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Signs and Symptoms Caused by bacterium Streptococcus pyogenes, Hommema says strep throat is often accompanied by the following signs: High fever (101 degrees Fahrenheit or higher) Swollen, red tonsils (often with white patches on them) Painful swallowing Swollen glands along the front of your neck In younger children, upset stomach or vomiting If youre experiencing more cold-like symptoms runny nose, cough, fatigue, muscle aches, red eyes you likely are suffering from a sore throat caused by a virus