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
i want ask the government...the apex ,the judges (honorable)of hcourt civil court, and above i want all my lawyer brothers, please dont e3ver play with your profession ,REMEMBER SOMEBODY WATCHING YOU 24 HRS ,YOU ALWAYS PRAY TO AND U HAVE SHARDHA, TRY PROVE THE TRUTH ... WHAT HE WILL GET OR SHOULD GET, OR WHETHER HE WILL RELEASE ON BAIL.... PEOPLE MAKE JUDGEMENT..THANKS.
inspired from whome? head of the department?
Rather than killing innocent and those who do hard work.. The GAU-RAKSHAHS should target such kind of CRIMINALs who deosnt recognise even a 6 year old child....
EVIL is cheddis agenda... which will effect the society in the near Future if we did not voice out or protest against increasing criminals in our society...
Stop arresting innocent and start arresting the Real criminals who are out of trained in NAGPUR....
Please chop his tool immediately, Na rahe ga bhans na bajege bansuri
This may be a fake news! For AUTHENTIC & CREDIBLE news, please check Notorious Coastal Kannada daily, sure this man had a challenge with his wife to molest the child, he did not have any bad intention as he is Deshpremi and proud son of Gomatha, and member of homo brigade. Before reaching the jail he might have secured bail.
Naren, which community does this bas...rd belongs to.... so don't ever target or point out particular religion and hurt the sentiments.
This is the true colour of these Gau Rakshaks
They don't respect women and yet talk of protecting animal
Eager to see if people from pump well ,kalladka and kotian stage protest
One more feather in the cap of so called Nationalists. Sad part is the law of the land turning blind, dumb and deaf towards these fringe organization. Its beyond ones imagination that why they are not yet banned.
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