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
just sentence him to death.. this kind of morons are evil for society. he was earning handsome salary of 40k+ riyals and braking against muslims/islam. if he work in india as engineer he wont get even10k indian rupees. whoever do this kind of hatred againt other religion whether muslim, hindu or christian he deserve death only.
Its every one's duty to respect the laws of the country where we live. Being expatriate in Saudi Arabia we should be more careful on the issue. You might be follower of enemies of islam in India, but you cannot do it in Saudi Arabia or Gulf countries. You mihgt have been brainwashed in india but anti national and anti muslim political parties, who are trying to make use of you to spread hate among different communities for their political benefit. At last you will be the one to suffer. No political for whom you are working will not come to support you and they will say you are not related to their party and there is no connection between you and the party. dont get fooled by these hate political parties. I am sorry for the fate of this unfortunate person and hope he will be freed at the earliest possible. This is good lesson for all hate mongers in Saudi Arabia. Dont bring your dirty politics to saudi arab ia. People from all religion are living peacefully here. They eat together and live together as one family.
Maron is arrested, let him learn his mistake for his hatrate,
indian political people make innocent people to reach and this is what the end result but the political people are living happly with all facility only ch**tya citizen of india is fooled all time.
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