Mycobacterium microti is a member of the Mycobacterium tuberculosis complex of bacteria. This species was originally identified as a pathogen of small rodents and shrews and was associated with limited diversity and a much reduced spoligotype pattern. More recently, specific deletions of chromosomal DNA have been shown to define this group of organisms, which can be identified by the absence of chromosomal region RD1 mic . We describe here the molecular characteristics of 141 strains of the Mycobacterium tuberculosis complex isolated in Great Britain over a 14-year period. All strains have characteristic loss of some spoligotype spacers and characteristic alleles at the ETR-E and ETR-F variable-number tandem-repeat (VNTR) loci, and a sample of these strains was deleted for regions RD7, RD9, and RD1 mic but intact for regions RD4 and RD12. We therefore identified these strains as M. microti and show that they have much more diverse spoligotype patterns and VNTR types than previously thought. The most common source of these strains was domestic cats, and we show that the molecular types of M. microti are geographically localized in the same way that molecular types of Mycobacterium bovis are geographically localized in cattle in the United Kingdom. We describe the pathology of M. microti infection in cats and suggest that the feline disease is a spillover from a disease maintained in an unknown wild mammal, probably field voles. The location of the cats with M. microti infection suggests that they do not overlap geographically with the strains of Mycobacterium bovis in Great Britain.In 1946, Wells described a form of tuberculosis found in over 20% of 4,309 voles (Microtus agrestis) collected between 1936 and 1942 from many sites dispersed throughout Great Britain (43). In the same study, over 10% of 223 bank voles (Clethrionomys glareolus, now known as Myodes glareolus [18]), over 2% of 175 wood mice (Apodemus sylvaticus), and 1.5% of 550 shrews (Sorex araneus) were also found to be infected with tuberculosis (43). In all cases, acid-fast bacteria were demonstrated in a stained smear or in culture. For voles with only a single observed site of infection, the lymph glands draining the intestinal tract were most commonly infected; the lungs were a primary site in 11% of animals. The author also describes a second type of disease pathology, an infiltration of the subcutaneous tissue with a white gritty substance full of acid-fast bacteria; in these animals, the skin frequently ulcerates over these masses, and the lungs, liver, and spleen are heavily infected. Transmission of organisms from both wild-caught infected voles and experimentally infected voles kept together with laboratory-bred animals was demonstrated. Infected voles can live for as long as 52 weeks, and the author comments on how extensive tuberculosis can be without producing obvious symptoms. Although we cannot be certain that all the organisms described in the 1946 manuscript are M. microti, although some strains were shown to have distinctive M. micr...