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
Dear media
why you doesn't mention hindu terrorists because he is not a Muslim name r8
BJP is lost in its arrogance
What you cultivate that you harvest. BJP may lose all assembly elections in future including LS. Let them be an arrogant tusker for few more days
Where is NIA?
Naren, when are u coming back to India, to place the meat bag in the Nagabana and to start a riot..... we are missing Mutalik, so you should fill his vacancy.....
Viren ...if it's a bajrangi victim....if minority then terrorist.....please clean your brain with water....not go moorhra....you may change your mindset
Haha there is no shortage for babu bajrangrees in India who are ultra nationalists ....today we might have tears ...but table will turn towards Islamic millitants for sure ...
This is what happens, they do but minorities are labelled as traitors
NAREN LOST HIS TWO BROTHERS....! STILL WE FEEL PITY...
Natasha....well said... God bless you .... May Almighty show us the way of humanity....... In your list of allegations, just add one more point.....Place the meat bag in Naga Bana and blame the Minorities.....this is what happened in Bhatkal recently....
VIREN..........Yes He is victim of Terrorism because he is scape goat in RSS terror Game ....same like Praveen /Prashanth poojary
@Viren, exactly you are right.. and also the cow killed Prashanth Poojary.. simply media blaming Banjrang Daakus and VH Saddists as murderers. Dont be blind in religion that you cannot make what is right from wrong
Wa Makaru wa Makara Allah wa’Allahu Khairul Makereen’ (Quran: Surah Aali Imran 3:54) 'They planned and Allah planned and Allah is the best of planners’.
our country is marching towards VINASH because of these Hindutva Aatankies (BJP, RSS, VHP, Shiv Sena, Ram Sena, Gay Rakshak etc.) They are treating all non Hindus as their slaves (Dalits, Chiristens & Muslims) & the governing BJP & MP Mr. Mozi are giving them full support. Gujarat under Mr.Mozi in past was same against Muslim.They are playing dirty politics.
Suno na Cheddi marmar...
ki yeh dhamake
Kuch bhi nahi hai...
aage tumhaare
Aaj se chappal pe mere...
raaj tumhaara....
Cheddi tumhara
What a great news. After Udupi incident, this news will surely cause at least a mild heart attack for the party of thugs.
Thank you God for averting a terror attack and punishing terrorist
Ethics of journalism is murdered here. Deekshit is a victim. not terrorist. Kannur is a place where PFI had organised terror camp years ago. Central government must intervene and expose the reality.
You traffic cows
You make bombs
You hoist Pak flag in India
You raise anti national slogans
You kill innocents
Then why the f*** you put the blame on Muslims???
Add new comment