The existence of airborne mycotoxins in mold-contaminated buildings has long been hypothesized to be a potential occupant health risk. However, little work has been done to demonstrate the presence of these compounds in such environments. The presence of airborne macrocyclic trichothecene mycotoxins in indoor environments with known Stachybotrys chartarum contamination was therefore investigated. In seven buildings, air was collected using a high-volume liquid impaction bioaerosol sampler (SpinCon PAS 450-10) under static or disturbed conditions. An additional building was sampled using an Andersen GPS-1 PUF sampler modified to separate and collect particulates smaller than conidia. Four control buildings (i.e., no detectable S. chartarum growth or history of water damage) and outdoor air were also tested. Samples were analyzed using a macrocyclic trichothecene-specific enzyme-linked immunosorbent assay (ELISA). ELISA specificity was tested using phosphate-buffered saline extracts of the fungal genera Aspergillus, Chaetomium, Cladosporium, Fusarium, Memnoniella, Penicillium, Rhizopus, and Trichoderma, five Stachybotrys strains, and the indoor air allergens Can f 1, Der p 1, and Fel d 1. For test buildings, the results showed that detectable toxin concentrations increased with the sampling time and short periods of air disturbance. Trichothecene values ranged from <10 to >1,300 pg/m 3 of sampled air. The control environments demonstrated statistically significantly (P < 0.001) lower levels of airborne trichothecenes. ELISA specificity experiments demonstrated a high specificity for the trichothecene-producing strain of S. chartarum. Our data indicate that airborne macrocyclic trichothecenes can exist in Stachybotrys-contaminated buildings, and this should be taken into consideration in future indoor air quality investigations.For the past 25 years, there has been growing concern about the presence of fungi and their adverse human health effects in indoor environments. Several genera of fungi, including Stachybotrys, Chaetomium, and Aspergillus, have raised particular concern because of their associated toxin production. To date, the majority of indoor air quality investigations have focused on analyses of mold growth on building materials (1,18,35,40) and measurements of airborne particulate matter, including dust, fungal conidia (6, 20), and animal danders (13). These types of investigations cannot directly assess occupant exposure to mycotoxins. Exposure to these factors can influence allergic hypersensitivity responses (2, 9, 29) and symptoms of asthma in certain individuals (11, 30) but most likely does not account for often-reported symptoms such as nausea, dizziness, nose bleeds, physical and mental fatigue, and neurological disorders (28, 39) seen in subjects occupying sick buildings.Among the many fungi isolated from contaminated indoor environments, Stachybotrys chartarum is one of the most well known. S. chartarum is a known producer of a number of potent mycotoxins, in particular the macrocyclic tricho...