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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But BJP was able to do it in UP and Gujarat since EC is in its pocket
After model code of conduct came into existence in Karnataka, Congress crooks are not able to distribute money (both black money & fake currency) freely to get people for Pappu rallies like before.
Why can’t the idiot understand that Kannadigas have no interest in meeting him to listen to his nonsense.
Because it is a BJP stronghold and naturally communally sensitive region!
"Rahul asked party workers not to brag about their achievements and the
achievements of ministers, but to focus on key issues of each region
that ensure victory"
Is there anything to brag? And, he is advising to focus on key issues, now, during the election time? What were they doing for last 5 years?
Congress has change for its own good. Party party hierarchy, should be strong. The party must have zero tolerance on Corruption in the name of Party funds. Collect money from ministerial aspirants and Chairmen of statutory boards. Why other parties speak lightly about Congress is due to situation that is prevailing in the Congress. Native Congressmen are sidelined with migrated defected leaders. No one is listening or giving chances to hear views. This time Congress will learn a hard lesson for sidelining devout and loyal Congress leaders and giving prominence of migrants. Even senior leaders like Mr.Jaffar Sheriff and Moily are sidelined. Mr. S.M. Krishna left the party due to not giving importance to his seniority or experience. Now one after the other will start leaving the Congress after out come of the elections in Karnataka.
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