Voices of dissent ahead of Karnataka Cabinet reshuffle; some threaten to quit

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.

Thiruvananthapuram, Feb 11: In a unique form of protest against the Citizenship Amendment Act (CAA), a bridegroom in Kerala, Haja Hussain, came for his wedding ceremony riding on a camel holding an anti-Citizenship Amendment Act (CAA) poster in his hands, on the outskirts of the capital city on Monday.

Accompanied by a large crowd mostly comprising his friends and relatives, Hussain carried a placard which read "Reject CAA, Boycott NRC and NPR" as he arrived at the wedding hall in Vazhimukku, about 20 km from Thiruvananthapuram, on a camel back.

Haja Hussain said that he chose to do this to express his protest against the CAA.

"Along with the ' mahr' (the custom where the groom hands over gold or money to the bride), I also gave a copy of the Constitution. CAA should be rejected," said Haja Hussain, who is a local businessman.

Mangaluru, Jul 11: A youth was run over by a lorry after a speeding car knocked his two-wheeler down on Netravati Bridge near Thokkottu on the outskirts of the city today.

The deceased has been identified as Ubaid (28), a resident of Bandikotya in Ullal. According to sources, he was recently engaged and was supposed to get married on July 23.

Shakir, who was with Ubaid on the two-wheeler suffered serious injuries. He was shifted to a private hospital for treatment. 

The car hit the two-wheeler when the two were heading back to Ullal from Mangaluru. 

The impact of the collision was such that Ubaid was thrown on to the road. Within a second a speeding lorry crushed him to death on the spot. 

The car driver sped away after the mishap instead of stopping to help the accident victims. However, local residents chased the car and waylaid it near Thokkotty flyover. 

The car was reportedly driven by Krishna, who works at Someshwar municipality office. He had reportedly purchased the car just two days ago. Police have taken him into custody along with another person who was also on board the car.

Traffic south police have registered a hit-and-run case and investigations are on.