Epinephelus labriformis Epinephelus labriformis Epinephelus labriformis, commonly called starry grouper or flag cabrilla among various other vernacular names, is a species of marine fish in the family Serranidae. The starry grouper is medium-sized fish which grows up to 60 cm. From: "The body of the starry grouper is robust and compressed. The end of the top jaw is exposed. The operculum edge has 3 flat spines; the pre-operculum is without spines. The caudal fin is rounded. The lateral line is complete, it ends at the caudal fin base and is smoothly arched. The scales are rough and relatively small." The starry grouper
HACEK organisms conjunctivitis, pneumonia, arthritis, osteomyelitis, and periodontal infections. The treatment of choice for HACEK organisms in endocarditis is the third generation cephalosporin and β-Lactam antibiotic ceftriaxone. Ampicillin (a penicillin), combined with low-dose gentamicin (an aminoglycoside) is another therapeutic option. HACEK organisms The HACEK organisms are a group of fastidious gram-negative bacteria that are an unusual cause of infective endocarditis, which is an inflammation of the heart due to bacterial infection. HACEK is an abbreviation of the initials of the genera of this group of bacteria: "Haemophilus", "Aggregatibacter" (previously "Actinobacillus"), "Cardiobacterium", "Eikenella", "Kingella". The HACEK organisms are a normal part of the