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.
Ms Revati, who was posted in Bhatkal town police station, in a complaint to the state chief minister and home minister, has claimed that a few senior police officers in Uttara Kannada tried to cover up the case of attempt to create communal tension in the district.
Comments
That police establishments even in non BJP ruled states work hand in glove with the anti- people fascist RSS is a sad commentary of how our constitutional system is time and again challenged with impunity. Except for few courageous officers who work with conviction the police system as such is corrupted with persuasion of a virulent 'Indian Ideology' as much as the political system is.
That RSS and the police establishments often work hand in glove with each other even in many states ruled by non BJP 'secular' dispensations is a sad commentary on the virulence of the so called nationalism and patriotism propelled by an ' Indian Ideology '
Naushad, CONG not only supporting and BUT hiding in chaddis.....Hijdas
Whoever does this whether he's Muslim,Hindu, Christian or from any other community or religion if try to disturb peace and try to hurt somebodies sentiment to be punished maximum.
Actually the Police authority are the only authority can make peace, keep peace, if they want.
Please Respect each other, their reliogion, their community Etc.
LIV ,LET THEM LIV and ALLOW EVERYBODY TO LIV PEACEFUL LIFE.
Hahaha. That fellow became PM by throwing beef at temple and goes to pakistan for having tea
As Sanaulla said we are peace loving people we are business camunity. What ms Reviti has stated is true inquiry must be done by C B I this is not a first time that miscreant thoren meet at warshp plases Her aligation is true our Acp mr Anup Kumar is bussy in catching cattle traders along with Bajrangdal insteade of catching miscreant isn't it stupidity?
As Sanaulla said we are peace loving people we are business camunity. What ms Reviti has stated is true inquiry must be done by C B I this is not a first time that miscreant thoren meet at warshp plases Her aligation is true our Acp mr Anup Kumar is bussy in catching cattle traders along with Bajrangdal insteade of catching miscreant isn't it stupidity?
What a pity. Long ago a senior Ayodhya seer had called BJP as biggest enemy of Hindus. It's 100 percent true.
What's Congress doing? Supporting cheddis?
VIREN now you need her to provide mental treatment ? first you go through it ....
YOU FOLLOWED HITLER IDEAS...AND SURELY you will follow his END
In Bhatkal Mislims are always sufferer
Muslims are highest paying taxes to the Government
Muslims they stands for economy of Bhatkal. Price rise is higher than
The whole district, even though Bhatkal is peace. Nawayath community in Bhatkal r peace loving people. Hindu girls r working In their house. Muslims employ Hindu girls in their shops. Means we have no difference of opinion at all.
Some miscreants including who Mrs. Revati named in her allegation
Mr. Sunil Nayak just he joined BJP some months ago was a member of a Muslim Sports Centre called Royal Sports Centre and he himself
Mixed with Muslim people during marriage ceremony, sports, Travel
And many other occassion. Now a days he make distanced himself from Muslim friends. Even I wish to tell you he was frequently having beef
In Muslims wedding occasions
Shocking allegation against sangha parivar it is very cheap to blame someone for her sin.
serious inquiry must be done on her complaint if that proved correct, each and every criminals should be given maximum punishment.
we know her behavior.. very harsh in our town,
Revati in need of mental treatment. first she got suspended by assuming she will lose her job for her fault.. she herself resigned before.
Revati slap on, this is wrong to blame someone for your mistake.
her hafta may be pending, until now eaten lancha and lived a wonderful life, now money got over started to blackmail others.
revati.. statement is totally wrong, she just wanted to turn off her case into opposite. corrupt officers like u.. we dont need anymore., go to hell.
Police officers like Ms Revati should shoot those criminals infront of everyone even if he is politician or some group head.
really shocking!!!! from today i will stop joining any group.
this must be stopped.. local people should not support the protest of some group.
whoever involved in this heinous act will die dog's death one day.
yahh exactly right thats why i m not very much bothered about the communal violence. its all pre planned. everyone should do their work and keep quiet from fighting nobody will gain anything instead they will lose.
this complaint should be taken as a general awareness, in my opinion some set of 5 to 10 people want to disturb the peace of the society and some gains, why others are responding to their crime. we all brothers and sisters should live in peace,
She is right in accusing her sanghi seniors .... I was the only person on this forum highlighting this drama of meat placing to stir up social unrest .... Bjp goons hats off to you and Pramod Muthalik for creating social disturbances
naren and viren need some treatment for their mental condition.... i can offer both a better treatment.
viren, bhatkal bjp gooons did this in past also. This time police wanted to frame 1 innocent boy also. psi has taken sunil naik bjp leader name who has given money to 1 person name uday goonda to buy cow meat to throw in dewastan.
I wonder fools like #1 still exists in Karnataka... Want to give merit to the evil doers even if they are exposed of their evil. Only devils are happy when some one is harmed... and dont be a devils agent by supporting the Evil..(throwing beef and blaming others)
More deceptions will spill out in near future in Shaa Allah.
Viren u r one of the educated illiterate person on this planet....if the same allegation she put on muslim community then she is a very good police, otherwise, she is mental.....the whole India knows who are the main culprits are except some communal people like u....
Ms Revathi is 100% correct, hats off brave police officer Revathi
Viren!! Who need treatment for them this statement is funny. This is not the first time. Whenever One particular community is involved in any illegal thongs and get caught, then he is mental. Naren antinationalist need itch guard.
The true face of saffron forces unveiled again. Pity on them. Such people dont hesitate to destroy their own family for political gains.
Lol. funny allegations. I think she needs some treatment for her mental condition.
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