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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.

Bengaluru, Mar 6: At least 13 persons, including women and children, were killed and five critically wounded when an SUV collided with a car that had crashed against a road divider moments ago near Kunigal in Tumakuru district of Karnataka in the early hours of Friday, police said.

Of the victims, while 12 died on the spot, a child breathed his last in a hospital, they added.

The injured were admitted to the hospital, the police said.

Among the dead, 10 were from Tamil Nadu and three from Bengaluru. All of them were pilgrims who were on their way to Dharmasthala in Karnataka.

There were five women and two children among the dead, the police said.

"Thirteen persons have died. The incident occurred post midnight. A car crashed against the road divider and another car collided with it," Tumakuru Superintendent of Police (SP) K Vamsi Krishna said.

The police had to struggle to pull the bodies out from the mangled vehicles.

On learning about the incident, relatives of the victims rushed to the spot.

Udupi, Feb 11: The three patients, including a child, who were suspected to be suffering from coronavirus were discharged from hospital on Monday after the throat swab sample test proved negative for the infection.

The throat swabs of three persons, who were admitted to a district government hospital in Udupi with symptoms of fever on Friday, were sent to Bangalore Medical College and Research Institute for testing of coronavirus.

The trio had returned from China, 15 days ago.

The 30-year-old man from Kaup taluk had been to China on personal work and had returned to Udupi, 15 days ago. He had symptoms of fever, throat pain and cold and he was suggested to get admitted to hospital.

He was treated in the isolation ward.

A family from Mandarthi had gone on a tour to China and had returned 15 days ago. The father and son, who had complained of fever, were kept under observation at the isolation ward in the district government hospital.