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
This is a advance education era. Most of the grown up childrens are well capabe to understand what is good what us bad. What is God's Creation and what is not. In our Inpendence country every one have right to choose their choice.
Orthere no need to interfere or they have right to do any forcefull act fo
Convert the rest or to do forcefull Ghar Wapsi.
Trust street mongers will stop these non sense activity.
Some one faught with his father n left home. Some mentally group's trying to create communal tension in South Kanara surroundings.
State Govt n dept must take strict action n send them behind bar for at least 6 months period is the only right remedy.
Jai Hind
bjp has no other issue and that is the reason they take up converion issue. Its cleared by Police Dept that no case of forced conversion taken place in Suliya. Based on this, Police should ban hate mongers from giving any speech and ban these terrorist organisations.
More & More people converted to Islam in USA & Britain so that they can create another Afaghanistan & Syria
Bopanna...
I feel you need more education on God... U look dumb when u dont study about your enemies.. Dont just depend on cheddis fed info on islam...
Use your own intellect and read your enemies book The QURAn...
I will help U ... read online theQuranProject , well explained for people like you... Try it man.
Another pillar of Islam
1. Bombs
@Sangeeth, Mangalore
Yes! they converted because of listening to zakir naik's speeches. Because he speak the truth. and they liked the truth.
Entire Karnataka incluidng Dakshina Kannada is crying for drinking water. But these shakunis are worried about religious conversions.
I want to ask the bunch of jokers in this forum - Viren, Yogesh & Sangeeth
Your voice speaks that you are really worried of growing popularity of Islam
Why do you think people are forcibly converted? Are they illiterates ?
You will agree to the fact that in this modern age, each product has its own USP and just imagine why there are more Airtel subscribers in the country compared to other telecom providers ?
Are the customers compelled to subscribe for their product ? In this age, every individual are smart enough to decide which one suites him.
So it is foolish to tell people are being converted forcibly
Yogesh...how innocent Hindus became chaddis...this is mind wash from terrorist group RSS
@Yogesh
UK's No 1 News channel
http://www.dailymail.co.uk/news/article-1343954/100-000-Islam-converts-…
@Yogesh proof for yogesh
http://www.dailymail.co.uk/news/article-1343954/100-000-Islam-converts-…
http://www.ibtimes.com/muslims-america-more-latinos-converting-islam-us…
CELEBRITIES WHO CONVERTED TO ISLAM, SO MANY
https://en.wikipedia.org/wiki/List_of_converts_to_Islam
And whoever seeks a religion other than Islam, it will never be accepted of him) ?3:85?.
In this Ayah ?3:19?, Allah said, asserting that the only religion accepted with Him is Islam,
No other religion book says. We dont benifit by converting u people, u are getting benifitted.
At the end of the day, those who doesnt follow and practice islam. He will be the loser.
More educated person is converting to islam than non educated ones.
Highest people are converting islam is from britain and america. There is no pint of force converting.
After 9/11 to prove quran wrong. many started to studing quran, they found that it is the true peace religion. And the terrorists are doing anti islamic. Against islam. So many people converted stil now people are converting.
Many big celebrities like mohammed ali, tyson, tony blairs sister are all converted to islam
please note that hindus converting to islam because of some hate speeches made by hindu leaders like kalladka
@VIren
U should Thank Arabs, the word Hindu is given by Arabs.
The actual Religion is named as Sanathan Dharm. Which nobody Follows.
@viren
How Hindu Population is Increasing, Show me a single Person who converted from Islam to Hindu.
i think u r just telling Opposite,
Plz Check, Ur family Members might have converted to Islam.
Police should arrest all PFI goons , hindu population is increasing day by day and PFI aware about it
Just say in ur heart, La ilaaha illalla Muhammed arra Soorula, u Have passed first stage of islam. No body can stop it.
This is the power of islam.
The Five Pillars consist of:
Shahadah: sincerely reciting the Muslim profession of faith.
Salat: performing ritual prayers in the proper way five times each day.
Zakat: paying an alms (or charity) tax to benefit the poor and the needy.
Sawm: fasting during the month of Ramadan.
Hajj: pilgrimage to Makkah.
No other religion book says so.
Hindus make idols, But i think, the man who makes the idol. is greater than idol.
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