The aggregation of mycobacterial cells in a definite order, forming microscopic structures that resemble cords, is known as cord formation, or cording, and is considered a virulence factor in the Mycobacterium tuberculosis complex and the species Mycobacterium marinum. In the 1950s, cording was related to a trehalose dimycolate lipid that, consequently, was named the cord factor. However, modern techniques of microbial genetics have revealed that cording can be affected by mutations in genes not directly involved in trehalose dimycolate biosynthesis. Therefore, questions such as "How does mycobacterial cord formation occur?" and "Which molecular factors play a role in cord formation?" remain unanswered. At present, one of the problems in cording studies is the correct interpretation of cording morphology. Using optical microscopy, it is sometimes difficult to distinguish between cording and clumping, which is a general property of mycobacteria due to their hydrophobic surfaces. In this work, we provide a new way to visualize cords in great detail using scanning electron microscopy, and we show the first scanning electron microscopy images of the ultrastructure of mycobacterial cords, making this technique the ideal tool for cording studies. This technique has enabled us to affirm that nonpathogenic mycobacteria also form microscopic cords. Finally, we demonstrate that a strong correlation exists between microscopic cords, rough colonial morphology, and increased persistence of mycobacteria inside macrophages.Mycobacterium tuberculosis, the causative agent of human tuberculosis (TB), killed 1.5 million people in 2006. A further 200,000 HIV-positive people died from HIV-associated TB (http://www.who.int/tb/en/index.html). Intensive research into the virulence factors that determine the pathogenicity of M. tuberculosis have been carried out since the tubercle bacillus was discovered. Unfortunately, despite the knowledge obtained, the factors that make M. tuberculosis virulent have not yet been identified (23,29). One of the first phenotypic characteristics linked to virulence was the microscopic formation of cords. When M. tuberculosis cells grow in a liquid medium without detergent, they form tight bundles, or cords, consisting of bacilli in which the orientation of the long axis of each cell is parallel to the long axis of the cord. M. tuberculosis microscopic cords were first observed by Robert Koch in 1882, but knowledge of their significance increased in 1947 with studies by Middlebrook et al. (16). These authors compared the virulent H37Rv and avirulent H37Ra M. tuberculosis strains and found that the formation of cords took place only in the virulent strain, whereas cells from the avirulent H37Ra strain were not oriented and merely formed irregular clumps. In 1953, Bloch isolated a toxic glycolipid from M. tuberculosis and related it to the virulence of the tubercle bacillus and to cording. Bloch named the glycolipid cord factor, and later, it was identified as trehalose dimycolate (TDM) (2, 17). However, 56...