Cyprinid Herpesvirus-2 (CyHV-2) in Fish

Quick Facts

🏥 Condition Name
Cyprinid Herpesvirus-2 (CyHV-2)
📋 Also Known As
Cyprinid Herpesvirus-2 (CyHV-2)
📂 Category
Viral Diseases
📁 Subcategory
N/A
🐟 Affects
Hematopoietic Tissue, Kidneys, Spleen, Gills
🏷️ Type
Viral
⚠️ Severity
High - Can cause significant mortality
💊 Treatable
Supportive care only - no direct antiviral treatment
🔄 Contagious
Yes (highly)
🧬 Hereditary
No
🐟 Common In
Goldfish, particularly juveniles and fancy varieties

Cyprinid Herpesvirus-2 (CyHV-2) Overview

Cyprinid Herpesvirus-2 is a serious viral pathogen that primarily affects goldfish, causing a disease known as Goldfish Herpesviral Hematopoietic Necrosis. This virus targets the hematopoietic (blood-forming) tissues of the kidneys and spleen, leading to severe anemia, organ failure, and death in susceptible fish. First identified in Japan in the 1990s and subsequently found in goldfish populations worldwide, CyHV-2 represents one of the most significant disease threats to goldfish in both commercial production and ornamental settings. The virus is closely related to other cyprinid herpesviruses but is distinct in its host preference and disease characteristics.

CyHV-2 primarily affects goldfish of all varieties, from common feeder goldfish to expensive fancy varieties including orandas, ryukins, and ranchus. The disease occurs globally, having been documented in Asia, Europe, North America, and Australia wherever goldfish are kept. Prevalence is difficult to assess due to underreporting and the difficulty of diagnosis, but the virus is believed to be widespread in commercial goldfish production. Juvenile goldfish appear particularly susceptible, with young fish often experiencing higher mortality rates than adults. However, fish of all ages can be affected, and mortality events in adult populations have caused significant losses.

The impact of CyHV-2 on fish health and the ornamental fish industry can be devastating. Infected fish experience destruction of hematopoietic tissue, resulting in profound anemia and immunosuppression. Mortality rates in susceptible populations can range from moderate to extremely high, with some outbreaks killing over 50% of affected fish. Beyond direct mortality, subclinically infected survivors may become carriers that introduce the virus to new populations. The economic impact on goldfish farms and retailers can be substantial, and hobbyists may experience heartbreaking losses in beloved collections. The disease's ability to spread silently through carrier fish complicates prevention efforts.

There is no direct antiviral treatment for CyHV-2, making prevention and early detection crucial for managing this disease. Understanding the temperature-dependent nature of the disease, with outbreaks occurring most commonly at temperatures between 15-25°C (59-77°F), helps identify high-risk periods. Implementing rigorous quarantine protocols for new goldfish, maintaining optimal water quality, and reducing stress factors can help protect populations. Awareness of CyHV-2 symptoms enables rapid response that may reduce losses through supportive care and isolation measures, even though the underlying viral infection cannot be directly treated.

Causes of Cyprinid Herpesvirus-2 (CyHV-2)

Cyprinid Herpesvirus-2 belongs to the family Alloherpesviridae and is classified within the genus Cyprinivirus, making it closely related to other cyprinid herpesviruses including CyHV-1 (Carp Pox) and CyHV-3 (Koi Herpesvirus). Despite this relationship, CyHV-2 is distinct in its host specificity, primarily affecting goldfish rather than koi or common carp. The virus is a double-stranded DNA virus with a complex structure that enables it to establish latent infections in surviving fish. Multiple strains of varying virulence have been identified, which may explain differences in outbreak severity observed in different locations and populations.

Water quality factors influence CyHV-2 outbreaks primarily through effects on host susceptibility and stress. Elevated ammonia or nitrite levels compromise goldfish health and immune function, increasing vulnerability to infection when exposed to the virus. Poor oxygen levels reduce the fish's ability to cope with the anemia caused by hematopoietic tissue destruction. Temperature is critically important for CyHV-2, with clinical disease occurring primarily within the 15-25°C (59-77°F) range and peak expression around 20°C (68°F). Outside this temperature range, infection may occur but clinical disease is less likely to develop or may be less severe.

