For eukaryotic pathogens that have low levels of genetic variation, multilocus microsatellite typing (MLMT) offers an accurate and reproducible method of characterizing genetic diversity. Here, we describe the application of an MLMT system to the emerging pathogenic fungus Penicillium marneffei. Isolates used for this study were those held in the culture collections of the Centraalbureau voor Schimmelcultures, Utrecht, The Netherlands, and the Chiang Mai University Department of Microbiology, Chang Mai, Thailand. High genetic diversity and extensive spatial structure were observed among clinical isolates, with the geographical area of origin for each isolate strongly correlating with the occurrence of two deeply divided clades. Within each clade, multilocus linkage associations were highly significant and could be explained by genetically differentiated populations or by an exclusively clonal reproductive mode, or both. Our results show that southeast Asian penicilliosis is caused by a fungus with a complex population genetic structure. Furthermore, this MLMT system generates digital data that can be easily queried against a centrally held database via the internet (http://pmarneffei.multilocus.net/); this provides a powerful epidemiological tool for analyzing the underlying parameters that are responsible for the emergence of P. marneffei in human immunodeficiency virus-positive populations.Penicillium marneffei is a mitosporic pathogenic fungus of the family Trichocomaceae that has emerged since 1990 as a significant human mycosis. Emergence of P. marneffei has occurred in concert with the explosive epidemic of AIDS in southeast Asia, where it is classified as an AIDS-related indicator disease (17). In northern Thailand, P. marneffei is the third most frequent opportunistic infectious disease organism, after tuberculosis and cryptococcosis (22).So far, the ecology and epidemiology of P. marneffei have remained enigmatic. The range of endemicity of the pathogen is confined to southeast Asia, where autochthonous isolations from northeast India, Thailand, the Guangxi region of China, Hong Kong, Taiwan, Vietnam, and Indonesia are known (1). In these regions, P. marneffei is a naturally occurring sylvatic infection in a high proportion of bamboo rat species (3-5). However, it is not known whether bamboo rats are (i) an obligate stage in P. marneffei's life cycle and (ii) a zoonotic focus for human infection. Furthermore, it is not known whether all lineages of P. marneffei are equally infectious to bamboo rats and humans or rather represent a subset of a wider, more genetically diverse population. In order to address these questions, there is an urgent need for well-characterized neutral markers with which to analyze the population genetic structure of P. marneffei.Studies of P. marneffei using molecular epidemiological techniques are still at an early stage of development, with previous differentiation of P. marneffei isolates relying on PCR amplification of anonymous loci (14) or enzyme-based restriction of nucle...