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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, Feb 10: Two Iranian nationals have been arrested by the Karnataka police for allegedly stealing money from car showrooms by diverting cashiers’ attention in Mangaluru, Udupi and Bengaluru.

The arrested are Saeed Rostami, 26 and his friend Saber Hossein Eghbalzadeh, 35, are both residents of Tehran and in India on tourist visa. They were caught by the sleuths of Bengaluru’s RMC Yard police station.

The accused would approach the cashiers, asking for change for Rs 2000 notes to divert their attention and flee with cash from the showroom. 

The duo landed in New Delhi on January 16. Later, they arrived in coastal Karnataka before reaching Bengaluru on February 1. 

The same day around 4pm, the two visited Trident Automobile Pvt Ltd’s service centre in RMC Yard. They went to cashier Kiran and sought change for Rs 2000. One of them dropped the note and Kiran picked it up for him. Meanwhile, Kiran also noticed there was no change in his cash box and informed the duo accordingly. 

“Kiran later realised Rs 44,000 was missing from the cash box. He verified CCTV footage and found the two visitors stole the money when he bent down to pick up the Rs 2000 note,” a police officer said.

Kiran filed a theft and cheating case against the men. RMC Yard police suggested Kiran circulate the footage at other car showrooms and service centres as they had heard about similar incidents being reported from Udupi, Mangaluru and other places in Bengaluru.

“Sharing of CCTV footage helped us nab the suspects. They visited a showroom near Cauvery junction on Ballari Road on February 6. The staff noticed the duo and realised they were the same guys, who had stolen the money at RMC Yard and informed us,” said police.

Bengaluru, June 19: The throat swabs of a Bengaluru-based Kannada journalist, who passed away on June 18, were tested positive for the covid-19, officials said.

Gauripura Chandru (54), who was one of the sub-editors of Vijaya Karnataka Kannada daily newspaper, had reportedly suffered cardiac arrest.

It is learnt that Chandru wasn’t keeping well for past few days. He collapsed at his home on Thursday afternoon and was immediately rushed to a hospital, where doctors pronounced him dead.

A native of Gauripura in Chitradurga district, Chandru had completed graduation in engineering. However, he had chosen journalism as his profession.