'Zamboni disease'. Pulmonary edema in an ice hockey player

Arch Intern Med. 1995 Dec;155(22):2479-80. doi: 10.1001/archinte.155.22.2479.


A 17-year-old previously well ice hockey player experienced acute shortness of breath and cough productive of clear frothy sputum about 1.5 hours following an ice hockey match. Noncardiogenic pulmonary edema was found to develop as a result of the inhalation of the oxides of nitrogen. The latter was produced by a Zamboni machine that is used to resurface the ice on a rink. Several other players were affected but less severely.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Environmental Monitoring
  • Hockey*
  • Humans
  • Male
  • Maximum Allowable Concentration
  • Nitrogen Oxides / adverse effects*
  • Pulmonary Edema / chemically induced*
  • Pulmonary Edema / diagnostic imaging
  • Radiography
  • Vehicle Emissions / adverse effects*
  • Ventilation


  • Nitrogen Oxides
  • Vehicle Emissions