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What if symptoms of pharyngitis is present but the throat culture is negative for streptococcus?

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What if symptoms of pharyngitis is present but the throat culture is negative for streptococcus?

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Symptoms for a 9year old include fever, sore throat, and abdominal pain. There is also swollen tonsils covered in white exudates, and fine red lesions on roof of mouth, the child also has upper cervical lymphadenitis but no cough or runny nose.

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