Abstract
Dengue fever is a febrile viral disease transmitted by mosquitoes. The symptoms of dengue fever are numerous and varied; however, cardiac tamponade is a particularly rare and atypical complication. This study describes a case of a 30-year-old male who presented with acute respiratory distress and chest pain on the ninth day after diagnosis of dengue fever. On admission, a computed tomography scan revealed a large pericardial effusion. The patient went into shock and was urgently treated with pericardial drainage, which resulted in rapid improvement of his symptoms. Emergent management of this rare but potentially fatal complication of dengue fever resulted in a favorable outcome in this case.