 Hello everyone, I am Dr. Srikanth. I am a consultant, pediatric gastroenterology, hepatology, nutrition at Manipal Hospital, Bangalore. Causes for acute liver failure can be multiple and in Indian scenario, it is viral infections. Acute hepatitis A followed by acute hepatitis E and B are the viral infection which leads to acute liver failure followed by drugs. The most common drug implicated is paracetamol which is a fever medication used very commonly and certain anti tubercular drugs. So, these are the common causes apart from other rarer metabolic disorders which can present in infancy. The symptoms would be non-specific like fever, loss of appetite which child may not eat or even specific symptoms like jaundice, very high grade fever, bleeding manifestations and altered sensorium.