Pasteurella aerogenes is known as a commensal bacterium or as an opportunistic pathogen, as well as a primary pathogen found to be involved in abortion cases of humans, swine, and other mammals. Using broadrange DNA probes for bacterial RTX toxin genes, we cloned and subsequently sequenced a new operon named paxCABD encoding the RTX toxin PaxA in P. aerogenes. The pax operon is organized analogous to the classical RTX operons containing the activator gene paxC upstream of the structural toxin gene paxA, which is followed by the secretion protein genes paxB and paxD. The highest sequence similarity of paxA with known RTX toxin genes is found with apxIIIA (82%). PaxA is structurally similar to ApxIIIA and also shows functional analogy to ApxIIIA, since it shows cohemolytic activity with the sphingomyelinase of Staphylococcus aureus, known as the CAMP effect, but is devoid of direct hemolytic activity. In addition, it shows to some extent immunological cross-reactions with ApxIIIA. P. aerogenes isolated from various specimens showed that the pax operon was present in about one-third of the strains. All of the pax-positive strains were specifically related to swine abortion cases or septicemia of newborn piglets. These strains were also shown to produce the PaxA toxin as determined by the CAMP phenomenon, whereas none of the pax-negative strains did. This indicated that the PaxA toxin is involved in the pathogenic potential of P. aerogenes. The examined P. aerogenes isolates were phylogenetically analyzed by 16S rRNA gene (rrs) sequencing in order to confirm their species. Only a small heterogeneity (<0.5%) was observed between the rrs genes of the strains originating from geographically distant farms and isolated at different times.The gram-negative bacterium Pasteurella aerogenes was first isolated from porcine intestine and described as a gas-producing Pasteurella-like organism (30). Reported cases of isolation in animals have included the buccal flora of wild boars (33), the urine of rabbit, or the uterine cervix discharge of cow (3). In humans P. aerogenes has been isolated from lesions caused by cats, pigs, or wild boar (27,30,32).Clinically, the isolation of P. aerogenes is mainly associated with abortion cases. The first case described in which P. aerogenes was directly involved as a pathogen was an abortion in swine, where it was isolated from several organs of the aborted fetuses (30). At least two additional cases of P. aerogenesinduced abortion in swine have been reported (13, 21). Abortion cases, where P. aerogenes could be responsible, were also reported in other mammals. It was isolated in pure culture from the uterus and peritoneal cavity of a rabbit which died 4 days after abortion (34). Also a human case is described where P. aerogenes could be isolated from a stillborn child and from its mother's vaginal vault (P. Thorsen, B. R. Moller, M. Arpi, A. Bremmelgaard, and W. Fredericksen, Letter, Lancet 343: [485][486] 1994). During pregnancy, the mother had been working as an assistant on a pig farm. O...