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
Narrow minded Mr. Shetty, in gulf countries somany Hindu girls are working under Arabs/Muslims for the sake of money. Why don't you term them condition to work under Hindus in India.
need job in muslim firm in ramdhan time many hindu womens weariing burka and coming to collect zakat money are you bother about tiz know because need money what a joke ramesh shetty
For your kind information most of all muslim firm many hindu relgious girls working and aslo many bachelore hindu girls working in gulf country tiz is allowed ,what you called for tiz love jihad or love jihd in gulf country shame on you uncultred people....
Rakesh Shetty : people like you are called narrow minded..... Grow up.
i dont understand why people like Rakesh Shetty are so much worried about popularity of Islam.
if they can track who is visiting whom in the locality, I wonder why these goons didnt reach sister Bhavani's house, who died at Janavasati Colony in Puttur taluk’s Vidyapur , and not a single saviour of hindu religion came forward to cremate her.
i wish these goons help their own hindu Koraga families living in shambles in Kulshekar.
And hope the police exhibit same proactiveness to stop moral.policing, drug menace, rapes and control law and order in the district.
looks like police dept is only interested in supporting moral.policing and protecting cows
Non-sence statement given by One Mr. Rakesh Shetty. Why that one sided policy? There are many cases of "Kesari Jihad" by the Saffronists in the recent days. Open your narrow-mindedness before you give such statement.
ಶ್ರೀಯುತ ಶೆಟ್ಟಿಯವರೆ,
ಇಸ್ಲಾಂ ಸೃಷ್ಟಿಕರ್ತನ ಧರ್ಮ. ಈ ವಿಶ್ವವನ್ನು ಸೃಷ್ಟಿಸಿದ ಏಕೈಕ ಜಗದೊಡೆಯನನ್ನು ಆರಾಧಿಸುವುದು ಮಾತ್ರವಾಗಿದೆ ಇಸ್ಲಾಂ ಕಲ್ಫಿಸುವುದು. ಅದಲ್ಲದೆ ತಾವೇ ಸ್ವತಃ ನಿರ್ಮಿಸಿದವುಗಳನ್ನು ಪೂಜಿಸುವ ಗತಿಗೇಡು ಮುಸ್ಲಿಮರಿಗಿಲ್ಲ. ಯಾರಾದರೂ ಹಾಗೆ ಮಾಡಿದರೆ (ಶಿರ್ಕ್ ಮಾಡಿದರೆ) ಧಾರ್ಮಿಕವಾಗಿ ಅವರು ಮುಸ್ಲಿಮರೂ ಅಲ್ಲ. ಇನ್ನು ಬಲತ್ಕಾರದಿಂದ, ಹಣದಾಸೆಯಿಂದ ಯಾರನ್ನಾದರೂ ಹಿಡಿದು ಧರ್ಮವನ್ನು ಅವರ ಮೇಲೆ ಹೇರುವ ಗತಿಗೇಡು ಮುಸ್ಲಿಮರು ಮಾಡಿಲ್ಲ, ಮಾಡುವುದೂ ಇಲ್ಲ. ಈ ಧರ್ಮದ ಸುಂದರ ಆಶಯವನ್ನು ಕಂಡು ಆಕರ್ಷಿತರಾಗಿ ಜನರು ಇಸ್ಲಾಮನ್ನು ಸ್ವೀಕರಿಸುತ್ತಾರೆಯೇ ಹೊರತು, ಮುಸ್ಲಿಮರನ್ನು ಕಂಡಲ್ಲ. ಅಲ್ಲಾಹನು ತಾನು ಉದ್ದೇಶಿಸುವವರನ್ನು ಸನ್ಮಾರ್ಗದಲ್ಲಿ ನಡೆಸುತ್ತಾನೆ. ಆದ್ದರಿಂದ ನೀವು ದಯವಿಟ್ಟು ಖುರ್ ಆನನ್ನು ಕಲಿಯಿರಿ.
ಇಸ್ಲಾಂ ಇಹಲೋಕ ಜೀವನ ಮತ್ತು ಮುಸ್ಲಿಮರ ಜನಸಂಖ್ಯೆಗೆ ಯಾವುದೇ ಪ್ರಾಶಸ್ತ್ಯ ನೀಡುವುದಿಲ್ಲ. ಬದಲಾಗಿ ಪಾರತ್ರಿಕ ಜೀವನದ ವಿಜಯವೇ ಅದರ ಉದ್ದೇಶ. ಅಲ್ಲಿ ವಿಜಯಶಾಲಿಯಾಗಬೇಕಾದರೆ ನಮ್ಮೆಲ್ಲರನ್ನು ಸೃಷ್ಟಿಸಿದ ಆ ಅಲ್ಲಾಹನ್ನು ಮಾತ್ರ ಆರಾಧಿಸಬೇಕು. ಇದರಲ್ಲಿ ವ್ಯರ್ಥವಾಗಿ ತರ್ಕಿಸಿ ಯಾವುದೇ ಫಲವಿಲ್ಲ.
This is a case of Love jihad, Great Job by Bajrang Dal. we dont have any problem if muslims girls visit our houses. but we condemn hindu Girls visiting Muslim houses. Muslims will do Taqiya to convert hindus by hook or crook,
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