A member from Bothell, United States, was at Barranco Camp on Mount Kilimanjaro in Tanzania when he developed severe altitude illness with signs of high–altitude pulmonary edema. He experienced shortness of breath requiring oxygen, cough, severe headache, fatigue, low oxygen levels, a fast heart rate, poor oral intake and difficulty walking. The operations team approved a helicopter evacuation from camp to a hospital in Moshi, where he was evaluated and treated. He was diagnosed with acute mountain sickness and pneumonia, then discharged to his hotel with medications and clear instructions on warning signs that would require urgent medical attention. A reviewing physician raised no concerns, and the member later reported improvement and declined further assistance.