Strep throat is a contagious infection caused by a bacteria called group A streptococcus. This illness mainly affects children between the ages of 5 to 15, although it is also seen in adults. Usually an antibiotic treatments is necessary to cure strep throat and prevent serious complications. The most common symptoms include a sudden sore throat, a fever greater than 38°C or 100.4°F, enlarged lymph nodes and white sports on the throat and tonsils. However, people can develop classic strep throat without fever.
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Although this is not commonly, everybody’s body reacts differently and some have a stronger immune system than others. Like most infectious diseases, strep throat has a common presentation that is actually not so common in reality. The only way to confirm the diagnosis is by a rapid strep test or a throat culture. The absence of a cough, runny nose or sneezing are not typical strep throat symptoms and indicate a regular cold or flu. A sore throat without a fever can also point towards a viral infection rather than a strep throat infection. Nevertheless, if you develop the following symptoms, it is possible you have strep throat without fever:
Discolored throat patches
If you or your child have discolored patches of skin at the back of the throat, it could indicate a case of strep throat without fever. The spots are usually white or unusually red and appear on the tonsils or the skin of the throat.
Soreness and difficulty swallowing
A sudden and intense sore throat is the primary symptom experienced by patients. The pain is moderate to severe and is most noticeable when the individual tries to swallow. Because the swallowing is uncomfortable and difficult, it can cause additional symptoms in some people.
Enlarged lymph nodes or tonsils
Because the bacteria located in the throat can inflame or irritate the entire region, people with strep throat develop enlarged lymph glands tender to the touch and unusually swollen tonsils. Because of this, the swallowing difficulties are aggravated. If you have enlarged lymph nodes and swollen tonsils, it is most likely that you have strep throat without fever.
According to the National Institute of Allergy and Infectious Diseases, people infected with the strep bacteria can have a mild to moderate headache that makes it difficult for them to concentrate. In order to alleviate the pain from intense headaches, patients can take pain medication such as acetaminophen.
Upset stomach and fatigue
Some strep throat patients, especially children can experience symptoms such as fatigue and an upset stomach. This means they can feel nauseous, vomit, have a poor appetite and feel pain in their lower abdomen. Fatigue usually occurs in conjunction with an upset stomach or throat pain. Patients may take frequent naps during the day and have difficulty in remaining active.