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
9/11 caused more Americans to embrace Islam.
The same thing happens here, more Truth Loving people start researching the speech of Zakir Naik and will easily embracing Islam.
Indians are more free and intelligent in deciding.
Unfortunately the RSS lead govt can detain him under pretext of so called all allegation, even without proof.
We have some blind law where innocent people become easy prey.
Such law is made to target the people who talks truth against the corrupt leaders.
Laks...Karkala.....
Every one knows you hypocrites are experts in fabricating proofs and give clean chit to criminals ...... Indians can eat indian cow meat in Gulf BUT not in India.... Go to Google and find out the names of Indians in the list of TOP CRIMINALS of the world ....Hypocrite ....
Laks, Karkala
From your frustrated comments i can understand that you are so far from the reality. Not a single proof can indian govt can show against Dr.Zakir naik. Even nobody can have the guts to have debate with zakir naik. so will wait and watch.
Laks, Zakir Naik did not trouble anyone...when he was preaching around everyone lived very happily here in India....He conveyed peace message to everyone...
Dear Altaf,
Dont teach us what to ban...Our present government have enough proof to put him behind the bar...and your lawyer is der to protect him..so leave it to court
Sitting in Doha its easy for you to comment
Basically it is not the matter of scare. In the recent years we have noticed that the Muslims are targeted & put behind bars without any evidence.
Later it is proved that the RSS goons are involved in the terror activity across the country. But they are not booked in any case.
These types of double standard Judicial System makes the Muslims to be away for certain period. I hope very soon Br. Zakir Naik we get justice & start spreading the peace message.
Mr. Zakir Naik's Preaching, Knowledge and popularity not gone well with sick minds, they cannot counter him through dialogue; obviously misuse of power is the solution!!!
Laks, Karkala
If you really wish to see that everyone in india should leave happily then you have to think about banning RSS and sangh parivar. Zakir naik never done anything so that hindus and muslim divide. He always tried to unite all religion. I think you have not listened to any of his speeches. My sincere request with you is to first listen his all complete speeches. Then come to conclusion.
Please watch the below videos. It is available in Youtube
1.Similarities between Hinduism and Islam
2.Similarities between Islam and Christianity
3.Does God Exits
4.Is terrorism a muslim monopoly
Hope after watching the above you can change your thinking from negative to positive .
Over all this is a political game with the backing of rss communal group.
Started to target peace loving INDIANS and Mr. ZN is on top of their list.
There is many more to come from religious leader to business man;social worker; leading person etc.
Instead of 5 years high court need to ban for life time... so that everyone can leave happily in India
ZN is scared..he will not come back to india.. if he was Innocent he could have came back long back ago...
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