<a href=showthread.php?s=&postid=12200232#post12200232 target=_blank>Originally posted</a> by JHemdal
No need to get too elaborate, a quick wet mount of a skin scrape from a fresh (not frozen) fish at around 50x will show Uronema if it is there. Once they are frozen you probably won't be able to find the Uronema.
...
For what its worth, in the most recent case I recall that even though I identified Uronema on the first fish that died, I couldn't stop it until just a couple of fish were left.
thanks again for your help.
After reading your posts I read the entry in Noga's
Fish Disease: Diagnosis and Treatment related to Uronema. The symptoms he described (along with symptoms I've found listed online) are exactly those that I experienced, though I failed to mention all of them: color loss (some of the fish turned white), focal depigmentation, pitting, skin ulceration, dyspnea, tachypnea, hyperactivity, and lethargy. Granted, these are nonspecific signs.
Noga's book recommends freshwater baths followed by prolonged immersion in formalin, and mentions that this treatment is only useful in the early stages. Once enough organ/tissue damage occurs, the natural history of the disease is a rapid downward spiral that cannot be stopped.
in the Diagnosis section, the text mentions skin scrapings, just as you recommended. It also mentions that if a wet mount skin scraping is non-diagnostic then tissue histology may be needed for diagnosis. As I mentioned earlier, although I don't have a fully equipped path lab at home, I probably could to a squash mount of a gill and/or kidney tissue specimen. If the fish died of Uronema, I'm certain that the organisms would be visible there, hopefully even on a frozen/thawed specimen.
To answer FishTri's question: As far as treatment is concerned, Noga's book mentions treatment of the early stages with FW baths followed by prolonged immersion in formalin. Advanced lesions have been reported to respond to methylene blue or nitrofurazone, though systemic and deep tissue infections have a poor prognosis.
Of course, I have no experience in treating this disease, I'm just reading to you from a book.
JH, thanks so much for your help.