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.
Speaking to media persons over the controversies regarding the Muslim personal law and central government's attempt to implement uniform civil code, he said that there is lot of misconceptions in the society about polygamy and talaq.
Comments
Mr. Modi spends time at RSS ashram not with his wife.
100% ....no doubt
Well said Mr. Kodi....
Many people who think their view is intelligent than the divine rule...
Are really unaware of their ignorance....
They should read what sharia law is and how triple talaq is implemented if the couple doesnt go along with each other rather than making a big issue by just taking and joining hands with the Haters who alwz try to demonize the divine law...
It is the mercy of ALLAH. that Muslims and non muslims are learning the Divine law and I request all to compare divine law by yourself with the man made law...
Under the sharia law Muslim women's are happy it is a divine law not man made law to be changed. In islam women's have more respect and living with dignity and modesty. If you go through the survey you can find more divorce and more than one wife in other religions. Only handful self styled Muslim women's without islamic knowledge with the help of few vested interest try to defame the sharia law and trying to apply the common civil code in the country. UCC is a drama and the hidden agenda of sangh parivar and its paid anti muslim channels and media to divert the attention of NDA's failure and bring the Ache din to the people. If they really concerned the welfare of muslim women they can empower educationally and economically without any type discrimination.
Really appreciated comment.....who don't know about a family cannot have sentiments towards anyone....he don't know what is love .... what he knows is written dialogues by others....
Add new comment