Frequently severe lactic acidosis, hypoglycemia, dyspnea, tachycardia, apneic spells, irritability, lethargy, coma, convulsions are observed.
[agris.fao.org]
However, severe infections precipitate attacks of hypoglycaemia and lactic acidosis.
[ncbi.nlm.nih.gov]
Hepatomegaly (with hepatic adenomas ) Severe fasting hypoglycemia, mild ketosis Severe hyperlipidemia → doll-like facies Hyperuricemia Lactic acidosis Anemia Failure to thrive
[amboss.com]