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Care library / Health
Health guide, not a diagnosis · Serious

Fish TB (mycobacteriosis)

Also called mycobacteriosis

Can spread to people. Zoonotic. Mycobacterium marinum causes 'fish tank granuloma' (aquarium granuloma) in people: it enters through cuts or scrapes when skin touches contaminated tank water or fish. Signs appear about 2-3 weeks (sometimes a month or more) after exposure: a red to purple bump on fingers, hands or elbows that grows into a painful nodule, may ulcerate, and can spread up the arm in a line. It is treated with antibiotics, often for several months; it can reach tendons, joints or bone and is harder to treat in people with weakened immune systems. Wear rubber gloves for tank work or wash hands and arms thoroughly afterwards, and see a doctor about skin bumps that do not clear (mention aquarium contact).

Facts checked against sources on 16 Oct 2026. See sources

Signs

  • Variable, non-specific signs: wasting (emaciation), loss of appetite, lethargy
  • Skin ulcers and bleeding, pale gills
  • Pop-eye (exophthalmia), swollen belly (ascites)
  • Skeletal deformities such as a bent spine; grey-white nodules (granulomas) in organs

Cause

Non-tuberculous Mycobacterium species, including M. marinum, M. fortuitum and M. chelonae: slow-growing bacteria that cause chronic granulomatous disease, respond poorly to antibiotics, and can infect people (mainly M. marinum through skin breaks).

What to do

No effective treatment eliminates mycobacteria in fish; infected groups are usually culled (depopulated). Get a vet/lab diagnosis. Disinfect an infected tank before adding new fish: bleach to remove organic matter, then 70% ethanol or a phenolic disinfectant, because bleach alone does not kill mycobacteria.

If a fish is badly ill, talk to an aquatic vet.

Prevention

Quarantine new fish; remove dead or dying fish promptly (fish catch it by eating infected tissue, contaminated food and debris); keep oxygen, pH and organic load in good order; UV sterilisation can reduce bacterial counts; wear gloves and wash hands and arms after tank work.

Sources

7 facts checked with sources

  • CauseMerck Veterinary Manual: Bacterial Diseases of Fish · Delghandi et al. 2020, Mycobacteriosis and Infections with Non-tuberculous Mycobacteria in Aquatic Organisms: A Review (Microorganisms, PMC7564596) · MedlinePlus Medical Encyclopedia: Swimming pool granuloma (Mycobacterium marinum)
  • SignsMerck Veterinary Manual: Bacterial Diseases of Fish · Delghandi et al. 2020, Mycobacteriosis and Infections with Non-tuberculous Mycobacteria in Aquatic Organisms: A Review (Microorganisms, PMC7564596)
  • What to doMerck Veterinary Manual: Bacterial Diseases of Fish · Delghandi et al. 2020, Mycobacteriosis and Infections with Non-tuberculous Mycobacteria in Aquatic Organisms: A Review (Microorganisms, PMC7564596)
  • PreventionDelghandi et al. 2020, Mycobacteriosis and Infections with Non-tuberculous Mycobacteria in Aquatic Organisms: A Review (Microorganisms, PMC7564596) · Merck Veterinary Manual: Bacterial Diseases of Fish · MedlinePlus Medical Encyclopedia: Swimming pool granuloma (Mycobacterium marinum)
  • Risk to peoplecorrectedMedlinePlus Medical Encyclopedia: Swimming pool granuloma (Mycobacterium marinum) · Delghandi et al. 2020, Mycobacteriosis and Infections with Non-tuberculous Mycobacteria in Aquatic Organisms: A Review (Microorganisms, PMC7564596)
  • How seriousMerck Veterinary Manual: Bacterial Diseases of Fish
  • Other namescorrectedMerck Veterinary Manual: Bacterial Diseases of Fish

