A 64-year-old U.S. member of the American Alpine Club needed field rescue from Shira Camp 2 on Mount Kilimanjaro, Tanzania contacted Global Rescue medical operations to report swelling and tightness in his lips, cheeks and face. A friend and internist suggested that he could be experiencing adverse reactions to Lisinopril, a medication used to treat high blood pressure and heart failure, or there could be a clot causing the swelling. We initiated an immediate airborne evacuation due to the member’s condition. He was safely airlifted from the mountain to a hospital in Moshi. At the hospital emergency department, the member was evaluated and tested before being discharged after receiving a cortisone injection and Loratadine, a medicine used to treat allergies.