Figure 3: Patches on the skin

Figure 4: Patches on the skin

(You can see picturs of gill necrosis and sunken eyes in http://koiclubsandiego.org/library/khv/)
Internal lesions and damages can be found in many organs such as the gills, kidneys, spleen, liver and the gastrointestinal system. The earliest and most prominent changes usually concentrate in gills and kidneys though. Gilad et al. claimed that viral DNA can be detected in various tissues as early as 1 day post virus exposure with real-time TagMan PCR assay.
Bibliography
Gilad O., Yun S., Zagmutt-Vergara F.J., Leutenegger C.M., Bercovier H., Hedrick R.P. (2004), Concentrations of a Koi herpesvirus (KHV) in tissues of experimentally infected Cyprinus carpio koi as assessed by real-time TaqMan PCR. Dis Aquat Org, vol. 60(3), 179–187
Gray W.L., Mullis L., LaPatra S.E., Groff J.M., and Goodwin A. (2002), Detection of koi herpesvirus DNA in tissues of infected fish. Journal of Fish Diseases, vol. 25, 171-178
Hartman K.H., Yanong R.P.E., Pouder D.B., Petty B.D. Francis-Floyd R., and Riggs A.C. (2004). Koi herpesvirus (KHV) disease, Fact sheet VM-149, Extension service, Institute of Food and Agricultural Sciences, University of Florida 2004
Hedrick R. P., Marty G. D., Nordhausen R.W., Kebus M. J., Bercovier H., Eldar A. (2000), An herpesvirus associated with mass mortality of juvenile and adult koi Cyprinus carpio. Fish, Health Newsletter, Fish Health Section, American Fisheries Society, vol.12 (1), 44-57
Ilouze M., Dishon A., and Kotler M. (2006), Characterization of a novel virus causing a lethal disease in carp and koi. Microbiology and Molecular Biology Review, vol.70(1), 147-156
Pokorova D., Vesely T., Piackova V., Reschova S., and Hulova J. (2005), Current knowledge on koi herpesvirus (KHV): a review. Veterinary medicine-Czech, vol. 50(4), 139-147
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