Introduction: Febrile thrombocytopenia is the thrombocytopenia associated with febrile illness. The common causes are dengue, rickettsiae, malaria, typhoid, septicemia and in some cases undifferentiated fever. The present study was intended to know the underlying etiology of febrile thrombocytopenia cases admitted to our hospital, the various presentations and relationship between platelet count and bleeding manifestation and prognosis. Material and methods: The study was conducted on 855 patients aged 18 years and above who presented with fever and thrombocytopenia and were admitted in MVJ Medical College and Research Hospital, Hoskote, Bengaluru rural district from January 2016 to December 2018. Results: A total of 855 patients of febrile thrombocytopenia were admitted to our hospital during study period. Majority of patients were in the age group of 18 to 40 years with male to female ratio of 1.15: 1. Most of the cases presented during the months of July to September. Commonest clinical presentation were fever (100%), myalgia (86.5%) and headache (84.7%). In the majority of patients, thrombocytopenia was transient, present for 2-3 days, but bleeding manifestations were seen in 24.3% of patients. Petechiae (14%) was the commonest bleeding manifestation. 691 (80.81%) patients had platelet count between 50000 to 1.5 lakh/mm 3 and 164 (19.18%) cases had platelet count less than 50000/mm 3 Only 5.6% had need for platelet transfusion. Dengue (51.9%) was the commonest cause of thrombocytopenia followed by rickettsial fever (27.7%). In 15.6% of patients the etiology could not be ascertained. Conclusion: Febrile thrombocytopenia is the most common cause for admission to the hospital which requires extensive evaluation and prompt management.