"In freshwater fish, Spironucleus sp. has been reported in cichlids, including angelfish, and cyprinids. Spironucleus elegans has been found causing disease in angelfish (Pterophyllum scalare) in Europe (Kulda and Lom, 1964b), while Spironucleus vortens has been also reported from the intestinal lumen of angelfish bred in Florida (Poynton et al., 1995). They can be found in the intestinal tracts of healthy fish and they may invade the body of the host and are capable of causing severe parasitemia under stress conditions (Molnár, 1974).
Hexamita are considered commensal organisms but can be pathogenic under various stressful conditions such as nutritional inadequacies, suboptimal water quality, crowding, poor sanitation and infections from other pathogens or parasites (Specht et al., 1989; Uzmann et al., 1965)
Although Hexamita and Spironucleus cause disease in several economically important fish species in many regions of the world, their pathogenicity is not well known (Woo and Poynton, 1995). It has been believed that the effects and the severity of diplomonad infection are dependent on fish size, tissue site infested, environmental conditions, stocking density, season and stress factors (Allison, 1963; Buchmann and Uldal, 1996; Mo et al., 1990; Uldal and Buchmann, 1996). Fish infected with Hexamita salmonis exhibited clinical signs correlated to their body length and weight (Uldal and Buchmann, 1996). This supports the study of Allison (1963) that large trout, more than 3 or 4 inches long, showed a smaller effect from Hexamita infection than smaller trout.
It is believed that the organisms invade the intestinal epithelium and disseminate to other tissues when the hosts resistance has been suppressed (Woo and Poynton, 1995). It has been suggested that only Spironucleus spp. cause systemic infection because they can invade intestinal mucosa and disseminate to other tissues (Siddall et al., 1992). Evidence of systemic spironucleosis was reported in cyprinids and aquarium fishes (Molnár, 1974), and in salmonids (Mo et al., 1990; Poppe et al., 1992; Sterud et al., 1997).
It has been suggested that only Spironucleus spp. cause systemic infection because they can invade intestinal mucosa and disseminate to other tissues (Siddall et al., 1992). Evidence of systemic spironucleosis was reported in cyprinids and aquarium fishes (Molnár, 1974), and in salmonids (Mo et al., 1990; Poppe et al., 1992; Sterud et al., 1997). In cyprinids, many Spironucleus sp. were found in the gut where they caused reddening of the mucous membrane, brownish-gray discoloration and necrosis of liver, and haemorrhagic enteritis. In aquarium fishes, the parasite has been reported to cause losses in angelfish stock of up to 50% of the population. The infected fishes showed reddening of the skin, and haemorrhages and ulcerations in the region of the head (Molnár, 1974). The parasites were found in the gut, gallbladder and visceral organs. Spironucleus sp. were also found in large numbers in the blood and the muscle of infected fish."
