An Afghan man who fought for the US for 10 years died in an ICE detention center.

An Afghan man who fought alongside Americans for years died of an allergic reaction. He became ill while in U.S. Immigration and Customs Enforcement (ICE) custody. His death occurred a day after he was detained in deportation proceedings, according to reports. NBC News.

According to the death report, Mohammad Nazir Paktiawal suffered an "adverse drug reaction" of unknown origin, resulting in anaphylaxis and asthma exacerbation. He died on March 14 at a Dallas hospital. The death was ruled accidental.

Paktiawal was evacuated from Afghanistan along with thousands of others in 2021 as American troops withdrew from the country. He entered the United States legally and applied for asylum. His application was still pending when ICE officers detained him on March 13 outside his home in Richardson, Texas, as he was getting the eldest of his six children ready for school.

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US Immigration and Customs Enforcement defends its decision to detain him for deportation, pointing out that Paktiawal was previously arrested on charges of food stamp fraud and theft, but was found not guilty of either.

The death report states that during his initial examination at the service's Dallas office, he reported no medical conditions or allergies. Several hours later, he developed shortness of breath and chest pain and was taken to Parkland Memorial Hospital.

The next morning, paramedics noticed swelling in his tongue and administered epinephrine, a drug used for allergic reactions. He was pronounced dead approximately 40 minutes later after resuscitation efforts failed.

The death certificate lists the cause of death as "anaphylaxis complicating an acute exacerbation of asthma." Anaphylaxis is a severe allergic reaction typically caused by food, medication, or insect venom. The document also lists methamphetamine toxicity, heart disease, and smoking as contributing factors.

Relatives said they were unaware that Pactiaval had used methamphetamine. A second autopsy, requested by the family, failed to confirm the presence of the substance in his system because no blood samples were available for analysis. The deceased's wife claimed he used an inhaler for asthma, but ICE officers refused to take the inhaler when they took him into custody.

The cause and manner of death were determined by the Dallas County Medical Examiner's Office following an autopsy.

County officials, citing ICE's position that it could interfere with the federal investigation, are refusing to release the report. Citing a law enforcement exemption under the Access to Information Act, they have asked Texas Attorney General Ken Paxton's office for permission to withhold the document.

In response to a request from the Associated Press, Dallas County spokeswoman Jennifer Rose said releasing the report could hinder the investigation.

Paxton's office has not yet made a decision on this matter. It previously granted a similar request from another Texas district, refusing to release the autopsy report of a Vietnamese citizen who died in ICE custody in July 2025.

Paktiawal's sudden death sparked outrage because he risked his life for a decade while serving as an ally of US special forces in Afghanistan.

According to an Associated Press tally, of the more than 50 deaths in ICE detention centers during Donald Trump's second term, Paktiawal's was the first to be classified as an accident. Most other deaths were attributed to natural causes or suicide.

"What accident are we talking about?" asked the victim's younger brother, Nasir Paktiawal, on June 6. "We just want to know the truth."

Nasir remembers his brother as a special forces soldier who fought in the most dangerous regions of Afghanistan. After moving to the United States, Paktiawal worked as a truck driver and also worked long hours in a store and bakery to provide for his family.

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On July 6, the advocacy group AfghanEvac and two members of Congress called on Texas authorities to release the autopsy report.

"This family has a right to know what happened," said AfghanEvac CEO Sean VanDiver. "We want an explanation of what substance caused the reaction and how it entered their body."

"What's happening raises serious suspicions of an attempt to hide the truth," said Democratic Senator Richard Blumenthal of Connecticut, noting that he intends to contact the U.S. Department of Homeland Security to demand the release of the autopsy results.

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