{"id":2349,"date":"2020-04-15T06:00:00","date_gmt":"2020-04-15T10:00:00","guid":{"rendered":"http:\/\/fishhistopathology.com\/home\/?p=2349"},"modified":"2020-04-14T16:23:34","modified_gmt":"2020-04-14T20:23:34","slug":"gas-bubble-disease","status":"publish","type":"post","link":"https:\/\/fishhistopathology.com\/?p=2349","title":{"rendered":"Gas Bubble Disease"},"content":{"rendered":"\n<p>Gas bubble disease (GBD) is the fish equivalent of the \u201cbends\u201d in human scuba divers. It is the result of gas coming out of solution in the bloodstream, thereby leading to the formation of emboli, especially in smaller blood vessels, including <em>rete<\/em>. Thus, lesions are common in gills, and the choroid gland of the eye. In water that is supersaturated, fish equilibriate with that supersaturated gas, just as human scuba divers equilibriate with gas at high pressures. It is not known precisely what prompts the gas to come <strong><em>out<\/em><\/strong> of solution in the bloodstream, but the drop in pressure seen as blood passes through small vessels is one likely possibility. As well as impeding blood flow, the gas bubbles can cause pressure necrosis of the vascular endothelium, and subsequent thrombosis. This is commonly seen in the gills.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/feature-image.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"203\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/feature-image-300x203.jpg\" alt=\"Figure 1. Rainbow trout with several gas bubbles in the anterior chamber. Note the haemorrhage both dorsally and ventrally, the latter \u201cconing\u201d through the ventral iris pore\" class=\"wp-image-2343\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/feature-image-300x203.jpg 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/feature-image-768x520.jpg 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/feature-image.jpg 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 1. Rainbow trout with several gas bubbles in the anterior chamber. Note the haemorrhage both dorsally and ventrally, the latter \u201cconing\u201d through the ventral iris pore.<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><br>Situations leading to supersaturation, and therefore where GBD is possible, include those where water warms up rapidly, and\/or there is a sudden reduction in pressure. Both of these parameters conspire to <strong><em>reduce<\/em><\/strong> the solubility of gas in water. The analogy is sometimes drawn of a bottle of champagne being warmed up and then having its cork popped! Gas bubbles quickly appear! Disturbing\/shaking the water (or champagne) can help to drive off the supersaturated gas.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-medium\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Eye22-.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"300\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Eye22--200x300.jpg\" alt=\"Figure 2A. Unilateral exophthalmos in aquarium fish due to GBD. \" class=\"wp-image-2348\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Eye22--200x300.jpg 200w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Eye22--683x1024.jpg 683w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Eye22--768x1152.jpg 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Eye22-.jpg 900w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><figcaption><strong>Figure 2A. Unilateral exophthalmos in aquarium fish due to GBD.<\/strong> <\/figcaption><\/figure><\/div>\n\n\n\n<p><br><br><br><br><br><br><br>In aquaria and hatcheries, GBD may be caused by leaks in pump manifolds or valve systems, air being \u201csucked in\u201d and forced into solution \u2013 the so-called Venturi principle. Alternatively, it can be seen in fish being transported by air, a consequence of altitude (and therefore pressure) changes. In the wild, large algal blooms generating high levels of oxygen by photosynthesis have also been blamed, especially if the water remains calm.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Figura-2B.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"203\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Figura-2B-300x203.jpg\" alt=\"Figure 2B. The histopathology of Figure 2A shows large gas bubbles within the choroidal rete that have caused marked enlargement of the entire globe plus distortion of the retina, and inevitable blindness.\" class=\"wp-image-2345\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-2B-300x203.jpg 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-2B-768x519.jpg 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-2B.jpg 900w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 2B. The histopathology of Figure 2A shows large gas bubbles within the choroidal rete that have caused marked enlargement of the entire globe plus distortion of the retina, and inevitable blindness.<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><br><br><br><br>Fish may die from GBD without any overt clinical signs, and diagnosis can be difficult; despite a detailed history, supersaturation can be a fleeting event, and not present when samples are collected. Sometimes \u201ccandling\u201d fish in a strong light helps to spot gas bubbles, but these can be hard to see, even histopathologically. Mortality rate varies with the age and species of fish involved.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-medium\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Figura-3-1.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"194\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Figura-3-1-300x194.jpg\" alt=\"Figure 3. Fry with large gas bubble behind the yolk sac. This animal was having trouble with its buoyancy!