During the 19th century, dengue was considered a sporadic disease, causing epidemics. However, dramatic changes in this pattern have occurred and currently, dengue ranks as the most important mosquito-borne viral disease in the world. In the past 50 years, its incidence has increased 30-fold with significant outbreaks occurring in five of six World Health Organization (WHO) regions. The study was approved by the institutional ethical committee. Informed written consent was obtained from the parents of each patient before enrollment. History and examination findings were recorded in a pre-structured proforma. Children with clinically diagnosed dengue fever (WHO criteria) & serologically confirmed and admitted cases between the age group of 2months to 18years formed the study group. In my study population, all of them had a fever. The second most common presenting symptom was vomiting 112 (60.5%) cases, pain abdomen was next 73 cases(39.5%), 56 cases (30.3%) presented as a shock, 18 cases (9.7%) presented with bleeding manifestations and least being headache with 9cases (4.9).