Opportunistic mycoses have been increasingly observed among immunocompromised patients. We describe a case in which Engyodontium album was isolated and cultured from the blood of a patient with the Acquired Immunodeficiency Syndrome. E. album grew at 37ºC and showed proteinase activity, both indicators of pathogenicity. This is the first time that this organism has been reported as agent of fungaemia.Key words: Engyodontium album, fungaemia, Acquired Immunodeficiency Syndrome Opportunistic mycoses have been increasingly observed in immuno-compromised patients. Engyodontium album is an unusual pathogen but a rather common inhabitant of waste or moist material and can be isolated from substrates such as paper, jute, linen, and painted walls. Its dispersal is by dry, hygrophobic conidia and can be isolated from house air (1).E. album used to be included in the genus Beauveria (10). Limber (7) then included it in a new genus, Tritirachium, but since 1972 a new genus Engyodontium has been created which includes two species, E. album and E. parvisporum (3). Infections involving E. album include eczema vesiculosum (4), granulomatous skin lesions, brain abscess (9) Direct examination was performed without clarifying and staining clinical samples. Subcultures were prepared using Sabouraud dextrose agar plus chloranphenicol (Difco Laboratories) incubated at 30ºC and 35ºC in an aerobic atmosphere for 15 days. Pure cultures were transferred onto the surface of potato dextrose agar medium to taxonomic identification (5,6).Preliminary pathogenicity tests were carried out through proteinase detection using casein and gelatin as substrates (6). The isolated fungus was inoculated on the referred culture medium, incubated at room temperature and at 37ºC in order to detect the formation of a transparent halo, and observed for 10 to 15 days. When a transparent zone occurred, the result was considered positive, regardless the diameter.Direct examination revealed septation of hyaline hyphae. Macroscopically the colonies were floccose, white, and 24 mm in diameter. The reverse of the colony was colorless. Microscopic examination showed narrow vegetative hyphae which were 1 to 2 µm wide, bearing fertile hyphae which were 2 to 4 µm wide and apically dichotomously branched, bearing conidiogenous cells in whorls of one to three. Conidiogenous cells consisted of an elongated cylindrical structure with a well-developed rachis with denticles. Conidia were hyaline, smooth, and globose (Fig. 1). The organism was identified as E. album according to the