Muthalik's bid to enter trouble-hit Mysuru averted; sent back from Maddur

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.

Mangaluru, Apr 13: Struck by the boredom of lockdown imposed to curb the spread of coronavirus, a 17-year old was caught on Sunday trying to sneak his friend out of his apartment complex by stuffing him inside a suitcase, police said.

"A minor, aged 17-years-old, a resident of Orchid Apartment, Balmatta invited his friend, a resident of Motisham Apartment, Pandeshwar to stay with him on April 11, Saturday," said PS Harsha, the Commissioner of Police, Mangaluru.

The friend wanted to return back to his apartment in Pandeshwar the next day but due to strict security put in place, he got inside a large trolley suitcase. Security guards at the apartment, however, got suspicious when they noticed the wobbling of the suitcase that was being wheeled to the gate.

Based on the suspicions, security personnel alerted the residents of the building and opened the suitcase from which they were shocked to find the boy's friend stepping out. Police were later called in.

A case has been registered against the two minors at the East Police station, police said adding that the duo will be produced before the Juvenile Justice Board.

Mangaluru, Jan 16: A protest against the Citizenship Amendment Act, National Register of Citizens and National Population Register organised by the Muslim Central Committee of the Dakshina Kannada and Udupi districts near Adiyar on Wednesday signalled a snowballing opposition to the measures.

Harsh Mander, former Indian Administrative Service officer-turned-social activist, asserted that the nation’s fight against 'fascist' forces including Bharatiya Janata Party and its parent organisation Rashtriya Swayamsewak Sangh began over 100 years ago when Mahatma Gandhi returned from South Africa and led the freedom movement against the British.

In his address, Mr Mander asserted that the fight against CAA and NRC is also a campaign to save the secular fabric of the nation. He added that the fight began over a century ago when Hindu Mahasabha and other organisations popped up with their vision to turn the nation into a Hindu country.4

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