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.
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Moral classes for Immoral activities
Oops..Producing some more minor terriorists,,, we have minor cell,,, No issue,, Upon blessing of Saffron Govt,,, documents missing.. as Malegaon blast.. Samajotha blast,,, Release BHAGYA,,,
70% is Hindu population of the nation and if at least 25% are illiterate, still they are more than peace loving community.
However they have at least other 25% educated in them.
The one and only the best solution is target these educated people in conveying the true religion. When they are with you, India will be peaceful country by force.
After sometime it will be peaceful country without force.
Pardon them Lord. These chaddies are ignorant goons. They do not know the fact that what they are doing is selling Bharat maatha to the West.
first of all who are they to teach (rss) ? are they govt? supreme court should stop this kind of nonsense.
INDIAN LAW AND ORDER MUST FOCUS ON THIS CLASSES AND NEED TO TAKE VIDEOS AND CLARIFY,
BEC WE DONT KNOW WHAT THEY ARE TRAINING TO YOUNG CHILDREN
BEC WE DONT WANT ANY TERROR GROUP HERE IN INDIA ...
Cheddis are controlling even our leaders ... We have recognized their cheddi trained MORALS after coming to POWER...
Please DEFINE what is MORALS to YOU>....
Brain washing classes.
RSS and Moral - you must be joking.....where was their moral when they killed Mahatma Gandhi???
Time has come to vanish this terrorist group from INDIA. Hope peace loving INDIANS will do the same very shortly.
Jai Hind
We are seeing what kind of products are coming out from RSS schools. Bajrangdal, VHP, SRS, all immoral rowdies.
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