Objective: To determine the prevalence of the different Chlamydia trac
homatis genotypes in Portuguese patients. Methods: Urogenital isolates
(n = 240) derived from attenders of various clinics in the Lisbon are
a were differentiated into genovars by genotyping with restriction fra
gment length polymorphism (RFLP) analysis of the PCR amplified omp1 ge
ne. Results: Genotype E was the most common for both men (47.9%) and w
omen (43.8%). Genotypes D and F were the second most prevalent for men
(11.3%) and genotype H was the second most prevalent for women (19.5%
). Genotypes F, G, D, in women and H, G, I, in men, were found in a lo
wer percentage of cases. Genotypes B, Pa, J, K, L1, and L2 were very r
arely detected. Conclusions: With one exception, the overall distribut
ion of Chlamydia trachomatis genotypes in our study is similar to what
has been observed in other western countries. The only exception is t
he unusual prevalence of genotype H among women. The clinical manifest
ations associated with this and other genotypes were similar.