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Environmental 🟡 Moderate ✓ Treatable

Nephrocalcinosis

🦠 CO2 supersaturation in water (>20 mg/L); also associated with excess dietary calcium · Non-infectious

📋 Definition

Deposition of calcium carbonate and calcium phosphate crystals in the kidney tubules of fish exposed to chronically elevated CO2 levels in water.

📊 Key Facts

Causative Agent
CO2 supersaturation in water (>20 mg/L); also associated with excess dietary calcium
Agent Family
Non-infectious
Peak Mortality
10%
Onset to Peak
months
Geographic Range
Worldwide — recirculating aquaculture systems (RAS)
Transmission Routes
Non-infectious
Primary Host
Rainbow Trout, Atlantic Salmon, other salmonids
Treatment
✓ Available
Vaccine
✗ None / Experimental
First Described
1953

🩺 Clinical Signs

Swollen/pale kidney with white chalky deposits; reduced growth; abdominal distension; impaired osmoregulation.

🔬 Symptoms

🔬
White chalky kidney deposits
Renal Chronic
🔬
Swollen pale kidney
Renal Subacute
🔬
Reduced growth
Systemic Chronic

🧪 Diagnosis

Post-mortem (gritty kidney with white crystals), histopathology, measure CO2 in water.

💊 Treatment

Reduce CO2 levels in system water to <10 mg/L. Aeration/degassing.

🛡️ Prevention

ℹ️ Prevention is the most effective strategy for managing this disease in aquaculture and aquarium settings.
Monitor and control CO2 in intensive RAS systems; ensure adequate degassing.