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
practice madidre full madabeku ...sumne shoki ge haakondu barodalla ...let her go and teach in Islamic university or madrasa ...avra community nalli ondu school and college quality education kodalla ..so heegagi illi bandu ..build up bere ....as per Islam ...non Muslim men should not look at Muslim women ..this lady has not covered face and hands ..high time hijab tax must be put .
Well done....
Good decision since she has trust on Creator... she is not going to die if she left this job... she may get better one...
Divine rule says it is better for the women to wear Modestly.. The women who use their god given intellect will recognize this blessing and follow it.... May ALLaH have mercy on them and protect them ... & May ALLAH guide those who are ignorant of this blessings.
Some of them without verifying the issue are ignorantly opposing it... It is for their benefit & protect oneself when the whole world is going god less... and living worst then animals now a days.
ALLAH is most merciful and most compassionate.. People should read the QURAN which is the manual for whole of mankind and a blessing for the LIFE ... Those who are missing it are really in DARKNESS of their LIFE ...
People heedlessly living their life and without proper knowledge, they come to conclusion & attack those who follow the divine rule.
For ME God's law is the best and it will protect me from the evil eyes of todays world..
Thank u True indian. U opened my eyes.
Ur absolutely correct. I prefer my sister or mom to wear hijab and cover her body fully. Instead of wearing mini skirts.
@bopanna
That means u don't respect Sita mata. Can't u see hijab on all sita matas pictures and idols
SISTER a great salute to you as you follow islam and imaan . with the heart
Even muslims respect Sita mata. Because on her all the pictures and idols. We can see her head is covered with hijab.
I think all women should wear hijab. It protects from evil eyes.
Keep your religion at home .... dont show off to hindu students
if u see Sita mata's Photo. She wears Hijab in all her Pictures.
Will they remove Sita Matas Hijab on all her idols?
O People of INDIA ....remember one thing ...many civilization has brith and death according it dealing with GOD and his rules.....so never late just repent and be good to every one . or else Aad and thamud will be reminded on this earth .
forget INDIA ....even country like USSR were destroyed by GOD using small groupf of unarmed and unskilled fighters from backward country ....so becarefull do not cros the border of aggression ....
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