We report a case of a 55-year-old male with diabetes and end-stage renal failure presenting to the hospital with community-acquired pneumonia. He developed respiratory failure and required ventilatory support for more than a week. An elective tracheostomy was done and he was weaned off subsequently from ventilatory support. The tracheostomy was decannulated after he recovered from the pneumonia and was sent home after about 2 weeks in the hospital. A week later, he presented with dyspnoea to the hospital and a computed tomography (CT) scan of the thorax showed a lesion in the tracheal lumen at the level of the 6th to the 7th cervical vertebrae. Twenty-four hours later, the patient developed severe stridor requiring emergency intubation in the operating theatre.
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