Environmental and tank factors contribute significantly to disease transmission and outbreak severity. High stocking densities, common in commercial goldfish production and retail settings, facilitate rapid viral spread through populations. Inadequate filtration allows viral particles to accumulate in the water. Shared water systems between tanks enable virus transmission between previously separated groups. Stress from overcrowding, handling, transport, or poor conditions suppresses immune function and increases disease susceptibility. Poor biosecurity practices allow contaminated equipment, water, or personnel to transfer virus between populations.

Risk factors for CyHV-2 introduction and outbreaks center on the movement of infected fish. New fish acquisitions represent the primary route of viral entry to naive populations, with carrier fish appearing healthy while shedding virus. Commercial sources including pet stores, wholesalers, and fish farms may unknowingly distribute infected fish widely. Multiple-source purchasing increases exposure risk. Shows and exhibitions where fish from different collections are housed together create opportunities for transmission. The common practice of keeping goldfish in outdoor ponds during warm months places them at risk if infected fish are present during optimal temperature conditions for viral replication.

The pathophysiology of CyHV-2 involves viral entry and replication in susceptible tissues, particularly the hematopoietic cells of the kidney and spleen. The virus destroys blood-forming cells, leading to severe anemia as the fish cannot produce adequate red blood cells. Necrosis of renal tissue compromises kidney function, affecting osmoregulation and waste elimination. Splenic damage further impairs immune function and blood cell production. Gill involvement occurs in many cases, causing respiratory compromise that compounds the oxygen-carrying deficit from anemia. The combination of anemia, organ failure, and secondary immune suppression typically leads to death in severe cases, while surviving fish may harbor latent virus capable of future reactivation.

Symptoms & Warning Signs

Early warning signs of Cyprinid Herpesvirus-2 infection often manifest as subtle changes that may be overlooked, particularly in large groups of fish. Affected fish typically show decreased activity, spending more time resting on the bottom or hanging near the water surface. Appetite reduction is common, with fish showing less interest in food or responding slowly during feeding times. Some fish may separate from groups, positioning themselves in corners or isolated areas. A slight pallor of the gills may be detectable in early stages, suggesting the developing anemia. These early signs precede more obvious symptoms by days and provide a window for early intervention if recognized.

Common visible symptoms of CyHV-2 become apparent as the disease progresses and tissue damage accumulates. Pale gills are a hallmark finding, reflecting the severe anemia caused by destruction of blood-forming tissues. The normally bright red gills appear pinkish, pale red, or even whitish in severely anemic fish. General pallor may extend to the body, with fish appearing washed out compared to their normal coloration. Abdominal swelling or dropsy may develop as kidney function fails, causing fluid accumulation. Hemorrhaging may be visible on the skin, fin bases, or within the eyes. Some fish develop exophthalmia (pop-eye), either unilateral or bilateral.

Behavioral changes in CyHV-2 affected fish become increasingly pronounced as disease severity increases. Lethargy progresses from mild reduction in activity to complete inactivity, with fish lying motionless on the bottom for extended periods. Swimming becomes weak and labored, with affected fish struggling to maintain normal position in the water column. Complete anorexia develops in moderate to severe cases, with fish showing no response to food offerings. Fish may gasp at the surface due to the combined effects of gill damage and reduced oxygen-carrying capacity from anemia. Isolation behavior increases, and affected fish fail to respond to stimuli that would normally trigger movement or escape.

Physical signs of CyHV-2 upon examination reveal the systemic nature of the infection. Severe pallor of gills is the most consistent finding and reflects the underlying anemia. Skin may show petechial hemorrhages, particularly on the ventral surface. Fin hemorrhaging, especially at fin bases, indicates vascular damage. Sunken eyes may develop in some fish, while others show the opposite finding of exophthalmia. Body condition often deteriorates rapidly, with fish becoming thin despite previous good condition. Internal examination of dead fish reveals enlarged, pale kidneys and an enlarged, dark spleen, reflecting the tissue destruction occurring in these organs.

Symptom progression in CyHV-2 typically follows a course over one to several weeks depending on viral strain and environmental conditions. Initial lethargy and appetite reduction progress to obvious illness within days. Gill pallor becomes more pronounced as anemia worsens. Behavioral abnormalities increase in severity, with fish becoming increasingly weak and unresponsive. Secondary infections may develop as the immune system fails, complicating the clinical picture. Death typically occurs within one to three weeks of symptom onset in severe cases, though some fish may survive with milder disease and become carriers.

