Acute Liver Failure in a Patient With Dengue Shock Syndrome

Dengue is an arboviral disease of significant burden in tropical countries. It commonly affects the liver, ranging in presentation from asymptomatic transaminitis to acute liver failure. We present a young woman from India who developed acute liver failure because of dengue shock syndrome and improved without a liver transplant. We review the disease characteristics and management of dengue, with a focus on the natural history of illness and how to approach the possible need for liver transplant in these patients.