Mangaluru: 16 Sri Ram Sena activists arrested for school raid

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.

New Delhi, Apr 25: Karnataka Medical Education Minister Dr K Sudhakar on Saturday said that a journalist from Bangalore Urban, who has tested positive for COVID-19, is one out of 15 new cases reported in the state.

He further said that out of the 15 new coronavirus cases, six each are from Bangalore Urban and Belagavi and one each from Mandya, Chikkaballapura and Dakshin Kannada. The state's tally is now 489.

"#COVID19 Update: From 5 pm, 24th April till 12 noon today. A total of 489 cases, 15 positives, 18 deaths & 183 discharges," Sudhakar tweeted.

India's total number of coronavirus positive cases has climbed to 24,506 including 18,668 active cases, 5,063 cured/discharged/migrated and 775 deaths, the Ministry of Health and Family Welfare said today.

Bengaluru, Jul 2: Karnataka Health Minister B Sriramulu on Thursday launched the ICU Telecard, developed by CISCO to address the concerns of doctors treating coronavirus patients.

Wi-Fi networks and Cisco Health platform help to protect the entire medical team dealing with the infected person by ensuring that doctors do not have to be inside isolation wards and COVID ICUs.

The ICU Telecard has been installed at Victoria and KC General hospital.

"This technology is a necessity to safeguard health of our doctors and it should be implemented in all hospitals. We will discuss about this in the task force meeting and decide regarding the use of this technology in all COVID hospitals in the state. For now, we have installed one at Victoria and KC General hospital" said the minister.

Addressing the complaints of non-release of dead bodies without coronavirus testing, Sriramulu said: "Experts have discussed the same in a meeting with the Chief Minister yesterday, who has ordered for an increase in the number of testing labs. This should resolve the issue. We are also contemplating the conduct of plasma therapy in all districts."

The minister said that the government has also decided to reserve two ambulances for every ward to address the issue of non-availability and will procure more ambulances on rent if the existing ones are insufficient.

He further informed that those who were seen dumping the bodies in a pit in Ballari have been suspended and notice has also been served to officials in Yadagiri.

"We will ensure such instances do not repeat in the state," he said.