探讨嗜肺军团菌肺炎并发横纹肌溶解症的诊断和治疗，以改善患者的预后。

分析一例嗜肺军团菌肺炎并发横纹肌溶解症的临床表现与诊治过程，检索2006至2016年共10年的国内文献进行复习。

一例嗜肺军团菌并发横纹肌溶解症患者男性，肌酸激酶（CK）为2 171 U/L，肌红蛋白（MYO）为313 ng/ml，血肌酐水平正常，给予积极补液、碱化尿液、利尿等对症治疗后CK及Myo恢复正常。国内文献共检索嗜肺军团菌并发横纹肌溶解症病例5例，年龄26～82岁，男性4例、女性1例，3例患者有使用空调史，其CK水平为1 641～13 600 U/L，4例患者肌酐升高168～699 μmol/L，均给予了补液、碱化尿液、利尿对症，3例患者接受连续性床旁血滤支持治疗后肾功能恢复正常。

嗜肺军团菌肺炎并发横纹肌溶解症临床少见，早期诊断、及时有效地针对病原学和并发症治疗有助于改善预后。

To investigate the diagnosis and treatment of Legionella pneumonia complicated with rhabdomyolysis and to improve the prognosis of patients.

The clinical manifestation and treatment process of one patients with Legionella pneumonia complicated with rhabdomyolysis were analyzed, and the literature retrieved from 2006 to 2016 and were reviewed.

The case of Legionella pneumophila complicated with rhabdomyolysis was male, whose level of creatine kinase (CK) and myoglobin (MYO) were elevated by 2 171 U/L and 313 ng/ml, repectively, serum creatinine was normal. The levels of CK and MYO returned to normal after symptomatic treatment such as positive fluid replacement, alkalization of urine and diureses. Total 5 cases of Legionella pneumophila complicated with rhabdomyolysis have been retrieved from the literatures, with the age 26-82 years old, and 4 cases were male. Among them, 3 cases had the history of air-conditioning, the levels of CK were 1 641-13 600U/L, 4 patients with elevated creatinine (168-699 μmol/L). All patients had received rehydration, alkaline urine, diuretic symptomatic treatment. The renal function of 3 cases returned to normal after continuous bedside hemofiltration support.

Legionella pneumophila complicated with rhabdomyolysis is rare. Early diagnosis, timely and effective treatment of etiology and complications could help to improve the prognosis.