Distinguishing features of delirium tremens, the most severe end of the alcohol withdrawal spectrum
| • Pronounced withdrawal symptoms: coarse tremor, agitation, tachycardia, and extreme autonomic over activity, complicated by disorientation, hallucinations or delusions |
| • Occurs in less than 5% of individuals withdrawing from alcohol |
| • May develop from milder episodes of withdrawal, usually 48–72 hours after stopping drinking |
| • Hyperpyrexia, ketoacidosis, and circulatory collapse may develop |