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.
The organisation's director Jasim Mohammad is credited with writing the Prime Minister's first Urdu biography, Narendrabhai Modi — Farsh Se Arsh Tak (Narendrabhai Modi – From the ground to the sky).
Comments
Scolarship
Mr. Jasim shame on you. You are not a muslim. Only name. You fool joining hand with corrupt and anti Islam people. You also go to hell.
His face and his body language shows he is corrupt and greedy we muslims don't want a person who killed our brothers sisters shadow also to fall on our future generation .shame on you
Ten scholarships of 5,000 each, that means 50,000 per year.... For such peanuts, you need the help of a PM... Shame on you..... Just visit the coastal districts, how the rich people are helping the poor with scholarship.....You and Modi will be ashamed of this......
Another boot licking creature...
This name sake muslim Jasim is another Shahnawaz khan who is a chela and chaddi of Feku and bjp. these people have sold their belief for the sake of power and money. shame on you Jasim for being so cheap for power + money. did you forget that Allah is the one who blesses us with power + wealth. Have you lost faith in Allah and are so faithful and trustful to these anti humanity. BJP is 100 percent against Muslims and Islam and this is fact. Are you also a part of them. If this is the case you should change your name to Jasim Rama Modi or Jasim Laxman Shah. Shame on people like you have joined hands with the enemies of Muslims. In sha Allah you will be taught a good lesson by the Creator and you will find no place to hide.
Political Gimmick & Self benefits. A.Chaddi game.
Mr. Jasim,
Please make public that how much money you received from these thieves.
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