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
what your forefather done, slave of british or licking british boot... muslims fought hard for this country
did your father borns to godse...then you are najaaes aulad!!!
Your father was traitor...who is licking british boot from long time... as i told you last time 80% dog is nothing in front of 15% lion in forest.. i hope you got my point
what is the contribution of HEGDE community to Karnataka .!!!!
People who have not done anything for Mysore or Karnataka, Just Spread Lies, Hatred,and follow the Britishers policy of DIVIDE AND RULE.
JAI HIND , JAI KARNATAKA
Send these rss chaddidaars behind bar for atleast 12 months period. All will leave peace fully.
Tipu was the only one King who fought till his last breathe against british. He was a big treat to British invader which Is still rememered by the Brishers and written in British history. In his kingdom he respected all religion and their worship place. His administration was with all religions. He never spared any single british supporters in some part of MYSORE greedy people supported the Britisher's to enter our Country and cheated the great king. Fact's are trying to erase from the real history and nothing else. But facts never hidden at any cost by any one. Jai Hind Jai Karnataka! Long Live United India
What did Tipu do in India?? Looted all money, attacked many Hindus and Hindu temple and still court supporting people who stands for tipu
There were many deregatory comments against Godse. Why court not taking action against that.
Total injustice. Tipu was a traitor.
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