I see Epistylis.
Epistylis is a protozoan predator on bacteria that is pretty well always around. Its numbers explode when the water gets into a state where lots of food is around (dirty water or overfeeding). It doesn't feed on fish the way Ich does, but tends to attach to them. In some tanks, you can see the creatures on the glass when things get out of hand.
As they anchor on the fish, their stems give away their identity. They stick out, like the one on the nose in your photo. The stems can also burrow deep into the fish, and the wounds they cause can lead to secondary infections that are fatal.
It can stay low key in a tank with large pieces of gravel quite easily, as uneaten food tends to get trapped down there, and feed it. Overfeeding young fish for growth is how I've learned about it.
Antibiotics over the counter are illegal where I live, so I can't comment on how well they work. I wouldn't use them if I could.
I use a malachite green/formalin treatment. There are many such ich meds on the market, with formalin there for misdiagnoses of Oodinium parasites. I've been able to knock Epistylis back into its lair with that, over a few treatments. Then I could work on eliminating the lair. I've covered substrates with well rinsed playground sand, which has tended to mix into gravel and eliminate all the crevices. I've moved decor so caves don't block water flow, vacuumed the substrate and watched the temperature. Heat can help epistylis, and many a misdiagnosis as ich has killed fish.
Water changes (25 to 30% every 7-10 days, always and forever) and a critical eye on food amounts are crucial, after medication. But you can cure that fish and its companions.