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
Indian National Father Mahathma Gandhji Killer RSS group , why and how you people celebarate National days ...Oh Bhattaaaaa...
by wearing neerdose
To celebrate national festivals, by wearing chaddi or pant?
RSS never hoisted national flag in their centers after independence.
celebrates Pakistan independence 1 day before ours and is teaching others now.
Hypocrisy
Va Marl mare ....Bhatta is so scared of PFI . now when his fathers like Times Now and other paid media started to bark abd trying to bite the mighty PFI ....goons like BHATTA is started to come out from caves ....
bisi tagidre matra benne karaguvudu
Who let the dog out.. bow bow bow
Unfortunately good secular are being killed by the criminals like these. Such criminals are lucky for not being harrassed or touched by anybody. This is temporary situation.
The God is watching and relaxing him to do more sins. Slowly he will be caught and nobody can save him.. We have seen many criminals in the past with all attrocities beyond the bounds. Finally their day had come.
Nobody can dare to force any religions, what to follow and what not to follow. It is not the business of anybody. It is command what they are following from their God. If he wants he can do at his home even he can not force his people at the temple.
He is utter stupid, Politics is not controlled by any group or religion. It is the choice of democracy. The majority in the state is Hindus. But all are not stupids like him.
Though they are majority, they selected good government. Because of Northern states, BJP came to power, now all Hindus are fed-up of Modi's group.
their end is also very imminent. Modi's time has come to get Political Sanyasam.
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