Objective: To identify the etiology, clinical profile and assess the complications of febrile thrombocytopenia. Design: Prospective descriptive study Setting: tertiary care hospital Participants: This study was undertaken in 50 paediatric patients in the age group of 1 to 15 years of age, who were admitted in KVG medical college and hospital with the presentation of fever and thrombocytopenia (less than 1.5lakh/cu.mm). Results: There were 26 males and 24 females in the enrolled population. Most common etiology was dengue followed by malaria and rickettsia. In majority o, thrombocytopenia was transient and asymptomatic whereas bleeding manifestations were commonly seen in dengue cases. Common symptoms associated were abdominal pain and petechial rash. Irrespective of platelet transfusion, spontaneous recovery was noted in dengue patients. Conclusions: Platelet transfusions do not influence the incidence of severe bleeding in dengue fever. Much more awareness and research is further needed to avoid unnecessary panic and platelet transfusions.