Spontaneous bacterial peritonitis secondary to Streptococcus bovis in a patient with chronic chylous ascites.

Spontaneous bacterial peritonitis (SBP) is a common complication of cirrhosis and ascites, and is predominantly caused by enteric organisms. Streptococcus bovis is a rare etiology of SBP that was first reported in 1994. Since then, few prior reports of SBP secondary to S. bovis have been observed in patients with underlying cirrhosis or hepatitis. We now present a case of SBP caused by S. bovis in the setting of chronic chylous ascites in a patient with no known liver pathology.