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.
Addressing a protest meet in front of Konaje police station on Sunday Mr Kateel said: “We (Sangh Parivar) are capable of setting Dakshina Kannada district on fire if the police fail to arrest the accused in Karthik Raj murder case.”
Comments
I think kateel had good new year celebration along with mithun rai.... free alcohol was supplied by mithun rai.....what you say guys????? lagta hai daaru kuch bohat hi zyaada hogayi thi raat me....daaru ka nasha utra nahi hoga....isliye agle din subah aake kateel ne apni dil ki baat keh di.....wo kehte hai na daaru ke nashe me aadmi ke muh se sach nikalta hai
Think twice before u speak, is a famous dialogue which clearly suits Nalini Kumari Kateel.. Mike mila tho pagal bhi gaane lagta hey,,
He is not fit for MP.......should be removed.....
Nalin is lying that he was not well. He uttered what bjp and sanghis have planned. Nothing can be hidden for a long time. this is hidden agenda of sanghis to create trouble in karnataka and costal districts in particular. Police should arrest him under goonda act. He should be removed from MP post as he is unfit for this responsible position. Suprement Court should order central Govt to take notice of this dangerous statement from an MP and remove him from this post. In case Nalin is mentally sick, admit him in a mental hospital.
for instance if this was happened from one of our muslim brother, what would be the reaction and action from these sanghis????? even from chaddi police dept......
ha now we came to know that you are bad mental mp of our dk dist. shame on you. you must resign immediately.
New year night \ raathre paad dina onchooru jaasthiathund\" - mallajjappa powad.
Ancha namma modi 15 lakh niklena bank gu paadwe panthijja..... Anchane indula..
Thoo paadare inbe daane lankeda hanumanthena?"
Hahaha...pukkele...
Typical coward sanghi...
The nation wants to know whether you are really not well or the frog inside well?
No need to give clarification just put this man behind bars. Useless MP
Pradeepji, NOT Wenlock, Kankanady Permanently.
Such goondas are fit to be encountered ....
Yes true he is not well... this all unstable people belongs to BJP/RSS, They dont know what they are speaking after all, all are the followers of chaiwala, what we can expect from this RSS goondas...this marle minister even dont know to speak in parliment, he drinks spit twice before he delivers a word
If he is unwell, admit him to Wenlock
This is the fact and sanghis real mentality. Now he may accept his threatening to set fire his own constituency, message is out in public.
Every anti-national will say the same thing when press conference even Thogadia....Shame on you as a MP of our beloved Dakshina Kannada. Did the people elect you to disturb the area & set fire .. Thooo ninna....
Anna kadle baipinanda thoo malpode, E thoo malpu bokk kadle baipundu.....
why didnt police arrest him, he is enticing people to create violence, why no suo motto on him.
such people should be booked under goonda act
Add new comment