A 29-year-old African-American woman was seen in her third pregnancy. In her first pregnancy, she experienced preterm labor and premature rupture of membranes with delivery of a previable infant at 5 months. Her second pregnancy ended in spontaneous abortion at 7 weeks. Current other medical conditions include obesity, chronic kidney disease, benign essential hypertension, and prediabetes. She has a history of abnormal cervical cytology smears and was treated with colposcopy and a loop electrosurgical excision procedure, which was followed by successive normal cytology exams. Because of her history of pregnancy complications and short cervical length (Ͻ2 cm), her current pregnancy was managed with placement of a prophylactic McDonald cerclage at the gestational age of 21 weeks. The cerclage was removed at gestational age 37 weeks. The mother was monitored for slow fetal growth in the third trimester that was suspected to be due to placental insufficiency. A vaginorectal culture taken at 39 weeks for Streptococcus agalactiae (group B Streptococcus) grew a betahemolytic organism with a wide zone of hemolysis (Fig. 1). Gram staining showed Gram-positive cocci in pairs and short chains (Fig. 1), and the organism was catalase negative and pyrrolidonyl arylamidase (PYR) negative and produced a weak positive reaction with the group B latex typing reagent in the PathoDx Strep grouping kit (Diagnostic Products Corporation, Los Angeles, CA, USA). Because the wide zone of beta-hemolysis was not consistent with S. agalactiae, the isolate was analyzed using Vitek MS matrix-assisted laser desorption-ionization time of flight mass spectrometry (MALDI-TOF MS) (bioMérieux, Durham, NC, USA), which returned a nonclinically validated identification of Streptococcus porcinus, with a confidence score of 99.9% generated using IVD Knowledge Base version 2.0 and Myla version 4 information management software. To corroborate the accuracy of the MALDI-TOF MS result, the 16S rRNA gene was amplified using PCR and the resultant DNA fragment sequenced. Sequence data were analyzed using BLAST (https://blast.ncbi.nlm.nih.gov [16S rRNA sequence database]) and yielded 99% sequence homology (1,443 nucleotides [nt]/1,458 nt) to the Streptococcus pseudoporcinus LQ 940-04 T strain. The next-best matches, all with 96.7% homology, were to S. porcinus 176 T (1,450 nt/1,499 nt), Streptococcus hongkongensis HKU30 T (1,370 nt/1,417 nt), and Streptococcus uberis JCM 5709 T (1,455 nt/1,505 nt). These data supported an identification of S. pseudoporcinus rather than S. porcinus.The patient required Cesarean delivery at the gestational age of 39.3 weeks after failed induction of labor for severe gestational hypertension/preeclampsia. In this case, there was no premature rupture of membranes, and no intrapartum antibiotics were administered. On gross examination, the placenta weighed 383 g (Ͻ10th percentile for Citation Gullett JC, Westblade LF, Green DA, Whittier S, Burd EM. 2017. The Brief Case: Too beta to be a "B." J Clin Microbiol 55:1604 -1607.