Should be able to see the worm. Looks like deteriorating scales or body rot. Any carbon in the water? Pull the fish and see if there is any external parasites and pull it. If not I’d try netting the fish out and clean with methylene blue or iodine or a topical antibiotic.
+1
Pull out any worm if present, if not try applying local antibiotics
Good luck .
And yes try removing carbon if present.
melafix or ParaGuard are good?
