Alcohol withdrawal with an unusual presentation.

We have reported the case of a 36-year-old woman in the early stages of alcohol withdrawal. Her initial tachypnea and hyperglycemia were misdiagnosed by emergency personnel as being due to diabetic ketoacidosis. Careful analysis and understanding of the complex metabolic features of alcohol withdrawal will lead to the proper management of such patients and allow gradual resolution of the metabolic consequences without complication.