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
This passage has always been quoted out of context and never post other verses 9:1-14, If they did, people would find out that it says the opposite of what they claim. Read from 9:1 – 9:14,
Islam never says to kill non-believers and this wording is related to pagans at the time of renovation. Quran is not an ordinary book. To understand the quran better you need to study Hadith and history. Dear brother Rudra I really appreciate your quote and I advise you to study more and more about islam to find truth. May Almighty Allah Guide you and your family in a right way. May Allah bless you if he wishes. Insha halla
Dear Asokan, dont trust on sanghis who are trying to brain wash you. Whatever you have stated is wrong. Your daughter has no passport to go out of india. Secondly your son-in-law is not a terrorist but those sanghis who are brain washing are the real terrorists who killed Bapuji.
All claims, no proof.
Kill unbelievers where you find them. koran 9:5
Do you dare to deny it? Do you follow it ? pseudo muslim.
As per Quran, All muslims are not terrorists, there is no doubt in it.
I agree with you whatever legal points of view expressed. Hadiya is matured, educated lady and free to convert, believe and marry the boy of her choice.
There is another face to this, which also to be a face of parents! irrespective of Ashokan's Sangh parivar leanings, keep in mind that he is father of Hadiya.They born & bought up her for 24 years and all of sudden they lost her! How their agony, misery and sufferings will be? Just keep us in his place and think, don’t we require little introspection?
Mr.Ashokan Miscerabley failed to prove his claim as said! now even the supereme court allowed Hadiya to meet Mr.Shafin Jahan! the above statement is out of his frustration he maight have said. Now a days it is very easy to paint some one as terrorist , and some as nationalist! media and some Govt. agency under RSS control anything may happen in future as they decide who is nationalist and who is anti national!
Pray for Mr.Ashokan, Please read Islamic history before you comment.
Every one misunderstood that accepting islam is just taking membership. Islam is way of Life proved scientifically and logically. It is just way of Life. any one can learn Islam and practise it. It is open and no body will force to accept islam. It is choice to practise Law defined by Our creator. No body wil be a True Muslim unless he practice the way of life defined by creator. increasing membership in islam no use. Every one should understand their creator and obey him. It is very simple and beautiful. If any one understand the principles of Islam. automatically he will attract. and identify his creator. Only our creator can read our mind and understand true believer. by name we cannot say he is true beleiver.
"If thousands of crminals escape also no innocent should be punished"
"one should not eat full if neighbour is starving"
what a beautiful teaching. We pray Al mighty Allah shows right path for all human being.
Now he need Treatment from Mental Hospital.
How dare Asokan to call a man terrorist without a proof ?
He has the rights to object to the marriage but, can't call a man terrorist.
Drag him to court of law for defamation.
LOL
mr. jahan, file defamation case against this ignorant human...
In sha allah on judgment day hadiya's father will realize that her daughter had made a right decission by entering to the fold of islam and saved her life from hell fire. But sad part is her father is not realizing this now. I pray with almighty that to give hidayah to hadiya's father.
If ALLAH wills, one day you will come to realise that my daughter hadiya has taken a good descision, from dark to light. and i hope that hadiyas entire family will be enter to islam. May ALLAH guide you to understand islam. Aameen.
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