This study is the first to report ciliate infection on soft corals in the Northern Coral Triangle. Infected Briareum violacea will undergo tissue ulceration and death within a short period of time. This ciliate was identified as Scuticociliatia sp. through 18S rRNA gene identification. In this study, the body length of the ciliate was approximately 80–85 μm before parasitizing the B. violacea. After being parasitizing, the body length was approximately 200–250 μm, and the body width was 50 μm. Body size increased three times after parasitism. According to observations, ciliates will first parasitize the coral endoderm in the early stage of infection, and no ciliates were found in the ectoderm. Preliminary judgment suggests that it may invade the coral endoderm through the mouth for parasitism. After parasitism, the ciliate eats the coral tissue and zooxanthellae. The antioxidant enzymes SOD, CAT, and MDA of infected corals were significantly increased, which also means that the corals are in a stress response. Ciliates will eat the zooxanthellae in the coral body, resulting in a significant reduction in the number of zooxanthellae and chlorophyll a. To effectively prevent and treat this disease, Combretum indicum extract was used in this study. It is a tropical plant commonly used medicinally to treat roundworms, pinworms and parasitic diseases. The results showed that at a concentration of 1500–2500 ppm, Combretum indicum extract can be used to treat ciliates and can applied via medicinal bath therapy for long periods without causing coral stress reactions. The results of this study regarding coral disease prevention are in line with SDG 14 and promote the practical application of coral reef ecological sustainability and large-scale coral aquaculture.
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