The fungi in genus Neocosmospora (formerly Fusarium solani species complex) are hyaline molds that are commonly found in soil and organic debris. The genus Fusarium was first described in the early 19th century. In 1935, Wollenweber and Reinking used morphological differences to organize the genus into 16 sections, with 65 species, 55 varieties, and 22 forms. 1 Disease in humans is limited to a few species. F solani complex (currently Neocosmospora spp.) 2 are the most common isolate, followed by F oxysporum, F verticillioides, and F proliferatum. 3 Fusarium spp. possess several virulence factors, including trichothecene and other mycotoxins. These mycotoxins suppress humoral and cellular immunity of infected hosts, and they cause tissue breakdown. 4 In immunocompetent hosts, infections usually occur after traumatic inoculation, and they commonly manifest as keratitis, onychomycosis, or soft tissue and skin infection. Fungemia and disseminated infection are common in immunocompromised patients. The strongest risk factor for disseminated fusariosis is severe immunosuppression, like that presented in patients with hematologic malignancies or prolonged neutropenia. 5 There are only a few reported cases of fusariosis in solid organ transplantation. In this report, we present the first case of isolated Neocosmospora pseudensiformis pulmonary infection in a patient with non-alcoholic steatohepatitis cirrhosis who underwent orthotopic liver transplantation.