Which of the following is a common sign of delirium tremens?

• A. Hallucinations
• B. Euphoric mood
• C. Hypothermia
• D. Slow speech

Answer: (A)

Delirium tremens is a severe alcohol withdrawal state that can develop after stopping heavy drinking, typically 48–72 hours later. It involves brain dysfunction with delirium, marked agitation, disorientation, and noticeable perceptual disturbances. Hallucinations, especially visual ones, are a common and characteristic feature because the brain becomes highly irritable during withdrawal, leading to distorted sensory experiences that patients may vividly report. This perceptual disturbance often accompanies the global confusion and autonomic arousal seen in DT, making hallucinations the best sign among common options.

Euphoric mood isn’t typical of delirium tremens, as withdrawal tends to produce confusion and agitation rather than a lifted mood. Hypothermia is not a hallmark; while withdrawal can involve autonomic instability, hypothermia isn’t the classic pattern of DT. Slow speech is more aligned with intoxication or depressive states rather than the delirious, restless state of withdrawal. In DT, speech is often pressured or disorganized due to agitation and confusion. This condition is a medical emergency, usually treated with benzodiazepines and supportive care to manage agitation, hydration, electrolytes, and nutritional needs.