title: [Phalengeal actinomycosis: a rare disease].
abstract: BACKGROUND
  Bone involvement in actinomycosis is rare.
  
  
  METHODS
  We report a case of a 38 year-old woman with foot bone actinomycosis. The clinical symptoms were non-specific and the diagnosis was difficult. An X-ray revealed an osteolysis and a sclerosis of the proximal phalanx of the big toe. A phalengiectomy was carried out after the failure of antistaphylococcic antibiotherapy. The diagnosis of actinomycosis was substantiated by a histological examination. The clinical outcome was good after six-month treatment by penicillin G substitutes for cotrimoxazol. The patient completely recovered and was feeling well. The mean follow up was fifteen months.
  
  
  CONCLUSIONS
  Clinical and therapeutic aspects of this rare localization are reviewed.
authors.forename: A
authors.initials: A
authors.lastname: Toumi
authors.forename: C
authors.initials: C
authors.lastname: Loussaief
authors.forename: M
authors.initials: M
authors.lastname: Chakroun
authors.forename: F
authors.initials: F
authors.lastname: Ben Romdhane
authors.forename: A
authors.initials: A
authors.lastname: Zakhama
authors.forename: N
authors.initials: N
authors.lastname: Bouzouïa
mesh_terms: D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001850:Bone Diseases, Infectious / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology*; D005260:Female; D006801:Humans; D010014:Osteolysis / Q000209:etiology; D010400:Penicillin G / Q000627:therapeutic use; D050277:Toe Phalanges / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D010400:Penicillin G