BackgroundPostpartum depressive episodes are common. Patients with bipolar disorder (BD) may also experience manic or mixed episodes postpartum, but cases of delirious mania (DM)—characterized by rapidly evolving delirium, mania, and may involve psychotic symptoms—are rarely reported. Given its severity, frequent underdiagnosis, and life-threatening risks, a thorough exploration of its clinical features, potential risk factors, and treatment strategies can aid clinicians in early recognition and