Holdfast and part of the trunk are buried in the host
Most of the trunk and abdomen project in water
Swollen and hemorrhagic skin and muscle
Ulceration leading to muscle necrosis
In infected small fish, parasite can enter the body cavity and damage vital organs
Can hinder feeding and growth
Secondary bacterial and fungal infection
Mortality
Mechanical destruction of epidermis and dermis stimulates inflammation
Respiratory distress when gills are infected
Physical destruction of tissues leading to mortality
Induce pressure necrosis, may secrete histolytic and/or digestive enzymes