
Had Sarah swallowed tylenol (acetominophen) it could have been fatal or resulted in liver failure. Of 348 children with liver failure, the leading cause was tylenol overdose, half of which were inadvertent.
"The cause of acute liver failure (ALF) in 348 children included acute acetaminophen toxicity (14%), metabolic disease (10%), autoimmune liver disease (6%), non-acetaminophen drug-related hepatotoxicity (5%), infections (6%), other diagnosed conditions (10%); 49% were indeterminate." J Pediatr. 2006 May;148(5):652-658
I'd suggest keeping tylenol under lock and key if you have to have it in the house at all.
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