Trypanosoma is a genus of parasitic flagellates that infects fish. It is transmitted between hosts by vectors like leeches. Common symptoms in infected fish include anemia from blood sucking and secondary infections. Dactylogyrus is a monogenetic trematode that attaches to fish skin, fins and gills through hooks, sometimes causing emaciation in severe infections. Ichthyophthiriasis multifilis, commonly known as ich, appears as white spots on fish skin and gills. It has a direct lifecycle involving a motile trophont stage in the fish and a free-swimming tomites stage that can infect other fish.