Emergency symptoms requiring immediate intervention include multiple fish dying within a short period during the temperature range favorable for CyHV-2. Profoundly pale gills indicating severe anemia represent a critical finding. Fish showing extreme lethargy, inability to maintain position, or gasping behavior need urgent attention. Signs of secondary bacterial infection, such as rapidly progressing ulcers or systemic inflammation, indicate that the fish's immune defenses have been overwhelmed. Any unusual mortality pattern in goldfish populations, particularly involving younger fish or occurring during spring or autumn when temperatures are optimal for viral replication, should trigger investigation for possible CyHV-2 involvement.

Diagnosis

Visual examination provides initial clinical suspicion of CyHV-2 based on characteristic signs and epidemiological context. Observing the pattern of mortality, age and variety of affected fish, and environmental conditions helps assess likelihood. Gill examination for pallor is essential, as severe anemia is a hallmark of this disease. Noting the temperature range and whether conditions favor CyHV-2 expression supports clinical assessment. Documentation of symptoms through notes, photographs, and videos helps track disease progression and supports diagnostic laboratory submission. The presence of multiple fish with similar signs strengthens suspicion of an infectious cause.

Water testing is an essential component of disease investigation, serving to rule out environmental causes and assess conditions affecting disease severity. Complete water testing including ammonia, nitrite, nitrate, pH, oxygen, and temperature provides critical baseline information. While normal water quality does not rule out CyHV-2, abnormal values identify concurrent stressors requiring correction. Temperature documentation is particularly important given the temperature-dependent nature of CyHV-2 expression. Poor water quality causing stress and immunosuppression may contribute to outbreak severity even when viral infection is the primary cause of mortality.

Laboratory diagnosis provides definitive confirmation of CyHV-2 infection and is essential for proper disease management. Polymerase chain reaction (PCR) testing represents the most sensitive and specific method for detecting viral DNA in tissue samples, typically kidney, spleen, or gill tissue from affected fish. Samples should be collected from freshly dead or moribund fish and preserved appropriately for transport to the laboratory. Virus isolation using susceptible cell lines can confirm the presence of infectious virus and enable strain characterization. Histopathology of affected organs reveals characteristic necrosis of hematopoietic tissue. Diagnostic testing is available through university diagnostic laboratories, some veterinary laboratories, and specialized fish health facilities.

Differential diagnosis must consider other causes of mortality, anemia, and lethargy in goldfish populations. Bacterial septicemia from Aeromonas or other pathogens can cause similar mortality patterns but typically with different clinical signs and response to antibiotic treatment. Parasitic anemia from heavy bloodworm or other blood parasite burdens causes pallor but with identifiable parasites on examination. Environmental hypoxia produces similar lethargy and gasping but affects all fish simultaneously and resolves with improved aeration. Ammonia or nitrite toxicity causes gill damage and mortality but with distinct gill pathology and identifiable water quality problems. Kidney disease from other causes may show similar organ changes. Accurate diagnosis through laboratory testing is essential because management implications and prognosis differ significantly between these conditions.

Treatment Options

Water quality optimization forms the foundation of CyHV-2 treatment because no direct antiviral medications are available for fish herpesvirus infections. Immediate assessment and correction of any water quality issues reduces stress on affected fish and supports their ability to mount immune responses. Ammonia and nitrite levels must be maintained at zero through adequate filtration and water changes. Increased aeration improves oxygen availability, which is especially important for anemic fish with reduced oxygen-carrying capacity. Stable, appropriate temperature within the safe range for goldfish helps avoid additional thermal stress during illness. Regular water changes reduce viral load in the environment and maintain overall water quality.

Temperature manipulation may influence disease outcome in systems where temperature control is possible. Gradually raising water temperature above the optimal range for viral replication (above 25-26°C or 77-79°F) may slow disease progression by reducing viral activity, though this approach requires careful monitoring as high temperatures themselves stress fish. Conversely, some practitioners recommend lowering temperature below 15°C (59°F) where viral replication is reduced, though this approach slows immune responses and may simply delay rather than prevent disease. Temperature manipulation should be gradual, no more than 1-2°C per day, to avoid thermal shock. The optimal approach remains debated, and individual fish response varies.

