Let's have a big 'ol kiss, law? lol! =]
A severe lack of trichogaster.
Just because your Gourami is sick does not mean it is always Iridovirus, DGIV, Gourami Disease, et cetera.
Look at all the other factors in your tank before coming to this conclusion.
No offence, but- my gosh, is that supposed to be normal/healthy? I've seen pictures of giant gouramis, but none of them was even close to this! I'm sorry, but this looks absolutely scary/frightening.