RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164082968 T1 Pyruvate Carboxylase Deficiency T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164082968 RD 2024/04/23 AB Rare mitochondrial disease leading to hypoglycemia and severe lactic acidosis. Clinically characterized by seizures, neuromuscular incoordination, abnormal eye movements, and poor response to visual stimuli. Other clinical features include lethargy, vomiting, and poor feeding. Apnea, dyspnea and/or respiratory depression complete the presentation.