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Explainer | Strep throat – all you need to know about the contagious, sometimes deadly infection, and how to avoid it

  • Is your throat sore? Is swallowing painful? Have you got a fever? You may have an infection caused by group A Streptococcus bacteria
  • You can catch it by breathing in droplets, touching an infected surface, or sharing food or drink with an infected person

Reading Time:3 minutes
Why you can trust SCMP
Strep throat causes sore throat, fever and pain when swallowing, and sometimes a rash and nausea. The bacterial infection is usually mild, but can be fatal. Photo: Shutterstock

Changes in air temperature mean it’s the season of sore throats. But not all sore throats are made equal – some are caused by viruses; others by bacteria.

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Strep throat (streptococcal pharyngitis) is an illness which, while usually mild, can be painful – and sometimes deadly. The United Kingdom early this month reported the deaths of six children from a rare invasive Group A strep illness.

Here’s everything you should know about strep throat, from its symptoms to treatment.

What is strep throat?

An illustration of a normal throat, one with a bacterial infection and one with a viral infection. Photo: Shutterstock
An illustration of a normal throat, one with a bacterial infection and one with a viral infection. Photo: Shutterstock

Strep throat is a bacterial infection in the throat and tonsils, caused by group A Streptococcus – strep A.

“Dozens of different types of streptococcal bacteria can infect humans,” says Dr Kristin Moffitt, an infectious disease doctor at Boston Children’s Hospital.

Group A strep has a specific carbohydrate attached to the surface. Group B strep is a different bacteria with a different carbohydrate on its surface that causes different infections – it is not a common cause of strep throat.

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