Pulsed-field gel electrophoresis-SmaI fingerprints of clinical Clostridium difficile isolates typed at the National Microbiology Laboratory (Winnipeg, Manitoba) that had the same pulsotypes as C difficile isolated from meat in the present study. Three C difficile isolates from ground beef and ground pork purchased in Manitoba (FH-4, EH-4 and CP-1) are also included in this figure. The isolates from patients in Alberta and Ontaro are 07B08CD0003 and 02ACD0027, 08ACD0050, 21ACD0151 and 21ACD0182, respectively. All other clinical isolates are from Manitoba patients