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
Sandy. you really have sandy mind. PFI is not banned anywhere. you lie as you have no ground to blame PFI and no right to blame. As RSS links to terror already revealed by national media and NIA . just ask your RSS to shift to Pakistan or nepal, As they dont even hoist national flag
i dont think this ibrahim is ibrahim, i think he is not a muslim and uses false name and internet knowledge to give stupid comments and force us to reply to him..
why are you saying baseless things, Its not banned anywhere. Don’t just say the things which come into your mind without understanding them properly. Your message is foolish, ignorant and a comment without any responsibilities
@ sheikh ibrahim,
well said sir, I am sure your qualified and understand the Quran very well.
But atleast they are doing there part -what you are doing. If you have mashallah this concern then work for the cause - teach them quran and do something about it insted of just complaining.
Now please don’t give excuse that you cant ?
Because you haven’t tried.
in 1 hour a week , will also make a difference,
If you can’t then please try and hire an imam for 1 hour a week.
If you can’t even do that then donate 100 rupees a week to help that cause and help them learn Quran.
If 100 rs is to much then try 10 rs. if every one will do something insted of complaining the world will definately be better place.
Insha’Allah
Do you have any proof for your blabbering, or its just coming out forged by your hatred for the community?
As per Israel – it is believed to be anti-Islamic by many, some people support Israel just for its alleged agenda.
But to your allegation of SDPI backing “jihad against kafirs” if your definition of jihad is just like ISIS/RSS -then you are legally obliged to provide proof for your allegation and put the culprits behind bar, serving our great nation. If not then this is just a defamation.
@yogesh , so you haven’t heard about saffron terrorist?
all RSS people are where and will remain Hindus!!. Further many people wear the mask of Muslims but very few are Muslims. Also the leaders name of IS is said to be Simon Elliot. In military standard false flag operation were common by Israeli before , This is just an advance tactic, A
lso if what SDPI is saying in this particular matter is right shouldn’t you say it to be right. D
isagree with them or any one where they are wrong, But not when they are right.
@ unknown( coward/hypocrate) using false identity.
By your logic
I don’t believe this but its just to answer the retard who drew the conclusion
Nathuttam godse = killer of the father of our great nation
Hence, godse = enemy of India
godse = hindu
Hence proved
Hindu = enemy of India ?
Further,
All religion / country have there black sheeps and terrorist.
If you are sensible you can not generalise or sterocast people.
haha biggest joke , 400++ isis sympathisers are having PFI background :) double game dont work . In one side telling isis is israel and anti islam and in other side openly backing jihad against kafirs .
Please watch an interview which was done in 1990 youtube "
ISIS=Israeli Secret Intelligence Service"
In an excerpt from a 1990 C-SPAN interview with Brian Lamb, Dan Raviv and Yossi Melman, authors of the book Every Spy a Prince: The Complete History of Israel’s Intelligence Community, describe how the Israeli Prime Minister’s Office officially refers to its subordinate organization “the Mossad”
HEY cANDY, Tell me which state banned PFI?
Comman can understand it is a propaganda against org. Why PFI should ban for it's uncompromising stand against Fascism? Against Rss terror activities in India?Moth piece of RSs media failed to present a Proper evidence against PFI why?
Many states banned PFI because of their link with terrorists
Rubbish. Total rubbish. Ban PFI
Many of the PFI workers dont know the real meaning of Islam and they didn't read Quran fully or properly
PFI said the truth but these people dont have any right to blame them. Because these people only number one trouble makers.
ISIS=Muslims
PFI+SDPI=Muslims
Hence ISIS=PFI+SDPI ie Muslims
But all IS terrorists are/were Muslims only.
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