I agree that the problem is water quality in almost every case. The carbon seems to be a breeding ground for the heximita and for some, removal of carbon along with aggressive water changes cures the problem. It seems to have to do with the way the carbon interacts with your particular water chemistry. To say that carbon is the culprit is not proven without a careful examination of the VOC's, DOC's and the carbon itself.
For some, use of carbon is essential to maintaining a good water column. For others, (like me), it's a waste of time and money to use it.