Black Ich (turbellarians) Common Tang Disease

Black Ich (turbellarians) Common Tang Disease

Black Ich (turbellarians) Turbellaria flatworms

Black Ich is a very Common Disease in Saltwater Fish and Tangs are Magnets for it

Black Ich (turbellarians)

What You Need To Know:

* Parasitic flatworm infestation; tangs are most often afflicted.
* Primary symptom is small black dots on the fish. (Not to be confused with Clownfish Hyper-Melanization.)
* Best chemical treatments for this disease are Praziquantel and Formalin. Osmotic shock (Hyposalinityfreshwater dips) is an alternative treatment option.

Additional Information

There are two species of turbellarian flatworms which are known to parasitize marine fish: Paravortex sp. and Piscinquilinus subcutaneusParavortex are smaller and appear as grains of black spots rather than lumps. Piscinquilinus are relatively large and lie deep within the dermis. As a result, a pigmented dermis may show once killed, resulting in a black spot, regardless of a living parasite within the skin.

Both species are thought to have a single host life cycle producing several juveniles. This cycle is completed in 10 days although from research by Justine et al. (2009) showed the Piscinquilinus remained on the fish for at least 30 days. Investigations also showed poorly developed reproductive organs indicating maturation once the parasite has left the fish. They then produce a ‘cocoon’ like fibrous structure in the substrate, within which they reproduce and therefore re-infect (Justine et al. 2008).

Treatment Options:

  1. Praziquantel – 2 mg/L single dose for 7 days in a QT. Both Prazipro (2.5 mg/L) and API General Cure (2.0 mg/L) contain sufficient concentrations of praziquantel.
  2. Formalin – 45 to 60 minute bath treatment, followed by transfer into a sterile QT afterwards.
  3. Hyposalinity – Treat at 1.009 SG for at least 10 days. This kills both the infective and free living stages of the life cycle.
  4. Freshwater Dip5 minute freshwater dip may only provide temporary relief, and not result in complete eradication. 



Black Spot or Tang Disease in Fish

Black spot disease is caused by a parasite that commonly infests tangs and other surgeonfishes, but can be contracted by other fish species and mollusks (shellfish) as well. Black spot disease is also referred to as tang disease or black ich, although ich is actually caused by a different type of parasite. As the name suggests, the primary symptom of the infestation is tiny raised black dots on your fish’s body.

The black spots on the fish are tiny Turbellaria flatworms. Luckily, these parasites are much less dangerous and life-threatening, as well as easier to treat, compared to protozoan parasites such as Oodinium, Cryptocaryon (ich disease) and Brooklynella.12 Nonetheless, fish infested with Turbellaria should be treated, as the parasite is unsightly and damaging to your fish’s overall health.

What Is Black Spot Disease?

Black spot, or tang disease, is a parasitic infestation caused by a species of Turbellaria flatworm, typically Paravortex. Like other parasites, these worms require a host as part of their lifecycle.

The reproducing cyst (similar to an egg) of the worm settles in the substrate of the aquarium. After hatching, the juvenile (200 micrometers long by 50 μm wide) Paravortex worms can swim freely, and they leave the substrate seeking out a host fish. Once they find a suitable host fish, the juvenile Paravortex burrow into the epithelium of the fish’s skin or gills and begin feeding on the fish’s cell fluids.3

After feeding on a host fish for about six days, the mature worm (now 2500 μm long and 750 μm wide) falls off the fish and descends into the substrate, where it forms a cyst.3

About five days later, the encysted worm ruptures and releases a new population of young worms, which can immediately swim about and attach to a new host. The cycle starts again but in larger numbers.3

Symptoms of Black Spot in Fish

The distinctive black spots of this disease are around the size of a grain of salt. The spots can be anywhere on the fish’s body.


  • Tiny black spots on the fish’s body
  • Rubbing or scratching against substrate or tank decor
  • Lethargy
  • Faded color
  • Loss of appetite

Once these worms start feeding on a host fish they acquire melanin pigmentation, which causes the appearance of black spots about the size of a grain of salt in the skin and fin membranes. The worms have the ability to freely move about on fish as the spots do not always remain stationary. On light-colored fish, they are easy to see, whereas on dark-colored ones they may go unnoticed at first.

As with other surface parasites, the infested fish will scratch up against objects or the substrate in an attempt to dislodge the parasites. If the infestation is allowed to progress, the fish can become lethargic, lose its appetite, and fade in color. If the gills are affected, rapid respiration develops.4

Causes of Black Spot

Black spot, or tang disease, is caused by an infestation with a tiny parasitic worm, typically the Paravortex species of Tubullarian flatworms. Although not an extremely common problem in home fish tanks, the worm reproduces rapidly, and the infestation can quickly spread throughout a tank’s inhabitants without prompt treatment.

Diagnosing Black Spot in Fish

You will generally be able to diagnose this condition by the distinctive small black spots, which are slightly raised. If you are uncertain, however, your aquatic veterinarian can diagnose the parasites by visual examination, or by scraping a bit of sample off your infected fish’s skin, and then examining it under a microscope.


Gravel vacuuming the aquarium may help reduce encysted worms in the substrate during an outbreak. Affected fish should be placed in a quarantine tank to prevent increasing the parasite population in the main aquarium. Give all infested fish a freshwater dip, followed by a formalin bath, following the manufacturer’s instructions for mixing and using the product. Praziquantel is another treatment option that has been used with some success to treat affected fish in quarantine tanks.3

Prognosis for Fish With Black Spot

While it can take persistence to rid your tank of the flatworm, fortunately, most fish will recover from the infestation with prompt treatment.

How to Prevent Black Spot

Reinfection will occur no matter how effectively the fish have been treated if these parasitic Turbellarian worms are not eradicated from the main aquarium. The worms can survive for several months without a host. Here are some suggestions to help prevent reinfection.

  • Leaving the main aquarium devoid of all fish for several months is a cure that some aquarists recommend. However, this is not always possible or desirable. The theory here is that, without a host fish, the life cycle chain will be broken and the worm will not be able to reproduce, and thus, will eventually die off.
  • Young worms live in the substrate and feed on detritus and organic debris until they go in search of a fish host. Siphoning up the excess organic matter that builds up on the bottom of the aquarium can help to control their numbers.
  • For fish-only tanks, or marine aquariums containing no freshwater-sensitive invertebrates, hyposalinity (decreased salt concentration) can be applied.5 When using hyposalinity (osmotic shock), stirring the substrate occasionally will help to release the higher salinity water trapped in the gravel, exposing the flatworms to the lower salinity water in the aquarium.