[Phalengeal actinomycosis: a rare disease].
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.
Toumi
A
A
Loussaief
C
C
Chakroun
M
M
Ben Romdhane
F
F
Zakhama
A
A
Bouzouïa
N
N
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
D000900:Anti-Bacterial Agents; D010400:Penicillin G