Hi, I am sorry for the unfortunate situation. Paracetamol poisoning is the leading cause of acute liver failure in the United States, but in developing countries, it is rarely seen. Paracetamol poisoning can cause liver damage ranging from very mild elevation in the liver enzymes to total liver shut down (fulminant Liver failure). The extent of damage depends on the amount of paracetamol ingested and if the patient had any other liver disease before the poisoning. In mild cases, the treatment is continuous infusion of N-acetyl cystiene (? glucose drip) which helps in repairing the damage to the liver. In severe cases, the only available option would be an emergency liver transplant. Hope this helps and please do not hesitate to ask for clarifications. I hope your daughter a speedy recovery.