Freshwater Tropical · Goldfish · Koi & Pond

Aeromonas (Ulcer Disease)

Bacterial infection causing open ulcers, hemorrhagic patches, and red sores. The #1 cause of mortality in koi ponds during spring and summer.

Severity: Critical

*Aeromonas hydrophila* and related species cause some of the most damaging bacterial infections in ornamental fish. Lesions appear as ulcers with red rims, often near the dorsal fin or flanks. The pathogen lives in the fish’s bloodstream — surface treatment alone is not enough.

Causes

Stress, poor water quality, and skin damage are the primary precipitants. Spring outbreaks in koi ponds are common as water warms and fish immune systems lag behind bacterial replication.

Treatment

Aeromonas requires a **two-pronged approach**: an antibiotic in the food (kanamycin, oxytetracycline) to reach the bloodstream, *and* a water-borne treatment for skin colonisation. Treat for 10–14 days. Healing of severe wounds may take a full month. **Do not salt the pond** — open wounds in salted water often kill the fish from osmotic stress.

Recommended medications

Antibiotic

Koi Fix For Food

Medicated food additive for koi with bacterial ulcers and open sores. Reaches the bloodstream — water treatments cannot.

from $54.00

Antibiotic

Koi Fix For Water

Water-borne version of Koi Fix — use when the fish are too sick to eat. Targets surface bacterial…

from $48.00

Antibiotic

Nitrofuracin Green

Wide-spectrum antibacterial and antifungal. Excellent for new fish, ammonia burn, transport stress, and quarantine.

from $32.00

Recommended equipment

Hardware that prevents, monitors, or treats this condition — listed with the most important first.

Aquaculture

Pond Aeration System

Dissolved oxygen management in large outdoor systems

from $200–$2000

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Aquaculture

Fish Grader / Sorter

Overcrowding stress and size-based aggression causing wounds

from $2000–$6000

View details →

Filtration

Drum Filter

Waste buildup, ammonia spikes

from $300–$3000

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Sterilization

Ozone Generator

Bacteria, water clarity, pathogen control

from $80–$500

View details →

Browse the full equipment catalog →

Prevention

Stable water parameters, low stocking density, and quarantine of all new fish. Pond sediment vacuuming during spring reduces bacterial load.

Frequently asked questions

Should I salt my koi pond if I see ulcers?

Adding salt above 0.1% to a pond with ulcered fish is one of the fastest ways to lose them. Treat with antibiotics in the food and water instead.

How long do Aeromonas ulcers take to heal?

With proper treatment, surface healing begins within 7–10 days. Deep ulcers can take 4–6 weeks and may leave permanent scars.