The clumping factor (ClfA) is a cell surface-associated protein of Staphylococcus aureus that promotes binding of fibrinogen or fibrin to the bacterial cell. Previous studies have shown that ClfA and the platelet integrin ␣ IIb  3 recognize the same domain at the extreme C terminus of the fibrinogen ␥-chain. ␣ IIb  3 interaction with this domain is known to occur in close proximity to a Ca 2؉ -binding EF-hand structure in the ␣-subunit. Analysis of the primary structure of ClfA indicated the presence of a potential Ca Staphylococcus aureus causes a wide range of opportunistic infections that range from superficial skin infections to lifethreatening diseases including endocarditis, pneumonia, and septicemia. Adherence of bacteria to host matrix components that is mediated by bacterial surface adhesins is the initial critical event in the pathogenesis of most infections. The extracellular matrix (ECM) 1 contains numerous glycoproteins and proteoglycans assembled into insoluble matrices that serve as substrata for the adhesion and migration of tissue cells. These processes involve integrins, a family of heterodimeric (␣) cellsurface receptors that recognize specific ECM proteins. It has become increasingly evident that bacteria, including S. aureus, also utilize the ECM as substrata for their adhesion by way of a family of adhesins called MSCRAMM (microbial surface components recognizing adhesive matrix molecules) (1) that specifically recognize host matrix components. One important component of the ECM, also occurring in soluble form in blood plasma, is fibrinogen, a 340-kDa hexamer composed of 2␣-, 2-, and 2␥-chains linked by disulfide bonds. This protein is recognized by several integrins including the platelet integrin ␣ IIb  3 . Activation of platelets and integrin ␣ IIb  3 results in fibrinogen-dependent aggregation in vitro and the formation of platelet-fibrin thrombi in vivo.