May 29, 2016

Strep Throat

What are the signs and symptoms of strep throat?

Signs of strep throat infection include:

  • Redness of the soft palate, uvula (the "punching bag" structure hanging from the back of the soft palate) and tonsils. Commonly the tonsils may have a bumpy character to their surface - somewhat like a golfball.
  • A purulent discharge on the tonsils (exudate)
  • Petechiae (1-2 mm bright red "dots" which represent ruptured capillaries) scattered on the soft palate. The presence of these "white spots" is often associated with bad breath (halitosis).
  • Enlarged and tender neck lymph nodes (also known as lymph glands), and occasionally
  • A diffuse rash over the torso and groin region. The classic description of this rash is that of "goose bumps on a moderate sunburn."

The presence of a strep infection and this specific rash is termed scarlet fever. Such a diagnosis does not imply a more severe GAS infection or imply any change in prognosis or management. The rash is not contagious. It is important to note that while most patients with strep throat will experience these signs and symptoms, not all will necessarily be present in each individual. Continue Reading

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Reviewed on 4/20/2015