RT Journal Article SR Electronic T1 Beware the normal angiogram JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 88 OP 89 DO 10.7861/clinmedicine.14-1-88 VO 14 IS 1 A1 LJ Pearson A1 C Snelson YR 2014 UL http://www.rcpjournals.org/content/14/1/88.abstract AB Purulent 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.