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
If you study Hinduism in deep you will get mad. Like
1.Brahma got married to his daughter
2.Draupadi had affair with Karna.
3.Shiva chopped one head of Brahma
4.Shiva used to take ladies avatar for fun.
5.Ayyappa is the son of shiva & Vishnu.
6.Hanuman got married to crocodile.
7.Shiva failure to recognise his son ganapathy.
In reality following hinduism is like worshipping everything. Creator and his creations.
If you go for study, you will come to know that its an imaginary story not real like cartoons.
Ram is based on kaalpanic story of Valmiki(Thief)
In Sri Lanka there is no evidence of Rama. Its only available in Nagpur.
Good comedy serial the new tele serial mungere lal key haseen sapnee India never sleeps with all such comic episodes.
Dis guy is begging to change the religion hahaha....i dont understand y all saffron groups are so worried abt Muslim.
o barking dogs go to china and pak boarders area save our country...
ONLY Hindus converting to Islam. They know that Islam
IS TRUE religion.
No educated Muslim will Convert to Hinduism. Its impossible.
So stop dreaming. Look vhp's family members might converted to Islam.
Look at ur own house first.
Ondu Manga ninthu yeno bagulatthe adanna kelalu saviraru Mangagalu Kulithive.Yentha Vipariyaasa kanri.
What a Joke sir ji.
We dont want to be with you people in Jahannam.You people carry on.We are happy as a Muslim.
Such a huge majority of population....don't know why they are afraid of minorities....
So now on everyone go and live in jungle....
Where to find ravana....
Should ignore wife and kids in jungle....and can't recognize own kids?..
Really difficult task ....
And what about other gods..... forget them....come on
Rama couldnt save his own wife sita. How can he save u
Barking dog first you try to secure by yourself & your leaders those who are depend under government security.... Muslims dont need protection from you, Alhamdulillah we have one god Allah to protect us...
People like you are 2% in this country barking to spoil the peace & harmony between society.
Do not try to check patience of your own community peace lovers of society... Soon time will come where your bajarangis will start searching to enter space like rats... ha ha ha...
those hindu community k liye kalank hai.... True Hindu tho o hai jo peace lover hai....
@ Senior Vishwa Hindu Parishad Leader... who are you to protect others? You Cannot protect Yourself unless Allah wills... You are the black sheep of Hindu Dharma Coz your thoughts itself indicates that you are an atheist. You don't belong to any religion,
I wonder who will protect you fromAllah if you did not repent and accept Muhammad (peace be upon him) as your prophet
A 'Jain' asking 'Muslims' to convert to 'Hinduism'. Excellent example for communal harmony in feku (i dont mind if you read 'e' as 'a') age.
when Mr Jain converted to Hinduism ? just ignore his lose talk
To know how God created all that exists....
The Non Muslims should read THE QURAN... U will come to understand who is following what.. (U can try thequranproject online)
And to follow Prophets of God ... It needs God's blessing...
Some hate mongers are missing and they even cannot identify whats good and whats bad to the society.
To honest people on EARTH... Just ask once \oh the one who put Soul in me ... GUIDE me...\"
U will surely SEE the real colors of LIFE of who is with whom, if your INTENTION is right... TRY IT.."
Prophet Adam (peace be upon him). Was the first human being came to the earth. So by all means all are in this world should be Muslims. So now if all Hindus revert to Islam we will give you security to eat beef.
Mr. Beans & Mr. Badane of our Mangalore. Please be aware that most of good hindus are not following these goons. Jobless chaddis..oh sorry panties. They could able to gather only this much crowd. Beary nakulna madmed ned dhla jaasti jana barpundu maarre.
mental manja, now the statement clearly says if muslims dont shun islam then they are under threat ?
i cant stop laughing hahahahaha, we dont need the protection of chaddis.
OUR PM has joined with paksitan, will you boycott our PM .
Bloody hypocrites.
This Bullshit has nothing to do... Spreading venom in the society.. and useless govt continuing their silence towards these Sangah Parivaar, Why the Govt can't ban the anti social elements..
Islam is such a golden religion, don't you ever think that in your dreams....
India Ninna Ammena astiya?? Dirty people with dirty culture.
Shia Sunni ok! Dalit, Jain, Brahmins yaake? Y this Kolaveri D thaatha?
Quote\ Jain went on to claim........if they want to remain in India\"
unquote
May be Jain needs treatment in Mental Hospital as he says the above sentence to Hindu brothers & sisters which is impossible and he is fully aware of it.
then why barking ...... ?"
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