Rape convict godman’s bhakts go on rampage; over 30 killed, 300 injured

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.

Bengaluru, Jan 3: Former Karnataka chief minister and Congress leader Siddaramaiah on Friday criticised Prime Minister Narendra Modi and said that 90 per cent of the promises made by him remain unfulfilled.

"He (Prime Minister Modi) had promised that in 2020 the economy will be doubled, but only their troubles have doubled. He just lied. 90 per cent of the promises made by Modi have remained unfulfilled," Siddaramaiah told media here.

Siddaramaiah's remarks come at a time when Prime Minister Modi is on a two-day visit to the state.

"In August, there was severe flood in state, he didn't visit Karnataka at that time. Flood situation was in 23 districts. Prime Minister will tweet for small issues. But at the time of severe flood he didn't even tweet. In 2009, Manmohan Singh was the Prime Minister. He did aerial survey of the state and announced Rs 1500 crore relief on spot," Siddaramaiah said.

"This time the estimated damage due to flood is more than Rs 1 lakh crores," he said.

He went on to say, "Prime Minister came to witness Chandrayaan-2. He did not give time to Chief Minister and ministers and opposition party to meet him and discuss about floods."

"When I was the Chief Minister, the Prime Minister visited the state two times. Prime Minister had told at the time of inauguration of food park that there will be 10,000 direct employment and 25,000 employment. But nothing has happened till now," Siddaramaiah said.

Besides the Prime Minister, Siddaramaiah also criticised Chief Minister BS Yediyurappa.

"In last election, Prime Minister had told that, if BJP comes to power in Centre and state, there will be development. But nothing has happened. Chief Minister and ministers should have spoken to the Prime Minister about relief funds. The central government should have announced it as National disaster... That's why I called BS Yediyurappa as weak Chief Minister," Siddaramaiah said.

"He had said if BJP is in power at the centre and state, doors of fortune of the state will be opened. People trusted him and gave 25 seats in Lok Sabha elections. But now, he doesn't even open the doors of his house for his party leaders," he said.

Congress leader further cornered the Prime Minister over his address in Tumkuru Mutt on Thursday and said, "We admit Pakistan is an evil country. But what are you doing about minorities in our country? You are bringing law against the minorities. Is that right? And you give speech about these things in front of young children."

Prime Minister Modi is on a two-day visit to Karnataka and is attending several events as part of his official engagements.