Dalits warned against misuse of atrocity law, false complaints

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.

As part of the Indian Overseas Congress Mera Bharat Mahaan NRI Series, a Facebook live Global Conference was facilitated by Dr Arathi Krishna, Dy. KPCC NRI Chairman and Mr. Mohammad Mansoor President IOC Bahrain on 30th May, 2020.

In the one and half hour live interaction, questions and answers were addressed by DK Shivakumar, President of PCC Karnataka and attended by hundreds of participants, accumulating an impressive 300K people viewing the live broadcast across the globe.

The event was inaugurated with a welcome address by the inspiring and innovative IOC chairman Sam Pitroda followed by the motivational speech of AICC Secretary Shri Himanshu Vyas, IOC US President Mr. Mohinder Singh Gilzian and former KPCC NRI Dy Chairman Dr. Arathi Krishna by whom Shivakumar was introduced.

The event was remarkably successful with maximum interaction of global congress family members and straight forward answers by Shivakumar. 

He emphasized on the present political issues in India and the Indian government's negligence in handling the crisis related to Covid-19 and the indefinite lockdown. He added at present, that the Congress is playing a frontline, constructive role by addressing and articulating the Covid-19 issues and offering critique-based solutions to the government as a responsible opposition party.

The insightful meeting covered the congress strategy and the rebuilding of the KPCC, as well as discussed counter corrupt and hatred politics of current regime along with the role of constructive opposition, etc.

IOC Bahrain President Mr. Mohammad Mansoor thanked IOC Chairman Sam Pitroda, AICC Secretary  Himanshu Vyas for their role in strengthening the party and motivating the team; former KPCC NRI Dy Chairman Dr. Arathi Krishna for introducing the guest; IOC global IT Cell Chairman Manoj Shinde, along with Dananjay and Vinay for professionally managing the event;  IOC US President Mohinder and  Karnataka Chapter President Gauri Shankar for emphasizing the guest of honour; Ms Sofiya Sharma and Ms Vijya Nadela for beautifully moderating the event and all the distinguished guests and Presidents of IOC and KPCC wing Leaders from Saudi Arabia, Bahrain, Kuwait, UAE, Germany and other countries who were present on the online meeting and especially  Mr. Althaf,  PA to DKS and Mr. A.N.Nataraj Gowda in charge of KPCC IT Cell for helping facilitatethe online meeting.