It has been almost 10 years since a major review on the association of Aeromonas with human disease has been published. During that period the number of valid species in the genus has grown to 14, with a new family (Aeromonadaceae) established to house this genus. Despite this explosion in the number of new genomospecies, only five (Aeromonas hydrophila, A. caviae, A. veronii, A. jandaei, and A. schubertii) are currently recognized as human pathogens. New syndromes attributed to this genus include hemolytic uremic syndrome, burn-associated sepsis, and a variety of respiratory tract infections, including epiglottitis. Convincing evidence suggests that some aeromonads do cause gastroenteritis, but it is presently unclear whether many of the strains isolated from feces are involved in diarrheal disease. Many questions regarding this genus remain unanswered.The genus Aeromonas is one of several medically significant fish, reptiles, and amphibia), and disease spectrums (gastroenteritis and septicemia). Recently, sophisticated molecular genera that have become an increasingly troublesome group to physicians and microbiologists alike by virtue of their changing techniques, including 16S rRNA sequencing, have indicated that these three genera are not closely related to each other on phylogenetic relationships, evolving taxonomy, and controversial role in certain human diseases. The turbulent changes in an evolutionary basis; plesiomonads are more closely related to the Enterobacteriaceae, and aeromonads are represented by Aeromonas taxonomy witnessed over the past 10 years, referred to as a ''sea of change'' by Carnahan [1], have led many a family of their own [2, 10 -12]. Although a number of excellent reviews on various aspects microbiologists to give up attempting to identify aeromonads to the species level in the laboratory when they are recovered of the microbiology, virulence characteristics, and infectious disease syndromes associated with the genus Aeromonas have from clinical specimens. To compound this problem, new species, taxa, and biogroups continue to be described, further combeen published since 1990 [13 -19], the increasing number of taxonomic changes in this genus, coupled with case reports plicating the identification process. In fact, there is such phylogenetic depth within the genus itself that a proposal to create and clinical series of various illnesses, dictates a reevaluation of the role of aeromonads as etiologic agents of human disease. a family to house Aeromonas has been made [2].Although aeromonads were discovered ú100 years ago, only during the past 3 decades has their role in a variety of human Taxonomy illnesses been unquestionably proven (table 1). The role of Aeromonas species in some syndromes, such as bacterial gasSince the advent of polyphasic molecular approaches in the study of bacterial systematics [20,21], taxa in the genus Aerotroenteritis, is still speculative and the subject of much debate, with proponents and opponents of their role in diarrheal dismonas have undergone a numb...