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
Why cant we call them Bajrangdal Terrorists??
WHEN MODI TOOK POWER IN CENTRAL, TILL NOW THERE IS NO SECURITY FOR THE MINORITY, AND NOW HE IS SILENT ON MINORITY ATTACKS ALL OVER IN INDIA.
THERE ARE MUCH MORE EVIDENCE TO BAN RSS, BD, VHP.....
Good.. Let world see ur real face..
Very shame...shame , no humanity very cruelty
These goons should be banned from society....if they have problem they should inform police...now police should punish them severely so that they should not take law in their hands in future.....
WHA WHA WHA THEY START NOW BEC BJP GOVERMENT PASSED ALREADY 2 YEAR ,
NOW THEY START EVERTHING ATTACHK TO INNOCENT THIS ALLL ACCHE DIN FROM MODHI SAARKAR
PEOPLE KILLED FOR COW , OTHER COUNTRY PEOPLE LAFGING IN INDIANS , WE ARE WORKING IN MIDDLE EAST THEY ARE ASKING US
HUMAN KILLED FOR COW WHAT TYPE OF COUN TRY IS INDIA SHAME ON US AND OUR MODHI GOV
Govt should spare no time in arresting the leaders of the terrorist organisatins to brutually attacked inidans from other states. These terrorists have no right to be called as Indians as they have no respect for the co-Indians. Shame on your Hindutva terrorists. Govt should ban these terrorist organisations and kick out their leaders out of Indian mainland. Hoswever, i am sorry to say that no Govt will take that step. Instead of arresting the terrorists i doubt that innocents migrants will be arrested and punished for no fault of theirs.
These so called Hindu activists are doing too much goondasm throughout the country. These people should be booked as terrorists.
Send this Bajrangis to Andaman on one way ticket and never to return to mainland
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