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
today TRUMP ..tomorrow SUNNY LEION ...no doubt about that
and interested thing is TRUMP married thrice ... can cheddis ?
TRUMP likes to eat COW MATA and PIG BABA ... do they like?
one more interested thing is his grand father FREDRICK TRUMP was barber and owner of hotels and BROTHELS ....
Trump likes to have BEEF with cake, they forgot to bring it in the Party, Sena he is a BEEF (MATA) eater. Careful buddies!!!
This clearly shows that chaddis are anti nationals.
Because they are celebrating the birthday of one person who always hate Indians and scolded Indians many times.
Don't be surprised if these chaddis forget RAM Mandir and start demanding Trump Mandir...
How sad......what more can be expected from worshippers of Godse
This is what happens when some people remain illeterate. please my dear friends send your children to school, educate them, highly qualified to atleast understand what is right and wrong, so we will not see such kind of stupid brithday celebration in our future generations.
Good news....
Childrens be prepared for one more National Holiday (TRUMP JAYANTHI) in india.
Shameless Creatures....
Muslims are so powerful....chuddies (Trump) are scared......
he will ask \who r u ? touble mongers?"
Wonderful celebration by the RSS/ SEENA Mongers, these Buffoons thinking what??? Once Master Donald elected then he will teach Goonda Sennas A good lessons because he is Americians, these Cruel Baboon's not yet understand these American's, Puppet of Arabs, they will not believe you Poor Nasty's, they need money they are behind of money my dear Sena Criminals, spend poor people money for celebrating his Birthday totally waste and angry with your Neighbour friends made Dushman!!!!!! you criminals never and ever improve, feel like you Forgotten your died leader.
Jai Hoo Hindustan.
AFTER WINNING THE ELECTIONS TRUMP WILL CONVERT ALL CHADDIS INTO HIS MANGA JAATI.
Finaliy the RSS parivar proovd that hitler is the grand father and his belover is the father of the parivar.any how they not celebreated thire on father birthday so enjoy this tyip of stupid birthday,jai hoooooooooooooo
Now they forget to celeberate death anniversary of Late Takre.
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