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
its not targeting the scholar ...
its targeting ISLAM
its targeting the TRUTH
its targeting the blind faith from knowing the TRUTH.
its targeting to blind the knowledge of oneness of God (Na tasya Pratima Asti)
In the past there were many who targetted, but Alhamdullillah (Thanks to ALLAH) ISLAM is still ALIVE and No one can white wash it even if they have all the temporary powers they get from the Almighty. Non Muslims should read (thequranproject) online to learn about the POWERFUL ALMIGHTY ALLAH who is the CREATOR of all that EXISTS.... its time to Recognize OUR CREATOR and reject the FASLEHOOD (Manmade gods) that will be the TRUE SUCCESS in this world and the Hereafter.
When he became terrorist.
So how many riots/bomb blast took place after his speech.
O ho ! If the government can bring Zakir Naik to India, why the government can not bring Neerav modi, Lalit modi, Mehul choksi etc to India. (instead PM has friendship with them by meeting Neerav in Davos, appreciating Mehul choksi in a program etc). Is this not a partiality to target only muslims. Looting Thousands of Crores by so many guys and running away from India is not a matter at all for the goverment ?
This is totally injustice.. Targeting a scholar its not a good thing. Zakir Naik doing everything for the betterment of humanity
While barking about saffron terrorism you people should realise Islamic terrorism also. ZN spreading only hatred
Not Islamic preacher.. He is communal goon
Again started problem.. Such a communal minded man. He should not be free
Put him behind bar. He is just total waste for earth.
Why modi affraid of ZN
So what...! Handing over a terrorist is not a big issue. Modi govt asked because he is more concerned about safety of people
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