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
Good initiative and we hope this has a wide outreach.
The activities of the fringe antisocials have to exposed for what they are and whom they serve.
By educating our youth, imparting skills, creating jobs and fostering humanity, we can ensure that harmony is sustained.
We are busy firefighting and not bothering to target and tackle the root cause, the real fire.
So pleased to see that the various sects have come together towards a better future for our beloved Mangalore.
Bravo!
Few on dias are jobless. Nice way to make living.. no income tax at all.
Easy life
Organising such an event is itself a landmark in communally sensitive city like Mangalore. It is Humanity Vs Hate & Terror. Wish this small step by proud sons of Mangalore prove to be a sigh of relief to the Peace loving general public of twin districts. Hope this will be the start of isolating BAD ELEMENTS from ALL COMMUNITIES for a Better Managalore!! Jai Hind!
Great stuff Saif.. May God Bless you... Hope all the Mangaloreans understand and live peacefully... @ Viren .. dont follow whoever you are following blindly..it will lead you no where... hatred has never brought peace no where in the world.. it will only lead to destruction.. live and let live.. Jai Hind
Hi Mangaloreans,
Thanks a million for your support and kind words.
1. Small drops make a ocean , have patience
2. Wish you the same and Thanks for the motivation madam
3. It's just the beginning and we have just started with a few , will be adding more in the future.
4. Thanks a million sir
5. The youth wing of Billavara Sangha Yuva Vahini is with us & youth from all communities are being misused
6.Thanks a million for your wishes sir
7. We are organising such events to warn Mangaloreans about trouble makers like you in all communities, we have filed a Cyber Crime Complaint and they are tracking your IP Adress , expect a call soon where you are
Jai Hind
this is a pure gimmick by both parties. In fact worship idols itself a gimmick.. all show off.. to fool people..
I think organisers forgot to include Hizbul mujahideen. hahaha.
Try involve Billavara Sangha representation. Billava youths are mostly used by the leaders of violence for their political benefits.
Most of the roudism, murder etc cases billava unemployed or uneducated youths are behind . They are the one who get killed and most they are the one who are going to the Jail.
Good Luck!
All the best.
Our twin districts known for peaceful co-existence communal harmony,love,brotherhood and trust. And also known for hospitality for guests Mangaloreans are intelligent educated smart and kind hearted people.. But now a days people are living with hatred and
insecure feelings. Few anti social elements trying to spoil the image of our districts by seeding the hatred poisons in the minds of the innocent people. It is the responsibility of all the NGO's ,politicians, religious scholars, administrative institutions to promote and uphold the peace and harmony in the society.
Major NGO's and religious organizations missing in the unique conclave.
Good move. God bless you all. God bless Mangaluru.
But when the major organisations will unite for a better cause? you can bring small organisations together anytime. Even though bunts organisations is part of the event, am sure it's for name sake.
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