Acute Renal Failure and Hyperkalemia
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Paracetamol (acetaminophen) overdose is a classic cause of dose-dependent hepatotoxicity, leading to centrilobular necrosis and fatty liver. In children, especially with underlying illness or fasting, even therapeutic doses can sometimes cause severe liver damage (Reye's syndrome-like picture, though Reye's is classically linked to aspirin). The description matches paracetamol toxicity.
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