· A sore throat of sudden onset that is mostly self-limited
· Fever and constitutional symptoms resolving in about 3 to 5 days
· Clinical signs and symptoms are similar for viral causes and nonstreptococcal bacterial causes
Signs and Symptoms
· Sore throat
· Pain on swallowing
· Headache, nausea, vomiting, and abdominal pain (especially children)
· Erythema/inflammation of the tonsils and pharynx with or without patchy exudates
· Enlarged, tender lymph nodes
· Red swollen uvula, petechiae on the soft palate, and a scarlatiniform rash
· Several symptoms that are not suggestive of group A streptococci are cough, conjunctivitis, coryza, and diarrhea
Signs Suggestive of Viral Origin for Pharyngitis
· Throat swab and culture
· Rapid antigen detection testing (RADT)
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