Stump-wielding batsman kills 16-yr-old wicket-keeper for taunt against umpire

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, May 5: The movement of migrant labourers from Karnataka to other states has stopped temporarily, as few North Indian states are yet to give consent.

Revenue Minister R Ashok said that the state government will convince labourers to stay back and ensure free food supply at their camps. "Even if we allow them to travel, they will be quarantined for 14 days as soon as they reach their native states.

The labourers don't know about this and some states have not yet given permission for their return," Revenue Minister R Ashok said.

According to sources in CMO, the decision to convince the workers to stay back came after several major projects - both government and private - were affected by the mass migration of labourers to their native districts and states.

Ashok, along with S Suresh Kumar, Primary and Secondary Education minister and head of the group of ministers focusing on migrant workers, also visited labourers who had gathered demanding that they be allowed to return.

Chief Minister BS Yediyurappa will chair a meeting tomorrow and instruct builders under CREDAI to pay pending wages of labourers, provide food supply and ensure their safety, Ashok said, adding that all construction work by BBMP will also be taken up to help the labourers.

Hubballi, Jan 28: Charting that the Bharatiya Janata party’s Central leaders have not given a free-hand to the Chief minister B S Yediyurappa on the issue of expansion of Cabinet, former Chief minister and the Congress leader Siddaramaiah had opined that 'it has hampered the State’s development'.

Speaking to newsmen here on Tuesday, the Congress leader, alleged that 'by not giving permission to Yediyurappa to expand his ministry, it was evident that there is no any internal democracy in the Saffron Party'.