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
Dear Viren there is nothing hell in your religion, thats the reason they are coming towards islam
very funny.
Dear All,
Please note few of these points about Islam.
Wish you all the best. May God bless you with happiness and good health always and you lead a happy life forever. Our prayers are with you. But try to keep away from unnecessary things and lead a simple life.
Bro.. its other way round. Hindu girls are falling love with handsome guys and beautiful religion
This is called true Islam. When 27 Karsevaks like Balbir Singh can embrace Islam , you just imagine the power of Islam.
Mix equal quantity of love and jihad in a cup and drink it...
and dont forget to buy burnol to cool off your bloody b***
Read the quran with translated original (not chaddis version). U Will end up in Reverting Islam.. In Sha Allah.
In the Quran the chilling & fearful explanation of Hell fire & HELL is there to those who reject ONE CREATOR and associate partners with him and worship all those demi-gods.
LOVE of His True last messenger & ONE CREATOR is the only way to escape from the HELL fire and attain HEAVEN.
JIHAD – constant struggle with oneself to be obedient to God, struggle (Jihad) against oppression of all kinds unleashed by enemies of humanity.
It is human nature to search for truth and aspire purity rejecting all manmade, false, ungodly beliefs & customs. No force on the earth can stop this and that is the reason thousands are attracted on daily basis to the Religion of Peace & Truth - ISLAM.
How long will YOU ignorants blame love jehad.. We request you to OPEN the QURAN (the quranproject) online and check what is written about love jehad... Unless YOU learn about quran .... YOU are following the RSS commandments and singing the same tone (it's love jehad) since years... When U guys open up your God given intellect.. Dont be SLAVES of RSS ... Use your intellect to know WHY PEOPLE are REVERTING to ISLAM... instead of blaming and licking the politicians and the haters of Islam.
This all happens because you bloody morons donot understand what is love and care all about.
Go drink sleep on streets, make your wife & childrens (some people dont have that too) wait home, come home next morning once again in Bar... Your life begins and Ends in BAR & Restaurent.
Dear Brother Study about Islam than you come to know what the hell is there in Islam (Alhamdulillah).
Congrats Shoaib
There are many cases like this. They all get converted into islam. There is racket to do conversion. Should stop this.. Stop Love Jihad
Stockholm syndrome by love jihad.. She may not feel trapped now. Later she feels that
Media highlighting only if anybody comes to Islam.. Pleasing minority
We wont care, if she got converted into christianity or other religion. Media giving unwanted prominants to some rubbish news. They are making controversy
Is that an important news
This is called love jihad. These muslim men make friendship with beautiful Hindu girls, make them fall in love with them. After wedding blackmail them to become Muslims. Need to put an end to this ugly practice at the earliest. What the hell is there in that religion.
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