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.
The bizarre development comes within hours after Dakshina Kannada district Khazi Thwaka Ahmed Musliyar formally declared the end of Ramadan after verifying the reports of moonsighting from Bhatkal in Uttara Kannada district.
Comments
Do whatever u want but please dont hurl bombs on each others mosques. Here other communities also reside.
Sad development. But the saddest thing is the ongoing grave worship in the same place. May Allah grant them Hidayah.
@Sharat, All are know who plant bombs , fake currencies, communal riots, extremely hungry to get in to power by killing innocent muslims, so better do some home work before post comments
@ Umar Farooq,
Sad thing is that still you are not matured enough to understand what
is grave worshiping ? May Allah grant you good mind to understand the difference between worshiping & respecting.
Then why u watch moon. If u tell this to saudi. They might ban u.
Yes Sharat exactly.... but not like Saadhvi Pragya or Asimanand...
Also not like swami OM baba and Nityananda..
Big salute for your chaddi words...
guys.. dont hurl bombs in Masjid... beside others also reside... better to hurls in Sanghi Shaka...only sanghis will dei.. no others.. they will sitin apart from public ... let them dei.... no issue
Extradited these useless thangas, they are there to devide muslims for their ego class...moon sighting in bhatkal is more than enough to end the month and celebrate the Eid. I think no need many khazis to Mangalore, they are spoil brat of Muslims especially in Mangalore becuase their EGO clash will not work in Kerala.
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