Objectives: To explore clinical, paraclinical and treatment profiles of acute respiratory distress syndrome (ARDS) due to prolonged dengue shock syndrome (DDS). Methods: Case series study. Results: 24 childrens having prolonged DDS complicated with acute respiratory distress syndrome had mean age of 5.3 years, youngest two year, DSS (grade III) 41.7%, severe DSS (grade IV) 58.3%, early onset of shock on 3rd - 4th day.