A patient with renal failure secondary to amyloidosis and undergoing continuous ambulatory peritoneal dialysis had fungal peritonitis due to Trichoderma viride, an organism ubiquitous in the soil. Tissue invasion by this species has not previously been reported. In vitro susceptibility of the organism suggests that such infections may respond to amphotericin B or ketoconazole although our patient died before a response to therapy could be evaluated.