Neglected emergency: Autopsy case report on fatal delirium tremens

Abstract

Delirium tremens (DT) is one of the most severe and potentially fatal manifestations of alcohol withdrawal syndrome most often found in individuals with a history of prolonged and heavy alcohol use who suddenly stop. Without prompt intervention, DT may lead to life-threatening complications such as seizures, cardiovascular collapse and autonomic dysfunctions. The importance of understanding DT extends beyond its acute neurological and psychiatric symptoms. From a forensic perspective, autopsy findings can reveal a cascade of underlying physiological derangements. We present an autopsy case report that illustrates the clinical and pathological features of DT, emphasising its rapid progression and the critical need for multidisciplinary intervention.