Acrophialophora fusispora is a poorly studied ascomycete fungus found in soil, air and various plants. A. fusispora is morphologically similar to the genera Paecilomyces and Masonia, but differ in the presence of pigmented conidiophores, verticillate phialides, and frequent sympodial proliferation. Moreover, A. fusispora is distinguished by its pigmented spindle-shaped conidia, covered with spiral bands. The fungus is naturally found in soils of tropical to temperate regions. The fungus has been identified as a plant and animal pathogen, and has recently been recognized as an emerging opportunistic human pathogen. A. fusispora infection in human is rare and has few documented clinical cases, but due to the rarity of the fungus and potential misidentification, the infections may be underdia