We describe the isolation of Laribacter hongkongensis in Hangzhou City, People's Republic of China. One strain of bacterium, named LHHZ242, had many of the same phenotypic and genotypic characteristics as Laribacter hongkongensis described in previous publications. This discovery proves that Laribacter hongkongensis is also associated with community-acquired gastroenteritis outside Hong Kong.Laribacter hongkongensis was first isolated from the blood and empyemic pus of a 57-year-old Chinese man with alcoholic cirrhosis and bacterial thoracic empyema in Hong Kong in 2001. Thereafter, this newly discovered bacterium was isolated from the stools of three Asian patients and three European patients with community-acquired diarrhea in Hong Kong (5). This bacillus is a facultative anaerobic, motile, non-spore forming, nonfermentative, urease positive, gram negative, and seagull shaped and belongs to the family Neisseriaceae of the  subclass of the class Proteobacteria (7). Patrick Woo and colleagues reported on a case-control study that showed the presence of an association between L. hongkongensis and community-acquired diarrhea, the consumption of fish, and travel (6). No reports of the isolation of L. hongkongensis outside Hong Kong in the past 5 years have yet been published. In order to determine whether Laribacter hongkongensis is related to some community-acquired cases of gastroenteritis outside of Hong Kong, a study was carried out with patients with communityacquired gastroenteritis in Hangzhou First People's Hospital in the city of Hangzhou, People's Republic of China, by using modified cefoperazone MacConkey (Mϩ) agar.All fecal swabs in our study were freshly collected from outpatients with community-acquired diarrhea in an outpatient service at Hangzhou First People's Hospital from August to November 2005. The specimens were directly inoculated in six culture agars: xylosine-lysine-deoxycholate (XLD) agar, thiosulfate-citrate-bile salts-sucrose (TCBS) agar, salmonellashigella (SS) agar, campylobacter blood-free selective agar (CCDA), MacConkey agar, and Mϩ agar. Modified cefoperazone MacConkey agar was cefoperazone MacConkey agar (1) in which the original concentration was reduced by 50% (final cefoperazone concentration, 16 mg/liter). The cultures were incubated under aerobic conditions at 37°C for 48 h on XLD, TCBS, SS, and Mϩ agars. The CCDA cultures were incubated in 5 to 10% CO 2 at 37°C for 48 h. Small and colorless colonies that grew on MacConkey and Mϩ agars but that did not grow on XLD agar, TCBS agar, SS agar, or CCDA or that grew very poorly on those agars were picked out. Among these bacterial colonies, all oxidase-, arginine-, and urease-positive bacteria were screened out.Among 275 stool samples tested, one strain of bacterium, named LHHZ242, that was positive by the oxidase, arginine, and Christensen urea agar tests was isolated from the stool of one patient. It was a seagull-shaped, gram-negative, and non-sporeforming bacterium that grew on Mϩ agar as a colorless colony 1 mm in diameter. T...