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Clinical Guide to Fish Medicine


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to pathogens and environmental toxins. Since gills have metabolic and excretory functions, damage can subject the fish to respiratory and osmoregulatory challenges (e.g. dehydration) (Hughes and Morgan 1973).

Photo depicts ultrasound of the spiral intestine of an African lungfish

      Gills have the capacity to regenerate, but the extent and time line are not well‐characterized in all fish. It is suggested to occur within one to two weeks of an insult and take about two more weeks (Tzaneva et al. 2014).

Photo depicts normal gills seen during necropsy of a sweetlips (Plectorhinchus sp.) showing the gill rakers and primary filaments.

      Source: Image courtesy of Carlos Rodriguez, Disney’s Animals, Science and Environment.

Photo depicts exposed pseudobranch (arrow) in a soldierfish

      Source: Image courtesy of Catherine Hadfield, National Aquarium.

      The pseudobranch delivers oxygen to the choroid of the eye via the carbonic anhydrase pathway and thus is suspected of regulating intraocular oxygen and pressure; a process that depends on hydrostatic and osmotic pressure, pH, and pCO2 (Roberts and Ellis 2012). Some also deliver oxygen to the vascular rete of the swim bladder. There is a proposed osmoregulatory function (Na+ and Cl secretion and excretion) and a glandular function that is poorly understood. Pseudobranch surgery can be performed where ocular gas is not responding to medical management. This may involve surgical removal, ablation, or cauterization (Harms and Lewbart 2000).

      Most bony fish have opercula over the gills. Opercular appearance is variable, e.g. in sturgeons (Acipenser spp.) the operculum does not fully cover the gill filaments, while in marine angelfish (Pomacanthidae) the operculum has a spike that is a potential human health hazard. Opercular flaring or curling can be due to egg incubation temperature, genetics, trauma, or nutritional issues (Branson 2008). Consequences of this vary from purely cosmetic defects to gill damage. Some bony fish lack opercula with water instead flowing out from the gills through a slit in the skin. This is seen in triggerfish (Balistidae), eels (Anguilliformes), frogfish (Antennariidae), lumpfish (Cyclopteridae), and seahorses, sea dragons, and pipefish (Syngnathidae). This limits visibility of the gills; otoscopes or endoscopy are often needed for examination and biopsy.

      Fish use pressure changes to move water over the gills from the mouth. Some fish need to swim to create the pressure gradient (e.g. pelagic sharks, tuna), and it is essential that additional ventilation is provided to these species when they are under manual or chemical restraint.

      Source: Graham (1997). © 1997, Elsevier.

Species Type of air‐breathing Site of gas exchange
Gouramis, bettas (Anabantoidei) Obligate Modified epibranchial and suprabranchial chambers (labyrinth organ)
African bichirs or reedfish (e.g. Polypterus spp.) Obligate Lung (modified swim bladder)
African knifefish or aba (Gymnarchus niloticus) Obligate Swim bladder
Freshwater butterflyfish (Pantodon buchholzi) Obligate Swim bladder
Arapaima (Arapaima gigas) Obligate Lung
Electric eel (Electrophorus electricus) Obligate Pharynx
Mudskippers (e.g. Periophthalmus spp.) Obligate Skin and pharynx
Snakeheads (Channidae) Obligate Labyrinth organ
Weather loach (Misgurnus spp.) Obligate Intestine
Swamp eel (Monopterus cuchia) Obligate Pharynx
Lungfish (Protopterus aethiopicus, Protopterus amphibius, Protopterus annectens, Protopterus dolloi, Lepidosiren paradoxa, Neoceratodus forsteri) Facultative in Australian lungfish (Neoceratodus forsteri);