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
He earned lot of money through spreading false news. After getting lot of money. now he decided to start his own to suck BJP.
I think the center has given him the cooked story to prepare himself before the Bhopal fake encounter case to bohw bohw on the news-hour....thats y he resigns it seems....now he knows the real fact of the feku......Allah will give him Hidaya...
Who ever speaks for Mr .Modi will get XYZ Security. Soon Anupum Kher will also get same facility.Ordinary People work hard and pay TAX. But our Modi Govt uses for all these useless people's Security.
India is Growing India is Shining.
LET HIM GO... WHO WANTS TO KNOW THE REASON... I DON'T.... AND PLZ TAKE AWAY HIS GOVT SECURITY... DONT WASTE OUR TAX MONEY ON SUCH PEOPLE ..............
Finally coward has resigned. Great news for our country's peace and prosperity.
Surely his bad time is nearing, AWASANA KALADALLY VIPAREETA BUDDI
He will start reading news in Khaki chaddi now
Definitely some thing worst expected from this fellow. Might be joined with some anti nation communal group. Other than that nothing nation will expect.
God save our media and the nation.
Jai Hind
Wasting Tax payers money on useless reporter's security.
He will start new channel. RSS now
He will start Patanjali Times with Baba Ramdev.
He is going to make a new news channel with Modi ....Fakes Now.....
Or next Modis spokesperson.....sure....
May be he read the QURAN and understood the REALITY on how EVILs in this world trap people by spilling out venom & by twisting the real FACT.
Arnab goswami where are. You? Nation is worried
When are you coming back
Arnab please come back soon... People are asking \itna sannata kyu hai bhai!!!\". I have not been able to focus at work, getting irritated quickly, not able to eat my dinner, getting sleepless nights.., please come back and tell the nation that you are not dumping all of us!!!
Your viewer from New York!"
MOHAN BHAGAT IS WAITING WITH HIS ARMS OPEN.
Thank god... Finally an end to noise pollution, after Diwali.
Peaceful new year ahead
thank God. Now Indian Journalism is saved from disaster . Work of journalist is to preach truth not to bark and fire in air
The viewers will miss his famous style of questioning the guest panelists: THE NATION WANTS TO KNOW!!!!!!!!
We miss your News hour . Waiting to see you launch a global channel.
He will start a new channel: Name will be TIMES BOW WOW
Crazy man!
Modi would take him in his cabinet.....cant say....\Birds of feather flock together\""
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