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.
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EVM or VVPAT all under bjp criminals control. For a fare and mandate only BALLOT sytem is the rigth option. Who ever it may be win,no matter we all need a fare system. Each area wise ellection commission must decalre no.of voters list to all party leaders and each poling booth ONE representative of each political party allowed to verify the name of voters and no moblie phone or electronic device allowed them to carry. After election, strong room to be sealed in front of candidate with their signature on the strong room seal. Security to be included with district police;CSF and BSF members. A limited member of each politcal part to be permitted to watch with a specified distance. A fire brigade unit deployed souround the building with advnaced rifle. And their position should not mingled with other security personals. No public gathering allwoed to move around area or permitted to gather. Counting day strong room unsealed after a thooughly
inpseciton of the whole building. These are the main procedures electioncommission must implement.
Ballot box tranportation to under BSF vehicle Befor moving representative of each party permitted to inspect the vehicle. Whether any dirty game set up by the note anti India criminals.
Before 2019 election, all peace loving INDIANS must stand toghether demand or force election commission to implement the best security procedure like above.
Today fake voters least proved in MP and this diecease may spread all over INDIA very soon by the criminals.
So be care full and start the ground work at the earliest.
Last election result of South Kanara & Udupi was a pre planned EVM tampered result.
Very next day of the election few sold channels are came out with some dirty comments in favor to one particular party. From last 4yrs we all Indians observing.
Jai Hind!
Go ahead Mr. Lobo, lets begin from Mangalore.
Yes Mr. Lobo is absolutely correct.
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