<p> Objectives: To assess the severity of dengue fever in the study population and determine different features of severity of pediatric dengue. Design: Hospital based, descriptive, observational study. Setting: Pediatric intensive care unit (PICU) of Burdwan Medical College. Subjects: All children in the age group of less than or equal to 12 years who visited the pediatric emergency with clinical features of ‘Probable case’ of Dengue (WHO Case definition of dengue), who were subsequently diagnosed as Dengue fever by serology (by NS-1 Ag and/or dengue specific IgM MAC ELISA). Results: During the study period, 71 patients with dengue fever were admitted. Nine patients (12.7%) among them had features of severe dengue. Haemorrhagic manifestation was the most common clinical feature of severity (15.5%). Conclusion: Such studies on the profile of severe dengue in pediatric patients are very rare from Eastern part of India</p>