Dengue is the most common arboviral disease, the presentation of which ranges from asymptomatic illness to
dengue shock syndrome. Liver is the most common organ affected in
dengue, and liver involvement is asymptomatic in majority.
Dengue fever is a rare, but a leading cause for
acute liver failure in endemic regions. Here, we report a case of a 34-year-old male
ethanol user (16 units per week), presented with typical features of
dengue infection, which was confirmed serologically, complicated with
acute liver failure without clinical, radiological or laboratory evidence of plasma leakage. He was managed with intravenous fresh frozen plasma and N-acetyl
cysteine along with other recommended supportive
therapies for
acute hepatic failure. He made an uneventful recovery.