Medication options for CyHV-2 focus on preventing and treating secondary bacterial infections rather than addressing the virus directly. Broad-spectrum antibiotics may be warranted if secondary bacterial involvement is suspected or confirmed through culture. Salt baths at 0.1-0.3% may provide supportive osmotic benefits for fish with compromised kidney function and offer mild antibacterial effects. Medicated foods containing antibiotics can reach fish that are still eating. Topical treatments may be applied to any external lesions developing from secondary infection. Any medication use should be judicious because the stressed, immunocompromised fish may not tolerate treatments well.

Hospital tank isolation is recommended for affected fish to provide optimal supportive care and prevent transmission to healthy tankmates. The quarantine tank should have mature, cycled filtration and excellent aeration. Warmer temperatures may be maintained if the temperature elevation approach is chosen. Minimal decoration reduces injury risk and facilitates observation. Lower water levels may benefit weak fish by reducing energy expenditure to reach the surface. Careful monitoring of water quality is essential because sick fish in small volumes can quickly degrade conditions.

Supportive care measures aim to reduce stress and optimize conditions for those fish capable of surviving the infection. Maintaining dim, quiet conditions reduces stress on compromised fish. Offering highly palatable, easily digestible foods encourages any appetite that remains. Vitamin supplementation, particularly vitamin C, may support immune function. Avoiding unnecessary handling reduces stress and prevents injury to weakened fish. Oxygen supplementation through additional aeration or even pure oxygen in severe cases may help compensate for reduced oxygen-carrying capacity from anemia.

Treatment duration extends over several weeks as the disease runs its course. Daily monitoring of clinical signs and mortality helps assess whether conditions are stabilizing or worsening. Fish that survive the acute phase typically show gradual improvement over two to six weeks, with returning appetite and activity levels. Extended quarantine of at least six weeks is recommended before considering recovered fish safe to return to main populations, though carrier status must be assumed. Some facilities choose to depopulate and disinfect rather than maintain potential carriers.

Recovery & Prognosis

Recovery timeline for CyHV-2 survivors is typically prolonged, with fish requiring weeks to months to return to normal condition. The acute mortality phase usually subsides within two to four weeks as the most susceptible individuals die and survivors begin mounting effective immune responses. Fish that survive the acute phase often appear weak and debilitated, with continued pallor and reduced activity for several weeks. Gradual improvement in gill color indicates regeneration of hematopoietic tissue and recovery from anemia. Appetite and activity typically improve over one to two months in favorable conditions. Full recovery to normal appearance and behavior may require three months or longer.

Post-treatment care and monitoring for CyHV-2 survivors requires ongoing attention to support complete recovery. Reduced stocking density decreases competition and stress on weakened fish. High-quality, easily digestible diets support nutritional recovery in fish that have experienced prolonged illness. Continued excellent water quality is essential as recovering fish remain sensitive to environmental stressors. Observation for any return of symptoms or development of secondary problems allows early intervention. Avoiding stressful activities such as netting, moving, or introduction of new fish during the recovery period protects vulnerable individuals.

Prognosis factors influence both survival during acute disease and recovery potential in survivors. Fish that maintained some feeding activity during illness generally recover more completely than those that stopped eating entirely. Severity of anemia as reflected in gill pallor correlates with recovery potential. Early supportive care intervention improves outcomes compared to delayed treatment. Age and variety may influence outcomes, with younger fish sometimes showing higher mortality but also potentially faster recovery in survivors. Overall health and body condition before infection affects ability to survive the disease course. Concurrent secondary infections significantly complicate recovery and worsen prognosis.

Carrier status is assumed in all CyHV-2 survivors, with permanent implications for their management and the biosecurity of collections they enter. Like other herpesviruses, CyHV-2 establishes latent infection that can reactivate, particularly during stress, and carriers can shed virus to naive fish. Survivors should be considered potential transmission sources for the remainder of their lives. Mixing recovered fish with naive goldfish risks initiating new outbreaks. Recovered fish may be suitable for closed collections where all fish are assumed carriers, but should not be introduced to populations where disease-free status is maintained or desired. Testing can identify carriers, but negative tests do not guarantee absence of latent infection.

