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.
The protesters, who gathered near the Sanskrit College Circle here, raised slogans glorifying Vishvesha Tirtha Swamiji of Pejawar Mutt and slammed the Dalit leaders, who raised voice against him.
Comments
Why is Pejawar seer, BJP and RSS hiding behind these sold out , so-called Muslims. why can't they come out on their own?
This is amusing. First ask pejawar seer why he keeps endorsing all the abuses and threats against the Muslims community during the \Hindu samajotsavas\" where he's the main organiser. Pejawar seer is the leading light of the VHP and Bajrang Dal. Please ask him to tell his group the VHP and Bajrang Dal to stop killing and raping Muslims (nowadays in the name of beef as well), then he can ask for their support. Thank you"
These are Muslims just in name. We need to know how much BJP & RSS has promised to give them for this publicity stunt. pejawar is behind the growth of the RSS and BD in the region, that has made life of Muslims miserable, and think they are 2nd class citizens. He was a leading light of the Babri demolition, and also behind the gau rakshaks who beat up and kill muslim traders . Instead of hiding behind these 'Muslims for rent', BJP and RSS should \protect\" Pejawar themselves, if they have any shame"
oh
Abdullah told good answer
Members of Udupi District Muslim Souharda Vedike (Bunch of Jokers in Udupi) , first of all you people protect yourself then talk about protecting the temple.
One of your hardcore Member (ANSAR) he himself is a THIEF, he had stolen gold at his own home in 2003, his father registered complaint in Udupi town police station. after investigation police arrested him.
Who is this Arif. Is he representative of Muslim community. I think such people led the protesters of sangh parivar to pelt stones to Masjids and shops/houses belongs to Muslims. I hope these ppl gave information to sangh parivars aboutthe Muslims who sacrifice animals. Is he really Arif and only a name given by sangh parivar to divide muslim community.
Muslims got high respect on Shri Krishna Matt . One should not cause any harm to mutt. Shri Pejawar Swamiji had gone all along from Udupi to Ayodhya to destroy the Babri Masjid.
Please dont call Muslims ... Call MRM sold outs... to cheddis
This Swamiji motivated the terrorist goons to demolish 5 century old Babri Masjid. thereby destroyed secularism in India. now needs the support of bone-licking munafiks
Let those mutt swamis chelas protect it....why muslims....go and protect yourself...from hell fire.....
Pejawar seer is known as as a hardcore advocate of RSS
well done. Thank you for staging protest and showing solidarity.. let's unite for good cause.
Dear Muslim Brother's.
First protect yourself from Hell fire.Later you can think of protecting other's. First learn about Islam then advise your Pejawar Sree about Islam and life after death.
Fear ALLAH,Obey Prophet Muhammed(pbuh).
It is a plan of pejawara.
his mutt has given some money to non practicing muslims (only name is muslim).
He want to devide dalits and muslims.
Mr. Arif how can say muslim community would be there to protect the thieves!!!???
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