Diabetes mellitus is a common disease in developing countries and the complications are feared by many physicians and surgeons. One such rare and dangerous complication is parapharygeal abscess which can spread via its intricate anatomical site to other deep neck spaces. We present the case of a young male who is a known uncontrolled diabetic presented to us with neck swelling and toxic symptoms and managed successfully with timely surgical intervention by exploring all neck planes to evacuate purulent material thus speeding up the recovery process.