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Check for updateschild with dengue infection during pregnancy has been reported [2][3][4][5]. We are reporting a unique presentation of resistant hypoglycaemia in a newborn baby who had developed congenital dengue infection. Dengue-related hypoglycaemia has not been reported previously. This is perhaps the first time resistant hypoglycaemia is being reported in the setting of congenital dengue. Case PresentationA single late preterm (36 weeks) male baby weighing 20855 gm was delivered by Emergency Caesarean Section to a 29-years-old primigravida mother. Baby did not cry immediately after birth had an APGAR score of 4, 7 at 1 and 5 minutes respectively. He received initial steps of resuscitation along with bag and mask ventilation for 30 seconds. Post-resuscitation baby had respiratory distress hence was admitted to level 3 neonatal intensive care unit (NICU). On admission in NICU baby was grunting and had vitals of Heart rate 143/min, respiratory rate of 66/min, temp 98.6 °F, SpO 2 at room air was 98%, CRT < 3 sec and routine blood sugar was 42 mg/dl. Baby's rest of the systemic examination was normal. He did not have any congenital anomalies. On admission, baby was given oxygen by nasal prongs, IV fluid and first line IV antibiotics. Investigations showed a negative sepsis screen with a CRP of 1.5 mg/dl (Normal: < 6 mg/dl). Blood and urine cultures were sterile. Complete blood count showed a haemoglobin level of 15.5 mg/dl and a platelet count of 2.2 L/cumm. On day 2 of admission the child's general condition deteriorated with appearance of petechial rashes and development of resistant hypoglycaemia. The platelet count dropped suddenly to

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