A 49-year-old member from Hollywood, United States, became unwell at Barafu Camp on Mount Kilimanjaro in Tanzania. He developed shortness of breath with oxygen levels in the high seventies on room air, accompanied by intense chest tightness, coughing, wheezing, nausea and poor appetite. As his condition worsened, a helicopter evacuation was authorized from Barafu Camp to a nearby hospital for urgent assessment. He was diagnosed with acute mountain sickness and discharged after treatment. By the following day he reported feeling much better compared with his condition at altitude and chose to manage his recovery and onward travel independently.