Colletotrichum species have caused human infections in recent years. Because of the difficulties in recognizing them in vitro, we have designed a quick and unambiguous molecular test, based on the amplification of a specific fragment of the internal transcribed spacer 1 region, to distinguish any Colletotrichum isolate from other fungi, including the common pathogenic species. Analysis of the sequences of the ribosomal DNA (rDNA) fragment showed sufficient variability to clearly separate the five species of Colletotrichum that are of clinical interest, i.e., Colletotrichum coccodes, C. crassipes, C. dematium, C. gloeosporioides, and C. graminicola. Sequencing of the D1-D2 region of the large-subunit rDNA gene also supported these results. Additionally, we reviewed the most suitable morphological characteristics for the in vitro identification of these increasingly important opportunistic fungi.Hyphomycetes are the most common pathogenic moulds, but coelomycetes can also be found in human infections. These infections mainly occur in immunosuppressed hosts, although healthy individuals are also occasionally affected when the epithelial barrier is disturbed. Coelomycetes are asexual fungi that produce their fertile hyphae in specialized structures called conidiomata. They mainly produce two types of conidiomata: (i) pycnidia, which are more or less spherical fruit bodies with an opening only at the apex and a layer of the conidiogenous cells lining the inner cavity wall, and (ii) acervuli, which are cup-shaped fruiting bodies whose fertile hyphae form a palisade on the surface of the conidiomata. In a recent review of infections by coelomycetes, 11 genera were reported, but those most commonly found in clinical specimens are Colletotrichum, Nattrassia, and Phoma (24).The genus Colletotrichum is one of the most important genera of plant pathogens. It has a worldwide distribution but is found mainly in subtropical and tropical regions (1). Colletotrichum species cause economically significant diseases of plants (generally referred to as anthracnoses) that affect cereals and grasses, legumes, vegetables, and perennial crops, including fruit trees (1). The key morphological features which identify the genus are its acervular conidiomata, often with setae (dark-pigmented, unbranched, thick-walled sterile hyphae usually pointed at the tip), producing elongated slimy conidia, and the presence of appressoria (thick-walled swellings at the end of a hypha or germ tube useful for attaching the fungus to the host surface before penetration of the tissue). The genus Colletotrichum encompasses numerous species, and the key criterion for their identification is based mainly on determining the plant host. In the most recent review of the genus, Sutton (23) accepted 39 species but indicated that the separation or recognition of some of these species is unclear.Five species of Colletotrichum have been reported to cause infections in humans. They are Colletotrichum coccodes, C. crassipes, C. dematium, C. gloeosporioides, and C. grami...