Sexual reproductive stages of fungi are very rarely found within mammalian tissues. We report here coexistence of cleistothecia associated with Emericella nidulans and its conidial state, Aspergillus nidulans, in a fungal mass which developed in a maxillary sinus.A 67-year-old woman complained of pain and discharge following an operation on her maxillary antrum 8 years previously. A clinical diagnosis was made of a cholesteatoma or a foreign body. Two biopsies were obtained, one mucosal and the other consisting of grey membranous tissue and greyish-brown debris. Histology showed the features of chronic inflammation but there was no evidence of malignancy or of a foreign body. The debris consisted almost entirely of dense mycelium within which several cleistothecia were embedded (Fig. 1). These were rounded, 120-130/tm in diameter, containing abundant lenticular ascospores ca. 4-0 × 4-5 #m with conspicuous paired equatorial crests. Cleistothecia were associated with Hiille cells ca. 20/zm in diameter. Confirmation of identity was provided by the presence in other parts of the sectioned fungal mass of short, smooth, sinuous conidiophores and conidia 3.0-3.5 /zm in diameter typical ofAspergillus nidulans (Fig. 2). In the routine histopathological sections stained with haematoxylin and eosin, details of sporing structures were clearly seen. The characteristic brown colour of the conidiophores was also readily visible, although the distinctive red colour of the ascospores of Emericella nidulans (the sexual sporing state) could not be distinguished. The patient was discharged after sinovectomy and was well when seen 2 years later.The literature contains only a few reports of similar findings. La Touche [4] observed cleistothecia and ascospores of A. glaucus and A. nidulans in debris removed from the human ear. Stedham et al. [6] noted the presence of sexual and asexual sporing forms ofA. nidulans in the lungs of captive egrets. Doby & Kombila-Favry [2] described a biopsy specimen from a human maxillary sinus which in histological sections showed cleistothecia surrounded by Hiille cells. Since only A. fumigatus was isolated in culture, the infection was regarded as a mixed one. In a brief note