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
This women has gone crazy.... evey time she opens her mouth she spills hatred and venom.... i laugh and feel pity on those people who elected her on what basis they have elected her i dont know.....can you point out a single area where she has done good thing for the society...... i havent seen she speak about her work about the development....... she is into communal politics only
Get "wedlock with Yeddi", 2nd time ?
Abhi counsi shaadi ?
soon she will be out of BJP....
BJP has no need to join hand with other terror-communal organisations. They are one who spits communal venom all the time
Who joined hands with PDP?? Thuppakki Shobha forgot that..!!
Wonderfull Akkama Akka, what about Baj Ranji? Terrorist RSS? What about your Yeddi Chaddi?
you pull of the gate, one way Trafic? not good nowadays every were two way trafic Akkamma, being sitting MP you have no knowledge because always behind Yeddi. so better hang yourself or get wedlock with yeddi, then only you Improve>
BJP's policy, those who pass deregatory remarks and spread communilism, they will get ministerial berth. During next reshuffle Shobakka will become a Minister of Communalism. Shobakka, don't be too smart, otherwise you will loose your looted Coffee Estate in Madikeri.
what about PDP Shobha kandodi arent they anti-nationals now ?
Yabba Khandody opened the mouth. Created only for desh drohi rss activity and communal clash.
jaa bahen shadi kar le... you will have better life than this...
Madam,
If we agree by your words, then what is your government in center is doing. Ban them. You want to play politics by keeping them active and polarise hindu votes. One think you forgot that people of coastal karnataka are highly educated. Yor can see the latest PUC results. So dont fool. It may backfire on you. Jai Hind
This woman always spits the venom on other community...
Add new comment