Background & Objective: Dengue fever is an acute febrile illness caused by 4 closely related viral serotypes of the genus Flavivirus. Dengue has a broad range of clinical manifestations. So this study has been done to see the wide range of clinical presentation of dengue fever in a resource limited country like India. Materials & Methods: It is a retrospective study done in tertiary care teaching and referral hospital over the period of 8 months. Study was done by collecting the previous records from hospital record section. There were 48 cases of serologically confirmed cases of dengue which satisfied the inclusion & exclusion criteria were included in the study. Results: In our study there were 52% of the cases of dengue fever, 16.6% of cases of dengue fever with warning signs & remaining 31.4 % of patients were belong to severe dengue. The common Clinical symptoms at admission were fever (100%), vomiting (77%), respiratory distress(56.25%), generalised weakness (54.1%) & pain abdomen (33.3%). Less common symptoms were loose stools (6.25%), periorbital puffiness (6.25%), altered sensorium (4.1%), oliguria (2%) & bleeding manifestations (2%). Conclusion: In our study atypical presentations like respiratory distress, loose stools, meningeal signs were commonly noted & bleeding manifestation at admission was rare in our  study. Be aware of atypical presentation of dengue & early diagnosis & initiation of treatment for better outcome. 

Keywords: Dengue Fever; Clinical Profile; Atypical Presentation; Warning Signs