Numerous members of the genusExophialaare potential agents of human and animal mycoses. The majority of these infections are cutaneous and superficial, but also fatal systemic infections are known. We re-identified 188 clinical isolates from the United States, which had a preliminary morphological identification ofExophialaspecies, by sequencing internal transcribed spacer (ITS) region of the rRNA. Molecular identifications of the strains were as follows, in order of frequency: 55E. dermatitidis(29.3%), 37E. xenobiotica(19.7%), 35E. oligosperma(18.6%), 13E. lecanii-corni(6.9%), 12E. phaeomuriformis(6.4%), 7E. jeanselmei(3.7%), 7E. bergeri(3.7%), 6E. mesophila(3.2%), 5E. spinifera(2.7%), 3Exophialasp. 1 (1.6%), 3E. attenuata(1.6%), 3Phialophora europaea(1.3%), 1E. heteromorpha(0.5%), and 1Exophialasp. 2 (0.5%) strains.Exophialastrains were repeatedly isolated from deep infections (39.9%) involving lung, pleural fluid, sputum, digestive organs (stomach, intestines, bile), heart, brain, spleen, bone marrow, blood, dialysis fluid, lymph node, joint, breast, middle ear, throat, and intraocular tissues. About 38.3% of theExophialaspp. strains were agents of cutaneous infections including skin, mucous membranes, nail, and corneal epithelium lesions. The other strains caused superficial infections (0.5%, including hair) or subcutaneous infection (12.0%, including paranasal sinusitis, mycetoma, and subcutaneous cyst). The systemic infections were preponderantly caused byE. dermatitidis,E. oligosperma,E. phaeomuriformis,E. xenobiotica, andE. lecanii-corni. Strains ofE. bergeri,E. spinifera,E. jeanselmei,E. mesophila, andE. attenuatamainly induced cutaneous and subcutaneous infections. Since relatively few unknown ITS motifs were encountered, we suppose that the list of opportunisticExophialaspecies in temperate climates is nearing completion, but a number of species still have to be described.