed to death or it dies from internal bacterial
infection. In addition to this obvious outside appearance, the worm has been found in the body cavity
of infected hosts. This may explain some of the mysterious deaths one sees in fishes which have been
successfully treated for the nematode. The adult worm has died inside the body cavity and decayed
inside the host fish. Sounds gruesome!
worm.jpg

Most people were saying to treat by adding levamisole hydrochloride to the water. So after a lot of searching I found a guy who sell the chemical (Levamisole is not available in Canada).
http://inkmkr.com/Fish/ItemsForSale.html

These are some useful links I found regarding the Camallanus Worms:
http://inkmkr.com/Fish/CamallanusTreatment/
http://www.discusforums.com/forum/viewtopic.php?p=39797&highlight=levamisole#39797
http://www.loaches.com/disease-treatment/levamisole-hydrochloride-1
http://www.petfish.net/articles/Diseases/Camallanus.php
http://www.discusforums.com/forum/viewtopic.php?p=39797&highlight=levamisole#39797
 
The treatment
While I was waiting for the Levamisole to arrive I used the Medicated food called "Jungle Anti-Parasite Medicated Fish Food"

jungleantipar.jpg

Aids in control of internal flagellates, trematodes, and cestodes which includes hexamita (hole-in-the-head), spironucleus, intestinal worms, tapeworms and nematodes, e.g. camallanus.

Active ingredients: metronidazole 1.0%, praziquantel 0.5%, levamisole 0.4%

Feeding Directions: Gently spread food over water surface so it floats. Feed exclusively for 3 consecutive days a week for 4 weeks. Do not use other food during these 3 day periods. Feed 1 or 2 times daily as much as the fish will eat. For scavengers and small fish, crush pellets to desired size"

I fed only the medication for 3 days, twice a day. the pellets were really hard to crush but I managed to do it. I think all fishes ate the food. The third day my female angel wasn't that much bloated but I still could see the worms. In the male less worms were visible (he never had a bloated tummy). The rest of the fishes never showed any symtoms.

The fith day my female angel's tummy was again bloated and the worms were still visible in both angels. I have to put a divider cause my female was showing a lot of aggression against the male.

Maybe the medication will work at the end. I have to do 3 more treatments. Or maybe the amount of Levamisole is not enough to get rid of the worms, who knows.... I hope the Levamisole I ordered by email arrive soon.
 
The Levamisole is here!

The Levamisole arrived the day I have to start the second dose of medicated food. So I decided to stop the medicated food and use the pure Levamisole instead.

I received 10gr of Levamisole (2 bags of 5gr. each). According with Charles 5gr will treat a 100 gallon tank, so I divided the bag content in 5 parts, and I mixed 4 parts in 1 liter of water (I don't have any scale to do it exactly, but according with Charles it is hard to overdose with this chemical (he's a Chemist so I fully trust him )

Before putting the Levamisole mixture in the tank I made a 30% water change with a gravel vacuum to remove as many worms' eggs (if any) as possible. I also remove the carbon from my external filter, put extra aeration and turn off the lights (I read that the Levamisole is light sensitive)

Now I have to wait 24 hour to see if the chemical worked. I will check the fishes in the morning to make sure they are handling the medication well. I hope they'll be all alive. I know they'll act weird during the medication but I'm hoping they survived the ordeal.
 
Good thread!
 
9 hours later...

I turn on the lights to feed the fish and see how they're doing. So far, all of them are alive. But my male Angel doesn't look so good [:(].

He's lying against a plant and not moving. At the beginning I thought he was dead, but I can see him breathing. The rest of the fish are "fine" but they get scared really easy.

I see fewer worms in the male Angel (only 2). The female keeps hiding from me, so I couldn't see how many worms she has.

Nobody seems to be hungry... the PH is 6.7 and the Ammonia is 0.

The CO2 is turn on, I will check in an hour to see if the PH is not affected too much.
 
18 hours later....

I turn on again the lights to see how things are going. The male Angel is still laying in the plant... at least he's breathing.
The female continues pretty active and with visible worms. The other fishes seem fine.

The PH went up to 7.2, so I have to turn on the C02, the ammonia is 0. I'll check again in a couple of hours.

The waters is clowdy, I don't know what is causing this, there is a lot of aereation in the tank and the filter is running (without carbon). The plants look a little down, especially the lotus.
 
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