Of 97 strains of Vibrio cholerae isolated from various seafoods in Malaysia in 1998 and 1999, 20 strains carried the ctx gene and produced cholera toxin. Fourteen, one, and five of these toxigenic strains belonged to the O139, O1 Ogawa, and rough serotypes, respectively. The rough strains had the rfb gene of the O1 serotype. The toxigenic strains varied in their biochemical characteristics, the amount of cholera toxin produced, their antibiograms, and the presence or absence of the pTLC plasmid sequence. DNA fingerprinting analysis by arbitrarily primed PCR, ribotyping, and a pulsed-field gel electrophoresis method classified the toxigenic strains into 3, 7, and 10 types, respectively. The relatedness of these toxigenic strains to clinical strains isolated in other countries and from international travelers was examined by using a dendrogram constructed from the pulsed-field gel electrophoresis profiles. The results of the examination of the antibiogram and the possession of the toxin-linked cryptic plasmid were consistent with the dendrogram-based relatedness: the O139 strains isolated from Malaysian seafoods could be separated into two groups that appear to have been introduced from the Bengal area independently. The rough strains of Malaysian seafood origin formed one group and belonged to a cluster unique to the Thailand-Malaysia-Laos region, and this group may have persisted in this area for a long period. The single O1 Ogawa strain detected in Malaysian seafood appears to have an origin and route of introduction different from those of the O139 and the rough strains.Vibrio cholerae strains that carry the ctx genes in the CTX genetic element can produce cholera toxin (CT), and these strains are termed toxigenic strains. Toxigenic strains are responsible for cholera epidemics. Water is recognized as the most important vehicle for cholera transmission. In addition, outbreaks of food-borne cholera have been noted quite often in the past 30 years; seafood, including molluscan shellfish, crustaceans, and finfish, are most often incriminated in foodborne cholera cases in many countries (1, 35). However, the ctx genes are rarely detected in V. cholerae strains isolated from environmental samples, including seafood, that are not implicated in outbreaks. V. cholerae strains belonging to the O1 and O139 serotypes almost exclusively carry the ctx genes, and the O serotype is often used as a marker for the toxigenic strains. However, there are atypical environmental strains that possess the ctx genes. For example, a DNA probe study carried out in Japan revealed that 26.6% of the V. cholerae O1 strains isolated from imported seafood and none of the V. cholerae O1 strains isolated from the natural water carried the ctxA gene (28). On the other hand, a DNA probe study showed that a small percentage of environmental strains of V. cholerae non-O1 had the ctx gene (31).Outbreaks of cholera due to the El Tor biotype of the O1 serotype occur periodically in Malaysia (26,40), and this poses a public health problem if the seafoo...