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
Please be a muslim and stop going to dargahs, it is prohibited in Islam, Dargahs nothing but a grave, don't expect any help from deceased, seek help from Allah only, real muslims will never go to Dargahs.
Dear Non Muslim Brothers.
I was going through your comments.One thing i would like to clarify with you is that do not judge Islam by seeing other's rather try to learn later you can judge your own.Islam never entertain Darga or Darga Pooja it is the people who added in Islam for their benefits where as Allah almighty do not need any Mediator.Learn Islam before its too late.
Question to the trustee
Who is watching breast of female visitors?
Dargah is not meant for those who believe in \Tawheed\"."
Still it is better than doing Shirq.!
Stop doing shirq & Nobody will show you anything.
Pray to Almighty Allah Only.
First of all true religious lady will not visit any dargah ( major shirk) which is haram in Islam.
Secondly how Muslim lady mingle with gents in any public or private place which is also haraam in Islam.
Thirdly looking at ghair mahrum is also haraam in Islam.
So all are eagerly awaiting to do haraam things in life!!! Shabbash...
@ Monu.. have you been to Haji Ali Darga.. go and see how many non-muslims come there and prostrate.. or else the Dargah should pass a rule for all.. to cover oneself with shawl or something to avoid such incidents
Haraam it is Shirkh for Muslims to pray in Dargah or visit it.
Mr. L.K. Monu
They are referring to non-muslims women entering dargah.,
Dear Reader.
In Islam women (compulsorily) should wear full covering cloth including all the parts of the body, leg and hand and except only face and 2 palm.
So where is the question of showing breast.
Note: Praying is normally include Rokooh and Sujood i.e. bend the body and Prostration and which is only for Almighty Allah not to Shrine of Bukhari who is buried there.
Now where is the question of Breast show up.
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