A newly discovered dinoflagellate is responsible for major fish kills
in US Atlantic Coast estuaries. We report that exposure to this dinofl
agellate also causes skin ulcers in fish. Skin damage begins as epithe
lial erosion, which progresses to complete epithelial loss. Fish that
recover from acute toxin exposure develop bacterial and/or fungal-infe
cted skin ulcers that are typical of many spontaneous skin ulcer epide
mics occurring in estuarine fish species along the Atlantic Coast of t
he US. Our data provide the first direct cause-and-effect link between
a specific environmental stressor and a naturally-occurring, infectio
us disease in a fishery population.