DOI: 10.36347/sjmcr.2017.v05i06.012

Pages: 394-397

Dengue fever [DF], also known as break-bone fever is a mosquito-borne infection that causes spectrum of clinical manifestation ranges from flu-like illness self- limiting febrile episode dengue hemorrhagic fever [DHF] and dengue shock syndrome [DSS]. It is a major international public health fear due to its rising morbidity and mortality in all age group. Four different viruses can cause dengue fever, all of which are spread by a particular type of mosquito Aedes aegypti and Aedes albopictus. Irrespective of serotype early management of dengue fever is crucial in order to prevent rare complications. In our clinical practice we have encountered different rare presentation of dengue fever. The first case illustrates dengue with unusually high liver enzymes. Second case reports a young man with intra cerebral hemorrhage. Third case presented with sub acute appendicitis.