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
The biggest weapon of RSS is spreading lies and hatred. Who can stop that N Bomb?
Oh this big mouth minister from Left, I being a person from Kerala really know truth. CPIM uses their offices and politcians house to store arms. CM Vijayan and this fellow wanted to have special darshan tickets in Sabarimala and when it was shot down.... all this stories
Raid all mosques, churches and temples and check for arms
Bamboo Sticks/ Lathis are not Weapons. Donot get Bogged down. They cannot use weapons to hurt. They just open their mouth and shout
Time for Hindus to take back Kerala and Kashmir.
Chief Minister should order police raids on these arm stores and recover the arms, and install CCTV cameras to monitor the activities round the clock. CM needs to substantiate his allegations with proof. I fully agree with his view that no religious ceremony should take place during any official function, it has no place in secular democracy. Our constitution gives every citizen right to practice religion of his or her choice freely but not at state level. State has no religion.
Here is a Minister for Temples Administration. He defines a temple as a centre for traditions and beliefs. Sorry Comrade , a temple is a place for worship of God. If it is only a place of tradition and faith, there is the danger of it being appropriated by the communist Party, which has both tradition and faith. No temple in Kerala will allow storing of weapons within, may be in its offices or quarters of staff. Is it a plan for the commies to violate the sanctity of the temples?
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