Jan 3, - Signs and symptoms of strep throat can include: Throat pain that usually comes on quickly. Painful swallowing. Red and swollen tonsils, sometimes with white patches or streaks of pus. Tiny red spots on the area at the back of the roof of the mouth (soft or hard palate) Swollen, tender lymph nodes in your neck. Fever. Apr 30, - and young adults seek medical care, and the group A streptococcus In their study, children who presented with symptoms of pharyngitis were Another way to identify streptococcal carriers is to evaluate children for.