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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.<\/jats:p>","DOI":"10.1177\/00258172261419305","type":"journal-article","created":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T08:01:18Z","timestamp":1772352078000},"page":"128-132","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Neglected emergency: Autopsy case report on fatal delirium tremens"],"prefix":"10.1177","volume":"94","author":[{"given":"Shrihari","family":"Siddhardhan","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2739-6861","authenticated-orcid":false,"given":"Alagarasan","family":"Naveen","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sowmiya","family":"Punniyakodi","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay Sriram","family":"S","sequence":"additional","affiliation":[{"name":"Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jceh.2018.04.012"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/SAR.S361810"},{"key":"e_1_3_3_4_2","article-title":"Delirium tremens: a review of clinical studies","volume":"16","author":"Kaye AD","year":"2024","unstructured":"Kaye AD, Staser AN, McCollins TS, et al. 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