DISCUSSION:Akalrae is the most commonly isolated species from clinical specimens. They have been described to cause keratitis,opthalmitis, sinusitis, meningitis, cerebral vasculitis, endocarditis, mycetoma of the hand, onychomycosis, endocarditis and lung abscess. The route of entry is either the respiratory tract or direct inoculation into the skin and subcutaneous tissue. Specific risk factors or this rare fungalinfection are yet to be identified. Radiation therapy to the chest is suspected to be a risk factor for pulmonary infection with this organism. Terbinafine seems to be the best anti-fungal agentavailable. The azoles are also effective. Amphotericin seems to have some effect but the echinocandins are ineffective.