Dengue without or with warning signs is a fast emerging global health problem.Dengue viral infections are known to present a diverse clinical spectrum, ranging from asymptomatic illness to severe dengue. Unusual manifestations of dengue infections such as encephalitis, GullianBarre syndrome, hemolytic uremic syndrome, dengue hepatitis, myocarditis, acute respiratory distress syndrome are recognized and they have become more common in recent years.

Since our hospital (Kanachur Institute of Medical Sciences) is a tertiary care hospital, we do see a lot of children with dengue infections including those with atypical manifestations. So, an attempt has been made tostudy clinically in children with dengue virus infection.