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ID 69590
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Kubo, Takuya Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
Yumoto, Tetsuya Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University ORCID Kaken ID publons
Hagiya, Hideharu Department of Infectious Diseases, Okayama University Hospital ORCID Kaken ID researchmap
Iio, Koji Microbiology Division, Clinical Laboratory, Okayama University Hospital
Naito, Hiromichi Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University ORCID Kaken ID publons
Nakao, Atsunori Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University Kaken ID
Abstract
Background: Toxic shock syndrome (TSS) is a rare but life-threatening complication occasionally reported after tattooing.
Case presentation: : A 29-year-old Japanese man was admitted to Okayama University Hospital, Okayama, Japan, in early spring 2025, one week after receiving a tattoo on his right shoulder and upper arm in Osaka. He presented with fever, gastrointestinal symptoms, hypotension, and multi-organ failure. Despite a failure to isolate a causative pathogen, he met clinical criteria for TSS. Supportive care and broad-spectrum antibiotics led to full recovery.
Conclusions: TSS can occur after tattooing, even in individuals without apparent immunodeficiency. Pathogenic organisms may be unidentifiable; however, clinical diagnosis should not be delayed, and early therapeutic interventions are essential to improve outcomes.
Keywords
Blood culture
Critically ill
Septic shock
Tattooing
Toxic shock syndrome
Published Date
2025-10-01
Publication Title
International Journal of Emergency Medicine
Volume
volume18
Issue
issue1
Publisher
Springer Science and Business Media LLC
Start Page
185
ISSN
1865-1380
Content Type
Journal Article
language
English
OAI-PMH Set
岡山大学
Copyright Holders
© The Author(s) 2025.
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publisher
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DOI
Web of Science KeyUT
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isVersionOf https://doi.org/10.1186/s12245-025-00993-2
License
http://creativecommons.org/licenses/by/4.0/
Citation
Kubo, T., Yumoto, T., Hagiya, H. et al. Tattoo-associated toxic shock syndrome: a case report. Int J Emerg Med 18, 185 (2025). https://doi.org/10.1186/s12245-025-00993-2