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.
Palaraj, a resident of Kunduru colony, said it was true that he had killed a cow for food. “But, is it right on the part of Bajrang Dal members to beat us black and blue. Is their act justified,” he sought to know.
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Modi govt has failed miserably in protecting minorities rights in the country..
Yours is one of the worst sites I have come across - disabling both Control+v and Control+c etc. Shame on you.
There is a Karnataka Prevention of Cow Slaughter and Cattle Preservation Act, 1964 in force in Karnataka, Section 4 of which lays down: \4. Prohibition of Slaughter of Cow or Calf of She-buffalo:- Not withstanding any law, usage or custom to the contrary, no person shall slaughter or cause to be slaughtered, or offer or cause to be offered for slaughter or otherwise intentionally kill or offer or cause to be offered for killing any cow or calf of she-buffalo.\" The law is framed by Congress government four decades back and is very much in force. As such, what the dalits did was illegal - a crime - for which they are liable to 6 months imprisonment or fine or both. Well, that does not give license to vigilantes of any party or organization to take law into their own hands and beat them up either. The only course was to stop the killing if possible, or seize the slaughtered cow (carcass) etc. and hand over to the police. If the police do not act, then they could agitate in public, etc. So both parties are wrong on this occasion."
NRI PM S ACCHE DIN FOR INDIANS
The day Mr. Narendra Modi became prime minister , all such goondasm raised in our country. Narendra Modi can't talk because these are the part of his mentor (RSS) programmes.
These goons (Bhajrangis) are paid goons of BJP.
Time has come for Daliths and Minorities to stand against these criminals.
This is Karnataka not Gujurat. Strict punishment should be handed out to the perpetrators of such a heinous crime. As per the Constitution people are free to eat what they please. Why should the Bajrang Dal or anyone get offended if anybody eats beef.
BD will get their reward from the devils who inspire them to do such acts... Devils are permanent residence in HELL... it is easy for them to take human to HELL when people encourage EvIL in the society... Evil in the society spreads when People dont Ponder or want to know about the CREATOR of all that exists...
ISLAM says no one will escape of their crime, A day will be there to JUDGE all that happened in this EARTH. and JUSTICE will be done by the CREATOR who created U me and all that exists.
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