Isolation of the smooth (Sm) morphotype of Peptostreptococcus micros, a suspected oral pathogen, is sometimes accompanied by isolation of a rough (Rg) morphotype of P. micros. The Rg type readily changes to a Sm-like variant (Rg'") in broth culture. Sm and Rg isolates and Rgsm variants were compared to determine whether these three types are the result of phase variation. The Rgsm variants resembled the Sm morphotype in colony morphology; furthermore, the Sm type and the Rgsm type did not have the fibrillar surface structures characteristic of the Rg type, and the Sm and Rgsm types were more hydrophobic than the Rg type. However, when we compared the sodium dodecyl sulfate-polyacrylamide gel electrophoresis pat terns of whole-cell proteins, serotyping data, pyrolysis mass spectrometry data, 16s ribosomal DNA sequences, and hemolytic activities, the Rgsm variants and the Rg isolates were very similar and were clearly distinct from the Sm isolates. These results suggest that the Rg and Rgsm types form a cluster distinct from the Srn type and thus provide evidence that P. micros can be differentiated into two groups, one consisting of the Sm type and the other consisting of the Rg and Rgsm types.Peptostreptococcus micros is a natural commensal of the oral cavity (11,27). However, it is also considered a suspected pathogen related to periodontal disease, as elevated levels of this gram-positive anaerobic coccus in subgingival plaque samples are associated with periodontal destruction, especially with active sites (4,21,22). P. micros is often isolated from other oral infections, such as endodontic lesions (3,26,38) and peritonsillar infections (20). This species is also commonly isolated from abscesses associated with mixed anaerobic infections throughout the human body (7, 24); cases of polymicrobial pulmonary and cerebral abscesses, female genital tract infections, and endocarditis infections containing high proportions of P. micros have been described (9, 14,23).Recent work in our laboratory revealed the existence of the following two morphotypes of P. micros (32): a smooth-colony (Sm) morphotype, which is recognizable by white, domeshaped, mucous colonies; and a rough (Rg) morphotype, which produces dry white colonies with wrinkled edges. These two morphotypes are serologically distinguishable; the Sm morphotype represents serotype a, while the Rg morphotype represents serotype b (34). Both morphotypes can be isolated from subgingival plaque samples; the Rg type is always isolated in association with the Sm type, whereas the Sm type can also be isolated alone (33). This observation may indicate that phase variation occurs in P. micros.van Dalen et al. (32) described the instability of the Rg morphotype in broth culture; the Rg morphotype readily changed to a Sm variant (Rg'"). Phase variation is uncommon in gram-positive bacteria and has been reported previously only for Streptococcus species (36) and Corynebacterium species (8, 13). This is in contrast to gram-negative organisms, where phase variation is common...