The leeches, up to 5 cm long, are external parasites and affix themselves on the body, fins, or gills of the fish, sucking their blood and subsequently causing bacterial or fungal infections. Usually they appear as heart shaped worms (they are just curled up) attached to the fish. They are usually introduced to the aquarium via plants or snails.
Since leeches are sucking and borrowing into the surface of the fish, removal with forceps can cause great damage, if not death, to the fish. If the fish is bathed in a 2.5 percent solution of salt for 15 minutes, most of the leeches should just fall off. Those that do not will be affected enough to remove with forceps with minimal damage. Another treatment is to add Trichlorofon at 0.25 mg/l to the aquarium. Live plants should be removed and treated with potassium permanganate at 5 mg/l before replanting.
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