During a 6-year period, 64 of 227 commercially reared cats had microaerobic bacteria isolated from their feces. All the isolates were initially identified as Campylobacter-like organisms based on biochemical and phenotypic characteristics. DNA extractions from 51 of these isolates were subjected to PCR using primers specific for Helicobacter spp. and Campylobacter spp. Of the isolates, 92% (47 of 51 isolates) were positive for Campylobacter spp., 41% (21 of 51 isolates) were positive for Helicobacter spp., 33% (17 of 51 isolates) were positive for both genera, 59% (30 of 51 isolates) were positive only for Campylobacter spp., and 8% (4 of 51) were positive only for Helicobacter spp. Sixteen of the 47 Campylobacter-positive cultures were positive for more than one Campylobacter spp. Based on a species-specific PCR assay, 83% of the isolates were identified as Campylobacter helveticus, 47% of the isolates were identified as Campylobacter upsaliensis, and 6% of the isolates were classified as Campylobacter jejuni. The 1.2-kb PCR products of the 16S rRNA genes of 19 Helicobacter species isolates were subjected to restriction fragment length polymorphism (RFLP) analysis. Of the five different RFLP patterns obtained, two clustered with Helicobacter ("Flexispira") taxon 8, one clustered with Helicobacter bilis, one clustered with Helicobacter canis, and the remaining pattern was closely related to a novel Helicobacter sp. strain isolated from a woodchuck. The sequence data for the 16S rRNA genes of 10 Helicobacter spp. validated the RFLP-based identification of these isolates. This study demonstrated that biochemical and phenotypic characteristics of microaerobic organisms in cat feces were insufficient to characterize mixed Helicobacter and Campylobacter infections. Molecular structure-based diagnostics using genus-and speciesspecific PCR, RFLP analysis, and 16S rRNA sequence analysis enabled the identification of multiple microaerobic species in individual animals. The clinical relevance of enteric Helicobacter and Campylobacter coinfection in cats will require further studies.Cats are recognized reservoirs for enteric Campylobacter spp., including Campylobacter jejuni, Campylobacter coli, Campylobacter upsaliensis, and Campylobacter helveticus (5,13,20,37,58). C. jejuni and C. coli are among the most frequently encountered human enteric pathogens worldwide (2, 3). C. upsaliensis, a catalase-negative or weakly positive Campylobacter sp. initially isolated from diarrheic or nondiarrheic domestic dogs and cats (20,48), has also been associated with enteritis (25, 44, 55) and bacteremia (31, 39, 44) in humans. More-serious illnesses, including spontaneous abortion and hemolytic-uremic syndrome, have also been reported for a human infected with C. upsaliensis (27). Campylobacter infections, particularly C. jejuni infections, are zoonotic and are a particular problem among puppies and kittens from shelters (13, 18, 45). C. helveticus, which is closely related to C. upsaliensis, has also been isolated from domestic cats an...