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Background <p>Toxic shock syndrome (TSS) is a rare but life-threatening complication occasionally reported after tattooing.</p> Case presentation <p>: 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.</p> Conclusions <p>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.</p>

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Tattoo-associated toxic shock syndrome: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月1日

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

摘要

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.