Tattoo-associated toxic shock syndrome: a case report

Kubo, Takuya; Yumoto, Tetsuya; Hagiya, Hideharu; Iio, Koji; Naito, Hiromichi; Nakao, Atsunori

doi:10.1186/s12245-025-00993-2

Permalink : http://escholarship.lib.okayama-u.ac.jp/69590

ID	69590
フルテキストURL	fulltext.pdf 1.11 MB
著者	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
抄録	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.
キーワード	Blood culture Critically ill Septic shock Tattooing Toxic shock syndrome
発行日	2025-10-01
出版物タイトル	International Journal of Emergency Medicine
巻	18巻
号	1号
出版者	Springer Science and Business Media LLC
開始ページ	185
ISSN	1865-1380
資料タイプ	学術雑誌論文
言語	英語
OAI-PMH Set	岡山大学
著作権者	© The Author(s) 2025.
論文のバージョン	publisher
PubMed ID	41034788
DOI	10.1186/s12245-025-00993-2
Web of Science KeyUT	001586543500001
関連URL	isVersionOf https://doi.org/10.1186/s12245-025-00993-2
ライセンス	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