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Can you have strep throat without fever?

Strep throat without fever is possible, though fever is a common symptom. In this episode, we explain how Group A Streptococcus infections are assessed in Europe and when medical evaluation is necessary.

In this episode, we cover:

• What strep throat is (a bacterial throat infection caused by Group A Streptococcus)

• Whether fever is required for diagnosis

• Common symptoms: sore throat, painful swallowing, swollen lymph nodes, tonsillar exudate

• Differences between viral sore throat and bacterial infection

• Clinical scoring systems used in Europe (Centor / McIsaac criteria)

• When throat swabs or rapid antigen tests are recommended

• When antibiotics may be considered — and when they are not appropriate

• Situations where o ... 

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strep throat without fever