1. The patient, a YEARS/MALE, was admitted to the hospital with fever, chills, headache, myalgia, nose bleed, epigastric pain, vomiting, diarrhea, shortness of breath, and altered consciousness for 5 days. 2. Examination revealed bilateral basal crepitations in the lungs, soft abdomen, and the patient was ill-looking but oriented. 3. Investigations showed fatty liver changes and bilateral minimal pleural effusion on ultrasound. The patient was diagnosed with dengue fever and managed supportively. 4. The patient's condition improved and they were discharged on pantoprazole with advice to follow-up in the medicine OPD within a week