A set of 118 strains of the species Lactobacillus rhamnosus was collected, including probiotic strains, research strains with potential probiotic properties, food starter cultures, and human isolates. The majority of the strains were collected from companies, hospitals, or culture collections or were obtained after contacting authors who reported clinical case studies in the literature. The present work aimed to reveal the genotypic relationships between strains of these diverse sources. All strains were initially investigated using fluorescent amplified fragment length polymorphism (FAFLP) with three different primer combinations. Numerical analysis of FAFLP data allowed (i) confirmation of the identification of all strains as members of L. rhamnosus and (ii) delineation of seven stable intraspecific FAFLP clusters. Most of these clusters contained both (potentially) probiotic strains and isolates of human origin. For each of the clusters, strains of different sources were selected for pulsed-field gel electrophoresis (PFGE) of macrorestriction fragments obtained with the enzymes NotI and AscI. Analysis of PFGE data indicated that (i) some (potentially) probiotic strains were indistinguishable from other probiotic strains, suggesting that several companies may use duplicate cultures of the same probiotic strain, and (ii) in a number of cases human isolates from sterile body sites were indistinguishable from a particular probiotic strain, suggesting that some of these isolates may be reisolations of commercial strains.Lactobacillus species are members of the commensal microflora in the oral cavity and the gastrointestinal and genitourinary system in humans and animals and are usually considered nonpathogenic (1). Selected strains of some Lactobacillus species are being used as probiotics and are claimed to influence the health of the host in a beneficial manner (10). To a very limited extent, strains belonging to the same Lactobacillus species as those used in probiotic applications have also been isolated from clinical specimens and have been associated with rare cases of endocarditis, meningitis, deep abscesses, and bacteremia (1, 5, 11). It should be noted that in these types of infections underlying disease or immunosuppression is a common feature and that infection in previously healthy humans is extremely rare.Among the lactobacilli, strains of Lactobacillus rhamnosus are commonly used as probiotics including the GG (GorbachGoldin) strain, which is one of the most widely used and welldocumented probiotics (13, 25). On the other hand, L. rhamnosus has also been reported as one of the most common Lactobacillus taxa in human clinical cases (5). Harty et al. (8,9) identified possible virulence factors in L. rhamnosus endocarditis strains compared to laboratory or oral isolates. Furthermore, L. rhamnosus strains have been shown to produce enzymes enabling the breakdown of glycoproteins and synthesis or lysis of fibrin clots (18).Aggregate epidemiologic studies have not found a link between the number of clinica...