Streptococcus pneumoniae is a common and important pathogen that causes invasive and noninvasive bacterial diseases in infants, children, and adults. S. pneumoniae comprises more than 90 serotypes. Although serogroup 6 was classically considered to consist of serotypes 6A and 6B, another two serotypes, 6C and 6D, have recently been described (14,22). It has been postulated that serotypes 6C and 6D emerged by the replacement of wciN  in the capsular loci of serotypes 6A and 6B, respectively (3, 22). However, two recent papers reported that the serotypes 6C and 6D emerged just by the replacement of the wciN  and wciP mutation (5, 23). Bratcher et al. (5) proposed that serotype 6C has been produced by introduction of a DNA fragment spanning the capsular polysaccharide synthesis (cps) locus irrespective of serotypes 6A and serotype 6D has resulted from a recombination between the cps loci of serotypes 6B and 6C. In addition, we also showed the emergence of cps loci of serotypes 6C and 6D by complicated recombination (23).To date, S. pneumoniae serotype 6D isolates have been reported in several regions including Fiji,