In this study, we have isolated a temperate phage (⌽CD119) from a pathogenic Clostridium difficile strain and sequenced and annotated its genome. This virus has an icosahedral capsid and a contractile tail covered by a sheath and contains a double-stranded DNA genome. It belongs to the Myoviridae family of the tailed phages and the order Caudovirales. The genome was circularly permuted, with no physical ends detected by sequencing or restriction enzyme digestion analysis, and lacked a cos site. The DNA sequence of this phage consists of 53,325 bp, which carries 79 putative open reading frames (ORFs). A function could be assigned to 23 putative gene products, based upon bioinformatic analyses. The ⌽CD119 genome is organized in a modular format, which includes modules for lysogeny, DNA replication, DNA packaging, structural proteins, and host cell lysis. The ⌽CD119 attachment site attP lies in a noncoding region close to the putative integrase (int) gene. We have identified the phage integration site on the C. difficile chromosome (attB) located in a noncoding region just upstream of gene gltP, which encodes a carrier protein for glutamate and aspartate. This genetic analysis represents the first complete DNA sequence and annotation of a C. difficile phage.Clostridium difficile, a gram-positive, spore-forming, anaerobic bacillus, is the leading cause of nosocomial diarrhea associated with antibiotic therapy (2). C. difficile causes a variety of diarrheal syndromes, including diarrhea, nonspecific colitis, and pseudomembranous colitis, all of which vary widely in severity (2). Pathogenic C. difficile can produce two major toxins, toxin A, an enterotoxin, and toxin B, a cytotoxin, that are causative agents of diarrhea and colitis (4). Variation in the severity of symptoms of C. difficile-associated disease has been attributed in part to the level of toxin production by the infecting strain(s) (4). The toxin genes, tcdA and tcdB, are part of a 19.6-kb pathogenicity locus (PaLoc), which is present at identical locations in the chromosomes of pathogenic C. difficile strains but is missing from the nontoxinogenic strains. This observation has led to the suggestion that the presence of the PaLoc may be associated with a transposable element (5). In other clostridial species, toxins are known to be encoded by mobile elements such as bacteriophages and plasmids (10, 11). However, while there is no direct evidence of lysogenic conversion in C. difficile strains, Tan et al. have demonstrated homology between tcdE, a gene located within the PaLoc of C. difficile, and phage holin genes (33). In another study, Goh et al. analyzed the effect of bacteriophage infection on toxin production and found an increased toxin B production in some lysogens (12). The evolutionary aspects of the PaLoc and its relationship with C. difficile phages are not known. Detailed characterization of C. difficile phages is necessary to understand their genetics and their potential relationship with the PaLoc of C. difficile. In this study, one of our g...