Spontaneous Bacterial Peritonitis due to in Cirrhosis.

species colonize the human gastrointestinal tract and are rarely pathogenic. We present a case involving a cirrhotic patient who presented with sepsis and was found to have peritoneal cultures demonstrating as the sole pathogen concerning for spontaneous bacterial peritonitis. Treatment was achieved with high-dose penicillin and clindamycin but the patient developed hepatorenal syndrome and died from acute renal failure. Intra-abdominal infections are typically seen in patients undergoing peritoneal dialysis or who have recently had bowel perforation. There are few case reports of spontaneous peritonitis in patients with cirrhosis. Our case report addresses the challenges of treatment and suggests antibiotic coverage of commensal organisms in patients who do not improve with standard management.