Brückner O, Kroening U, Nagel R
Infection. 1979;7(6):283-9. doi: 10.1007/BF01642150.
Investigation of kidneys from 20 patients revealed relatively low tobramycin concentrations in cortex and medulla after one day of treatment. After administration for several days a significant accumulation was observed in only one of three patients. Attention is drawn to the higher tobramycin concentrations found in renal parenchyma which has undergone chronic inflammatory changes compared to the "normal" values in kidneys infiltrated by tumours. A higher accumulation thus occurs in renal tissue which has already undergone structural damage as a result of bacterial inflammation.
对20名患者的肾脏进行调查发现,治疗一天后,皮质和髓质中的妥布霉素浓度相对较低。给药几天后,仅在三名患者中的一名观察到明显蓄积。与肿瘤浸润肾脏中的“正常”值相比,注意到在发生慢性炎症变化的肾实质中发现的妥布霉素浓度更高。因此,在已经因细菌性炎症而发生结构损伤的肾组织中会出现更高的蓄积。