Prevention

Water quality maintenance supports goldfish health and immune function, reducing susceptibility to CyHV-2 infection when exposed. Maintaining stable, optimal water parameters through regular testing and maintenance prevents stress-induced immunosuppression. Ammonia and nitrite levels should always be zero, with adequate filtration sized for the fish load. Regular water changes remove waste and dilute any pathogens that may be present. Appropriate stocking densities prevent overcrowding stress. Temperature stability, particularly avoiding the rapid fluctuations that stress fish and may trigger disease expression, helps maintain healthy populations.

Quarantine protocols for new goldfish provide the most effective defense against introducing CyHV-2 to established collections. All new fish should be quarantined for a minimum of four to six weeks before introduction to main populations. The quarantine facility should be completely separate, with dedicated equipment to prevent cross-contamination. Extended quarantine spanning temperature conditions favorable for CyHV-2 expression increases the likelihood of detecting infected fish. Observation during quarantine should monitor for any disease signs including lethargy, anorexia, or gill pallor. Temperature manipulation during quarantine, maintaining temperatures in the 20°C range where disease expression is most likely, may reveal infected carriers.

Source selection significantly influences CyHV-2 introduction risk and should be carefully considered when acquiring goldfish. Researching supplier disease history and purchasing only from sources with good health reputations reduces risk. Requesting health certificates or disease testing documentation adds assurance. Avoiding sources with recent unexplained losses or known disease problems protects collections. Purchasing from single sources rather than mixing fish from multiple suppliers reduces exposure opportunities. Accepting that prevention may require paying premium prices for documented healthy stock reflects the value of disease-free status.

Biosecurity practices prevent CyHV-2 transmission between populations and protect against inadvertent introduction. Dedicated equipment for each tank or pond system prevents fomite transmission. Disinfection of nets, buckets, and other shared equipment between uses kills any residual virus. Hand washing and protective clothing changes between working with different fish groups reduces transmission risk. Preventing wild birds and other animals from accessing fish systems eliminates potential mechanical vectors. Proper disposal of dead fish prevents environmental contamination and potential spread.

Stress reduction supports natural disease resistance in goldfish populations. Appropriate habitat with adequate space and proper tank setup minimizes chronic stress. Compatible tankmates prevent aggression-related stress. Consistent routines for feeding, lighting, and maintenance provide stability. Gentle handling techniques and minimizing unnecessary disturbance reduce acute stress events. Ensuring adequate nutrition through varied, appropriate diets maintains fish in optimal condition to resist disease challenges.

Living With & Managing Cyprinid Herpesvirus-2 (CyHV-2)

Ongoing management for collections that have experienced CyHV-2 requires heightened vigilance and acceptance of endemic status. Recognizing that recovered fish are likely carriers informs all future management decisions. Maintaining strict separation between known carrier fish and any disease-free populations protects valuable collections. Implementing enhanced biosecurity measures prevents spread through equipment, water, or personnel. Regular health monitoring allows early detection of any disease recurrence. Documentation of disease history informs management decisions and fulfills ethical obligations when selling or trading fish.

Water quality maintenance schedules should be strictly followed in collections with CyHV-2 history. Weekly water changes of appropriate volume maintain excellent conditions. Regular testing ensures parameters remain optimal and allows early detection of any problems. Filter maintenance prevents efficiency declines that could compromise water quality. Temperature monitoring tracks conditions and identifies when fish enter temperature ranges favorable for disease expression. Increased vigilance during spring and autumn when temperatures are optimal for CyHV-2 allows early intervention if problems develop.

Health monitoring becomes especially important in collections with known or suspected CyHV-2 presence. Daily observation during feeding assesses appetite and behavior across the population. Weekly detailed examination checks individual fish for any concerning signs. Special attention to gill color helps detect developing anemia early. Monitoring for any unusual mortality or clustering of clinical signs triggers immediate investigation. Maintaining health records allows identification of patterns and supports veterinary consultation when needed.

Population management decisions must consider CyHV-2 implications at every level. New fish introductions to carrier populations should be discouraged as naive fish will likely become infected. Conversely, carrier fish should never be added to naive populations. Breeding decisions should consider whether to produce offspring that may inherit infection or acquire it from carrier parents. Selling or trading fish from carrier populations requires honest disclosure of disease history to recipients. Culling decisions may be necessary if maintaining separate carrier and naive populations is not feasible.

