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.
Comments
Haha #1...RSS policy don't work ?,...then you are madrasa illetarate only ..sumne 30 days English speaking coarse kalsi ..love jihad ge train madiro product antha gottagutte ....we from RSS at very rapid rate penetrating Kerala and not one or even 10 killings deter us....we love our motherland to the core ....sangh will give befitting reply to their opponents in their own language ....
I think the cheddis have read the history of Zioist..of their deception and still wants to follow that way and deceiving many youths to take their side without considering the results...
Zioist fooled the people on World war by supplyng the weapons to both sides. and also fooled the countries thru bankers....
Russians and chinese recognised them and oppose their stratergy.
india has recognized it but cheddis controlled govt. will take the indians into their deception .. This is the REALITY.
Many families have lost their sons and the family members are in suffering...
And people will come to know only when it reaches their house holds.
If Your heart recognised the LIARS, better to start distancing from the LIARS. if not You will fall to the trap of their deception
Killers feeling the HEAT...
Some young life lost
and the HATERS are playing their games of blaming
the parents and the family of the killed will be suffering...
When can WE honest people understand this game of Hatred.
Why cant WE support openly to those who are against Hatred..
come lets join and voice out against the hate campaigns
What difference it is going to make....end of the day general public has to suffer....
Yes bjp, now you aware you JEWS policy will not accepted in GODS OWN LAND. You are targeting in your dominated state but it won't work out all over INDIA.
Tit For Tat is the right policy for you and your backing communal group.
Jai Hind!
Add new comment