Since current microbiology methods are not suitable to detect Clostridium perfringens in formalin-fixed, paraffin-embedded tissue samples, we developed a PCR assay to detect toxin-encoding genes and the 16S rRNA gene of C. perfringens. We successfully detected and genotyped C. perfringens in tissue sections from two autopsy cases.Clostridium perfringens causes several forms of enteric diseases, including food poisoning and fatal enterotoxemia (15,17). Based on the presence of four major lethal toxins (alpha-, beta-, epsilon-, and iota-toxins), C. perfringens is classified into five toxigenic types (A through E), and each type can cause different diseases. The most commonly encountered type A (alpha-toxin) strain causes gas gangrene (myonecrosis), diarrhea, and food-borne illness in humans (4). Type B (alpha-, beta-, and epsilon-toxins) and type D (alpha-and epsilontoxins) strains are the causative agents of fatal enterotoxemia in domestic animals and occasionally humans (16).