Winter-onset Summer-type Hypersensitivity Pneumonitis Related to a Warm Climate: A Case Report and Review of the Literature

Abstract

A 49-year-old man living on an island was admitted to our hospital in January with antibiotic-resistant intermittent fever, cough, and hypoxemia. Based on his medical history, imaging findings, and a positive test for anti-Trichosporon asahii antibody, we diagnosed summer-type hypersensitivity pneumonitis. A literature review of reported cases of summertype hypersensitivity pneumonitis diagnosed in seasons other than summer showed that it is common in hot and humid environments as well as in warm regions. The possibility of summer-type hypersensitivity pneumonitis should be considered even in winter.