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.
Bengaluru, June 21: Three youngsters lost their lives when an alleged wheeling stunt turned near Jakkur flyover in the city today morning. 
Comments
This is not only your question. my question too. that’s why we should end the mhar competition. Otherwise your son also may follow the same path one day.
Masha Allah! it is good to note that some of our brothers brought the globally acclaimed Islamic Scholar to Mangalore.
It would have been more beneficial for the community if the hosts arranged one two public programs in Mangalore and Kasaragod.
Masha Allah Masha Allah happy to see Mufti Menk at our place.Good message to the youth regarding non-competition over mahr.
My Reply to A Mangalorean. Why did your son agree to pay that much Mehr while it was not under his capacity. May be he tried to show his Father in Law that he is also a rich person. Why one should put himself in debt. Now he will have to pay interest on the loan and this is agaisnt the teaching of Islam. We will not put ourself in trouble if we follow simple way tought by our Prophet. May Allah bless us with right way Islam and keep us away from show up.
Hahaha
I m absolutely delighted that Mufti Menk has visited our place and given lecture on Mahr to Manglorean Muslims.
Hoping to see him again and again !!
Good that mufti menk has taken initiative to end mahr competition. Hope it won’t be the beginning of the ‘mufti competition’. Now another NRI businessman in mangalore may think of bringing numan ali khan for next wedding in family (kidding)
Welcome to mufti menk a renowed international scholar to Mangalore. Mufti should advise the rich muslims of coastal Karnatkada to refrain from luxury marriage style with luxury marriage halls and luxury foods.
Unlucky that i was not part of this event. Mufti Sir do visit Manglore frequetly and guide mangloreans who indulged in shirk and diddah... May god bles you, give you good health and long life.
demanding dowry is not islamic culture. he has given series of lectures on that issue. if you want u can google and listen. but what he did here is a timely decision- he pervented show off. why he should talk about non-islamic system of dowry at a wedding where there was no dowry?
A considerable number of Mangalore muslims have adopted the Hindu custom of dowry. But mhar has not disappeared. At the same time among rich muslims there is definitely competition over mahr. This had happened in my son’s wedding too. he had borrowed huge loan to pay a Rs 50 lakh gold as mahr. so I personally feel that Mufti menk’s initiative is good.
Thants Right, instead of speaking about the dowry system which is demanded by the men as oppose to the mahr he is speaking opposite which is very trivial issue in comparison to what a girl's parents suffer.
Barakallau lakumaa wa baarik alaikumaa wa jam'a bainakumaa fee khair. May Allah(swt) bless the new couple. Ameen.
Mahr was never a competition here. Its all peanuts compared to the jwellery the bride wears from her fathers hard earned money. If not that, then its the brand new car in display outside the wedding hall, again brought by the brides father for the bridegroom.
mufti menk has not realised that most of the bearys hav sold themselves to the indian custom of dowry for demand or for self prestige
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