\" class=\"wp-image-2363\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-3-1-300x194.jpg 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-3-1-768x497.jpg 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-3-1.jpg 1000w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 3. Fry with large gas bubble behind the yolk sac. This animal was having trouble with its buoyancy!<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><br><br><br><br><br><br>Sac fry with GBD are often forced to the water surface because of increased buoyancy. Gas bubbles can form between the yolk and the perivitelline membrane, as well as in the abdominal cavity, fins and cranium. Depending on the location of the bubble(s), affected fry could be head-up, tail-up or belly-up at the water surface.<\/p>\n\n\n\n<p><br><br>In juveniles and adults, it is common for fish with acute GBD to die without showing visible lesions. Clinical behavioural signs in acutely affected animals include a sharp reduction in feeding, lethargy, loss of equilibrium and of buoyancy, aimless swimming, whirling with interspersed periods of inactivity, and spasmodic convulsions.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-medium\"><a href=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Figura-4.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"http:\/\/fishhistopathology.com\/home\/wp-content\/uploads\/2020\/04\/Figura-4-300x212.jpg\" alt=\"Figure 4. Roof of the buccal cavity of salmonid with severe GBD.\" class=\"wp-image-2347\" srcset=\"https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-4-300x212.jpg 300w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-4-768x542.jpg 768w, https:\/\/fishhistopathology.com\/wp-content\/uploads\/2020\/04\/Figura-4.jpg 800w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 4. Roof of the buccal cavity of salmonid with severe GBD.<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><br>Uni- or bilateral exophthalmos is a classical sign of chronic GBD in juvenile and adult fish but is not invariably present. When exophthalmos exists, bubbles can be seen in all chambers of the eye and the sclera. The end result of the damage caused by expansion of the gas bubbles within the eye is often blindness and ultimately, phthisis.<\/p>\n\n\n\n<p>An interesting feature frequently noted in chinook salmon with GBD is the presence of gas bubbles within the blood vessels and soft tissues of the oral cavity &#8211; usually the roof of the mouth. These can cause fish to \u201ccough\u201d and vigorously work their opercula.<\/p>\n\n\n\n<p><br><br><br><strong>REFERENCES<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Bouck, G. R. (1980). Etiology of gas bubble disease.&nbsp;<em>Transactions of the American Fisheries Society<\/em>,&nbsp;<em>109<\/em>(6), 703-707.<\/li><li>Ferguson, Hugh W. (2006). Systemic Pathology of Fish, London, UK, Scotian Press.<\/li><li>Leatherland, John F., Patrick Woo T.K (2010). Fish Diseases and Disorders, Volume 2: Non-infectious Disorders. Oxfordshire, UK, CABI.<\/li><li>Machova, J., Faina, R., Randak, T., Valentova, O., Steinbach, C., Kroupova, H. K., &amp; Svobodova, Z. (2017). Fish death caused by gas bubble disease: a case report. Veterin\u00e1rn\u00ed medic\u00edna, 62(4), 231-237.<\/li><li>Noga, Edward J. (2010). Fish Disease: Diagnosis and Treatment, Iowa, USA, Wiley-Blackwell.<\/li><li>Roberts, Ronald J. (2012). Fish Pathology. Hoboken, NJ: Wiley-Blackwell<\/li><li>Speare, D. J. (1991). Endothelial lesions associated with gas bubble disease in fish.&nbsp;<em>Journal of comparative pathology<\/em>,&nbsp;<em>104<\/em>(3), 327-335.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Gas bubble disease (GBD) is the fish equivalent of the \u201cbends\u201d in human scuba divers. It is the result of gas coming out of solution in the bloodstream, thereby leading to the formation of emboli, especially in smaller blood vessels, including rete. Thus, lesions are common in gills, and the choroid gland of the eye. In water that is supersaturated, fish equilibriate with that supersaturated gas, just as human scuba divers equilibriate with gas at high pressures. It is not known precisely what prompts the...","protected":false},"author":5,"featured_media":2343,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[208,202,213,215,222,124,204,210,211,214,190,201,18,30,218,181,209,221,219,212,216,220,206,205,207,203,217],"class_list":["post-2349","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-multisystem","tag-algal-blooms","tag-bends","tag-blindness","tag-buoyancy","tag-chinook-salmon","tag-convulsions","tag-emboli","tag-exophthalmos","tag-eye","tag-fins","tag-gas-bubble-disease","tag-gbd","tag-gills","tag-lethargy","tag-loss-of-equilibrium","tag-necrosis","tag-oxygen","tag-phthisis","tag-rete-choroid-gland","tag-retina","tag-sac-fry","tag-sclera","tag-supersaturation","tag-thrombosis","tag-venturi-principle","tag-water-supersaturated","tag-yolk-sac-2"],"_links":{"self":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts\/2349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2349"}],"version-history":[{"count":16,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts\/2349\/revisions"}],"predecessor-version":[{"id":2367,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/posts\/2349\/revisions\/2367"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=\/wp\/v2\/media\/2343"}],"wp:attachment":[{"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fishhistopathology.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}