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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.

Bengaluru, Jan 14: The Karnataka High Court on Tuesday issued a notice to the government of Karnataka while hearing the plea for ordering Judicial probe into the December 19, violence and police action in Mangaluru.

On December 19, the local police while taking action against anti-CAA and NRC protesters had fired at them which had killed two citizens. The police action was then followed by curfew in the region for over 48 hours.

The High Court bench hearing the plea of JD(s) leader Iqbal and Sullia Pattan Panchayat member Iqbal seeking its intervention to order judicial probe into the matter has issued the notice to the government.

Yadgir, July 2: A fresh video of the health staff dragging the body of a Covid-19 victim and dumping it into a pit disgracefully has gone viral on social media.

The incident occurred in Yadgir district of Karnataka on Tuesday, just days after shocking visuals of bodies of Covid-19 victims being handled disrespectfully in Ballari district went viral.

In the fresh video, two persons with PPE suits can be seen dragging, hurling and dumping the dead body of a senior citizen who died of covid-19. The duo dragged the body using a wooden log inserted to both hands of a plastic body bag for nearly 300 meters.

After pulling till the pit, the body was heartlessly dumped including a wooden log. Several villagers were also seen in the video.

The victim was settled in Siravara in Raichur district, although he originally hailed from Yadgir. On Sunday he was busy overseeing his daughter' wedding that was first postponed due to lockdown.

According to a relative of the deceased, on Monday he complained of breathing problems following which an ambulance was called to carry him to Raichur Institute of Medical Sciences (RIMS).

Raichur Deputy Commissioner (DC), R Venkatesh said he was brought dead to the hospital as he succumbed en-route. The family members were quarantined and the body was packed as per the protocols and sent to Yadgir as his family members informed that the victim is from the neighbouring district. "In Yadgir district he was swabbed and his test results came positive," DC informed.

As soon as residents of Honagera village learned about the arrival of the body, the family members were harassed asking them to not to bury the body in any of the fields in the village.

Sridevi, a relative of the deceased said "the locals assembled near our house and threatened consequences if the body was brought here. Fearing backlash, we asked the district authorities to perform the last rites in the farmland owned by the victim. But it is now saddening to see the video where the body was inhumanely dragged and dumped."

Meanwhile Karnataka Chief Minister BS Yeddyurappa on Wednesday (July 1, 2020) said that six staff members have been suspended in connection with the inhumane funeral of a man who died of COVID-19 in Balari district.

Another covid victim’s body inhumanly dragged, dumped into pit in Karnataka pic.twitter.com/xs1fssupPg

— coastaldigest.com (@coastaldigest) July 2, 2020