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.
Sindhu Sooryakumar says she received over 2,000 abusive calls on her mobile allegedly from activists and sympathisers of various pro-Hindutva groups, accusing her of calling Durga a “sex worker” during the show which was a discussion on whether celebrating Mahishashura Jayanthi could be considered an act of treason.
Comments
Suvarna news and Asianet are two faces of one coin partially owned by Rajiv Chandra Shekhar, a Rajya Sabha MP elected by BJP, Karnataka. I was wondered these two channels always in favor of Saffron fugitives, how come the TV Anchor Sindhu got exact 2000 calls from Saffron activists? There were good TV anchors in these two channels left because owners leaning towards Saffrons. Now these two channels are having Astrology, Yoga, and vastu programmes which is not supported by current rulers of Karnataka. Since then these two channels are spreading venom in the society to divide the people.
Government must take note of this and an enquiry to be conducted to find out who are behind this episode.
Come on yaar...freedom of speech and media...why pain now?
Ban RSS...
Respect women....
\Ah! Antinational. Those days, that's what the British called us\", said the frail old man to his grandson as he pointed to the TV anchor."
Right wing fringe at play.
Everything is fair in The name of NATIONALISM.
It is a sheer disgrace to threaten a lady journalist for no fault of hers. She is an employee of a private TV channel and she has done as the call of duty. It is the duty of the society to protect ladies . Everybody worships GODDESS Durga and it is not that TV reporter does not. She may be more religious than the persons who are threatening her. The image of Durga will not be hurt if some sections of the society pass comments against her. Thousands of years culture is preserved by our women only. Keralites are highly educated but not civilized enough to have finer human feelings to respect and love women. It is a blot on their society.
Malayalam TV anchor got threaten calls from Activists of #Sangh #BJP is shame on Democratic India.Who is responsible for this?
Add new comment