Long-term considerations for goldfish keepers affected by CyHV-2 address the permanent implications of endemic virus. Deciding whether to maintain the current population as a closed, carrier group or to depopulate and start fresh is a fundamental choice. If continuing with carriers, accepting periodic disease expression during favorable conditions sets realistic expectations. If choosing to eliminate the virus through depopulation, thorough disinfection and extended fallow period are necessary before restocking. Future goldfish acquisitions should come from documented disease-free sources with extended quarantine regardless of past experience. Investment in diagnostic testing for new fish may be worthwhile to prevent reintroduction.

Species at Risk for Cyprinid Herpesvirus-2 (CyHV-2)

High-risk species for Cyprinid Herpesvirus-2 center on goldfish as the primary susceptible host, with particular vulnerability in certain populations. Fancy goldfish varieties, including orandas, ryukins, ranchus, and other highly developed breeds, may experience more severe disease than common goldfish, possibly due to genetic factors or the immunological costs of their modified body forms. Juvenile goldfish of all varieties show higher susceptibility and mortality rates than adult fish. Goldfish experiencing stress from transport, handling, or poor environmental conditions face increased risk of developing severe disease when exposed. Fish in commercial production and retail settings may be particularly vulnerable due to high densities and frequent handling.

Related cyprinid species show varying susceptibility to CyHV-2, though goldfish remain the primary concern. Crucian carp, closely related to goldfish, may be susceptible based on their genetic similarity, though documentation is limited. Goldfish-crucian carp hybrids may show intermediate susceptibility. Koi and common carp appear resistant to CyHV-2, distinguishing this virus from CyHV-3 (Koi Herpesvirus) which affects koi but not goldfish. This species specificity means mixed ponds containing both goldfish and koi may experience CyHV-2 outbreaks affecting only the goldfish population while koi remain healthy. Other ornamental cyprinids such as barbs and danios do not appear susceptible.

Species-specific susceptibility factors within goldfish populations show patterns that inform risk assessment and management. Age represents the clearest risk factor, with fry and juveniles experiencing higher mortality than adults. Variety influences susceptibility, with some fancy varieties apparently more vulnerable than others, though formal studies comparing varieties are limited. Genetic resistance has not been deliberately selected for in goldfish as it has for some commercial species, meaning populations remain generally susceptible. Previous exposure may confer some immunity, with recovered fish potentially showing reduced susceptibility to reinfection despite carrier status. Stress, nutritional status, and overall health strongly influence disease outcomes in exposed fish.

Related Conditions

Commonly co-occurring conditions with Cyprinid Herpesvirus-2 include secondary bacterial infections that exploit the immunosuppression caused by viral infection. Aeromonas hydrophila and other opportunistic bacteria commonly infect fish weakened by CyHV-2, causing septicemia, ulcers, and additional mortality. Pseudomonas and other gram-negative bacteria may similarly cause secondary infections. Fungal infections, particularly Saprolegnia, can develop on stressed or compromised fish. These secondary infections often require treatment and may cause mortality in fish that might otherwise survive the primary viral infection. Parasitic burdens may increase as immune surveillance decreases, with existing parasites proliferating or new infections establishing.

Conditions with similar symptoms that may be confused with CyHV-2 include various causes of mortality and anemia in goldfish. Bacterial septicemia from primary Aeromonas or other bacterial pathogens can cause similar mortality patterns but typically with different clinical appearance and response to antibiotics. Parasitic anemia from blood parasites causes pallor but with identifiable parasites in blood smears. Chronic kidney disease from various causes produces some overlapping signs but with different progression patterns. Environmental problems including chronic poor water quality cause mortality and may produce anemia-like pallor. Accurate diagnosis through laboratory testing is essential because treatment approaches and prognosis differ significantly.

Related conditions in terms of other cyprinid herpesviruses include CyHV-1 (Carp Pox) and CyHV-3 (Koi Herpesvirus). While these are related viruses in the same genus, they differ substantially in host specificity, disease characteristics, and severity. CyHV-1 causes benign skin lesions rather than systemic disease. CyHV-3 affects koi and common carp rather than goldfish. Co-infection with multiple cyprinid herpesviruses in mixed species ponds is theoretically possible, potentially complicating diagnosis and management. The species specificity of these viruses means that in a mixed koi and goldfish pond, CyHV-2 would affect only the goldfish while CyHV-3 would affect only the koi, a distinction with important diagnostic and management implications.