May 12: Children suffering from non-respiratory disease symptoms like diarrhea and fever, or those with a history of exposure to the novel coronavirus, should be suspected of having COVID-19, a new study says.
According to the research, published in the journal Frontiers in Pediatrics, gastrointestinal symptoms first suffered by some children hints at potential infection with SARS-CoV-2 through the digestive tract.
"This case series is the first report to describe the clinical features of COVID-19 with non-respiratory symptoms as the first manifestation in children," the scientists from Tongji Hospital in China wrote in the study.
They explained that the gastrointestinal symptoms could be arising since the type of receptors in lung cells targeted by the virus can also be found in the intestines.
Most children are only mildly affected by COVID-19, and the few severe cases often have underlying health issues, the researchers said.
"It is easy to miss its diagnosis in the early stage, when a child has non-respiratory symptoms, or suffers from another illness," said study co-author Wenbin Li, who works at the Department of Pediatrics, Tongji Hospital.
"Based on our experience of dealing with COVID-19, in regions where this virus is epidemic, children suffering from digestive tract symptoms, especially with fever and/or a history of exposure to this disease, should be suspected of being infected with this virus," Li said.
In the study, the scientists described the clinical features of children admitted to hospital with non-respiratory symptoms, who were subsequently diagnosed with pneumonia and COVID-19.
"These children were seeking medical advice in the emergency department for unrelated problems, for example, one had a kidney stone, another a head trauma," Li said.
The study noted that all the children had pneumonia, which was confirmed by chest X-ray scan before or soon after admission.
These children were then confirmed to have COVID-19.
While their COVID-19 symptoms were initially mild or relatively hidden before their hospital admission, four out of the five cases had digestive tract symptoms as the first manifestation of this disease, the researchers said.
Li hopes that doctors will use the findings to quickly diagnose and isolate patients with similar symptoms, which may aid early treatment and reduce transmission.
According to the researchers, the children's gastrointestinal symptoms, which have also been recorded in adult patients, could be an additional route of infection.
"The gastrointestinal symptoms experienced by these children may be related to the distribution of receptors and the transmission pathway associated with COVID-19 infection in humans," Li explained.
Since the virus infects people via the ACE2 receptor, which can be found in certain cells in the lungs as well as the intestines, COVID-19 might infect patients not only through the respiratory tract in the form of air droplets, but also through the digestive tract by contact or fecal-oral transmission, the study noted.
While COVID-19 tests can occasionally produce false positive readings, Li said all the five children assessed in the study were infected with the disease.
However, he cautioned that more research is needed to confirm their findings.
"We report five cases of COVID-19 in children showing non-respiratory symptoms as the first manifestation after admission to hospital. The incidence and clinical features of similar cases needs further study in more patients," he said.
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aree bhai.... animals are not our parents.... Muslims dont worship animalsss... go and take all cows from your modiji's freinds who are exporting your mata to other countries..... they are in cow trafficking......
How about your uncles of Al Kabeer Beef exporter. Your for uncle is chipanjee so what we will convert as chipanji and stay in jungle.
Stop non sense and be like a human don't try to spoil HINDU religion.
Hope you and your Head quarter manage to understand above message.
I am sure that this bjp leader Ranjit has completely gone mad and it will be better for bjp to kick him out from the party. His baseless + senseless statement will lead to riot. Hence,. he shuld be arrested under terrorist / goonda act immediately. According to scientiest Darwin, human being are coming from apes / monkeys. Based on this, ancistors of this hate monger were apes / monkeys. I would like to know when this hate monger will go to jungle to stay with his ancistors. We will give nice party to him. Why this hate monger is not caring about cows which are let lose in the roads and dying due to hunger. Why dont he take care of them. He is only after the cows which muslims are taking care. As cows are his Matas, he should visit to other countries also to take care of them. Why is not bothered about hundreds of cows being slaughtered for beef export by sangh exporters in Gujrat. Why he has double standard. I doubt he is one of the beef exporters and making crores and low being expressed for cow is a jumla like his Master. Has he dare enough to agitate in front of beef exporting houses in Gujrat. He will be kicked out if he does so. Shame on you guy. Be a human being first. Live and let live others. There is limit for everything . Dont cross the limit.
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