Section 144 clamped in Mangaluru; social media under scanner

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.

Ballari, July 26: Karnataka's minister for forests and environment Anand Singh has tested positive for COVID-19 and is in quarantine at his residence in Hospet town of Ballari district.

Minister's son-in-law Sandeep Singh confirmed it and said he has been home-quarantined and the doctors are treating him at home. It is not known who have contracted the virus from him, he told.  

A few days back, the car driver of the minister had tested positive for Covid-19. Old house of the minister located at Ranipet here was sealed down and he was quarantined at his bungalow off the ring road. 

A week ago, the minister held a meeting which was attended by doctors, hotel owners, the officials and journalists. Hence, they have been advised to undergo Covid-19 test, said a Government hospital doctor.

Kalaburagi, Feb 16: Fourteen years of life in jail has not deterred Subhash Patil from fulfilling his dream of becoming a doctor.

The 40-year-old man from Afzalpura in Karnataka's Kalaburagi was put behind bars in a murder case while doing MBBS in 1997.

Speaking to media, Patil said, "I joined MBBS in 1997. But, I was jailed in a murder case in 2002. I worked at the jail's OPD and was released in 2016 for good conduct. I completed my MBBS in 2019."

Earlier this month, Patil completed a one-year mandatory internship for getting the MBBS course degree.

Police arrested Patil in 2002 in a murder case when he was in his third year of MBBS course. A court sentenced him to life imprisonment in 2006.

He was put behind bars but he did not give up his childhood dream of becoming a doctor.

In 2016, police released Patil on Independence day for his good conduct.