• Clin Med · Feb 2014

    Case Reports

    Beware the normal angiogram.

    • L J Pearson and C Snelson.
    • Department of Critical Care, Queen Elizabeth Hospital, Birmingham, UK.
    • Clin Med. 2014 Feb 1; 14 (1): 888988-9.

    AbstractPurulent pericarditis is now rare due to the widespread use of antibiotics. However, it is associated with significant morbidity and mortality, and non-specific symptoms and signs can make diagnosis difficult. We report a patient who presented with left-sided chest pain, mild fever and ST segment elevation on electrocardiography, who required prolonged organ support in the intensive care unit. This lesson highlights the diagnostic difficulties and management challenges that this condition can present.

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