Granulicatella adiacensis a Gram-positive coccus, formerly grouped with nutritionally variantStreptococcus, often found as commensal bacteria of the human oral cavity, urogenital tract, and gastrointestinal tract. Prior case reports have demonstratedGranulicatellaspp. as a pathogen that can cause bacteremia and infective endocarditis particularly of prosthetic valves and pacemaker leads. Here, we report on a unique case ofGranulicatella adiacensbacterascites in a 50-year-old male.