Disease Type:
Organism: Pleistophora hyphessobryconis
Names: Neon Tetra Disease, Pleistophora
Description: Neon Tetra disease is more common than many aquarium enthusiasts realize, and affects species beyond neon tetras. Named after the fish that it was first identified in, the disease strikes members of the tetra family most often. However, other popular families of aquarium fish are not immune.
Once in the intestinal tract, the newly hatched embryos burrow through the intestinal wall and produce cysts within the muscle tissue. Muscles bearing the cysts begin to die, and the necrotic tissue becomes pale, eventually turning white in color.
Symptoms:
During the initial stages, the only symptom may be restlessness, particularly at night. Often the first thing an owner will notice is that the affected fish no longer school with the others. Eventually swimming becomes more erratic, and it becomes quite obvious that the fish is not well.
Treatment:
There is no known cure. To ensure all fish are not lost, remove diseased fish from the tank. Some species, such as Angelfish, may live for quite some time. However, they should be separated from uninfected fish to avoid spreading the disease.
Prevention:
The best prevention is to avoid purchasing sick fish, and to maintain high water. Carefully observe the suppliers fish. Do not purchase any fish from tanks where there are sick, dying, or dead fish present. Fish that do not school, or hang apart from the others, should be suspect.
Q: I've heard that just like ich, all neon tetras carry this disease.
A: Not all neons are not carriers, however if the disease is present in one specimen in a tank, it may have already infected all other neons in that tank. Never purchase a fish from a tank where other fish appear to be sick.
Q: Does Erythromycin cure this disease? How about Nalidixic Acid, or Protozin?
A: There is no known cure for Neon Tetra disease. Erythromycin is primarily effective against gram-positive bacteria, and no evidence exists that it has any effect on Neon Tetra disease. Some owners have reported success in alleviating symptoms of the disease by using Nalidixic Acid, which is generally used to treat gram-negative organisms. However, this has not been substantiated in scientific studies. Protozoan drugs such as Protozin, have also been reported to have relieved symptoms of the disease. However, as with other treatments, an actual cure has not been scientifically documented.
Many of the reported cures are the result of misdiagnosis. Certain bacterial infections mimic the symptoms of Neon Tetra disease. Those diseases often respond to medication, thus giving rise to the incorrect belief that there is a cure for Neon Tetra disease.
Q: Once a tank has Neon Tetra disease present, it can never be eliminated from that tank.
A: Because consuming infected material passes on the protozoa, it is nearly impossible to rid a tank of the parasite if there are infected fish present. Anytime one fish picks at another, they are at risk of contracting the disease. For this reason, it's imperative to quarantine infected fish. It is true that the spores may present in many aquariums, however careful cleaning and maintenance will remove most of them. It is only when a fish consumes the spores that they become infected.