Species often affected

100 species

Silver arowanaOsteoglossum bicirrhosum
Hard90 cm24–30 °C
Alligator garAtractosteus spatula
Hard260 cm
Spotted garLepisosteus oculatus
Hard90 cm
Rainbow snakeheadChanna bleheri
Easy17 cm14–28 °C
Red-bellied pacuPiaractus brachypomus
Hard88 cm23–28 °C
Senegal bichirPolypterus senegalus
Moderate50 cm24–28 °C
RopefishErpetoichthys calabaricus
Moderate40 cm24–28 °C
Elephantnose fishGnathonemus petersii
Hard23 cm24–28 °C
African butterflyfishPantodon buchholzi
Moderate12 cm24–30 °C
Marbled hatchetfishCarnegiella strigata
Easy3.5 cm24–28 °C
PencilfishNannostomus beckfordi
Moderate6.5 cm21–27 °C
Pea pufferCarinotetraodon travancoricus
Moderate3 cm24–28 °C
Bumblebee gobyBrachygobius doriae
Moderate3.5 cm24–28 °C
Indian glassfishChanda ranga
Easy8 cm22–28 °C
Lyretail killifishAphyosemion australe
Easy6 cm21–24 °C
Clown knifefishChitala ornata
Hard100 cm24–28 °C
Black ghost knifefishApteronotus albifrons
Moderate50 cm24–28 °C
Peacock eelMacrognathus siamensis
Moderate30 cm24–28 °C
Six-barred distichodusDistichodus sexfasciatus
Hard75 cm22–26 °C
Longnose distichodusDistichodus lusosso
Moderate38 cm22–26 °C
Banded leporinusLeporinus fasciatus
Moderate27 cm22–28 °C
Red-bellied piranhaPygocentrus nattereri
Hard35 cm24–28 °C
Black piranhaSerrasalmus rhombeus
Hard45 cm24–28 °C
Wimple piranhaCatoprion mento
Hard15 cm23–26 °C
Black pacuColossoma macropomum
Hard60 cm22–28 °C
Tiger trahiraHoplias malabaricus
Moderate65 cm20–26 °C
Pink-tailed chalceusChalceus macrolepidotus
Easy25 cm23–28 °C
Northern snakeheadChanna argus
Hard100 cm4–26 °C
Giant snakeheadChanna marulius
Moderate60 cm22–28 °C
Giant snakeheadChanna micropeltes
Moderate130 cm22–28 °C
Chevron snakeheadChanna striata
Moderate100 cm23–27 °C
Dwarf snakeheadChanna gachua
Easy20 cm18–28 °C
Ceylon snakeheadChanna orientalis
Moderate10 cm16–24 °C
Northern dwarf snakeheadChanna asiatica
Moderate35 cm15–25 °C
Barca snakeheadChanna barca
Moderate100 cm10–28 °C
Golden snakeheadChanna stewartii
Moderate30 cm16–25 °C
Orange-spotted snakeheadChanna aurantimaculata
Moderate40 cm18–26 °C
Ornate snakeheadChanna ornatipinnis
Moderate20 cm
Ocellated snakeheadChanna pleurophthalma
Moderate40 cm22–28 °C
Black snakeheadChanna melasoma
Moderate30 cm22–28 °C
Burmese jewel snakeheadChanna harcourtbutleri
Moderate15 cm
Forest snakeheadChanna lucius
Moderate53 cm22–28 °C
African snakeheadParachanna obscura
Moderate50 cm26–30 °C
Amazon leaffishMonocirrhus polyacanthus
Hard10 cm24–28 °C
Guyana leaffishPolycentrus schomburgkii
Hard5.5 cm22–26 °C
African leaffishPolycentropsis abbreviata
Hard8 cm26–31 °C
Gangetic leaffishNandus nandus
Moderate20 cm22–26 °C
Pike livebearerBelonesox belizanus
Moderate15 cm24–30 °C
Four-eyed fishAnableps anableps
Moderate30 cm25–31 °C
Elongate glassfishChanda nama
Moderate11 cm
Wolf's glassfishParambassis wolffii
Moderate20 cm18–25 °C
Asian arowanaScleropages formosus
Moderate90 cm22–28 °C
Black arowanaOsteoglossum ferreirai
Hard90 cm24–30 °C
Jardini arowanaScleropages jardinii
Moderate100 cm24–29 °C
Spotted saratogaScleropages leichardti
Moderate100 cm24–30 °C
African arowanaHeterotis niloticus
Moderate100 cm24–30 °C
ArapaimaArapaima gigas
Hard250 cm24–30 °C
Ornate bichirPolypterus ornatipinnis
Moderate60 cm25–28 °C
Delhezi bichirPolypterus delhezi
Easy44 cm24–30 °C
Saddled bichirPolypterus endlicherii
Hard75 cm22–27 °C