Uploaded April 2026 | Updated September 2026, 1 week ago
***This article was retracted on 4/29/26 at the authors’ request, with this explanation: "We were unaware of Journal policies on image manipulation and had altered our submission by using an artificial intelligence (AI) tool to move the ruler to the top of the image. We therefore wish to retract our image and case report. The full retraction is available at NEJM.org."
After inhaling smoke from a forest fire for several hours, an 87-year-old man presented to the ED with difficulty breathing. He rapidly developed respiratory failure, and a flexible bronchoscopy revealed bronchial casts from inhalation of particulate matter from the smoke.
Read the full case details in the Images in Clinical Medicine article “Bronchial Casts from Inhalation of Forest-Fire Smoke” at NEJM.org.
This video is part of an #earthday2026 spotlight illustrating the effects of the climate crisis on clinical health. View more resources at NEJM.org.
#climatechange #nejm
***This article was retracted on 4/29/26 at the authors’ request, with this explanation: "We were unaware of Journal policies on image manipulation and had altered our submission by using an artificial intelligence (AI) tool to move the ruler to the top of the image. We therefore wish to retract our image and case report. The full retraction is available at NEJM.org."
After inhaling smoke from a forest fire for several hours, an 87-year-old man presented to the ED with difficulty breathing. He rapidly developed respiratory failure, and a flexible bronchoscopy revealed bronchial casts from inhalation of particulate matter from the smoke.
Read the full case details in the Images in Clinical Medicine article “Bronchial Casts from Inhalation of Forest-Fire Smoke” at NEJM.org.
This video is part of an #earthday2026 spotlight illustrating the effects of the climate crisis on clinical health. View more resources at NEJM.org.
#climatechange #nejm
