A 73-year-old end-stage renal disease patient who had undergone craniopharyngioma resection 30 years previously was admitted to hospital after a fall. He developed hospital-acquired laboratory-confirmed SARS-CoV-2 that required high-flow nasal oxygen therapy. Follow-up real-time polymerase chain reaction (RT-PCR) of nasopharyngeal swabs was performed weekly by a trained nurse until hospital discharge 3 weeks later.

The following month, the patient developed tiredness, discomfort in the back of his throat, swallowing difficulties, weight loss (> 10kgs) and fever (39 °C).

Empirical antibiotics were unsuccessful and he was admitted to our intensive care unit (ICU) for uncontrolled sepsis and required orotracheal intubation.

An emergency computed tomography (CT) scan was performed and found a 28 × 20 mm pharyngeal abscess.

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