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Signs of sore throat include the following: Pus on the surface of the tonsils (can happen with bacteria or viruses) Redness of the oropharynx (the pharynx viewed through the mouth) Tender and swollen lymph nodes in the neck ("glands") Drooling or spitting (as swallowing becomes too painful) Difficulty breathing (inhaling can be especially difficult when the passage through the pharynx or larynx becomes too narrow for a normal stream of air) Vesicles (bubbles of fluid on a red base) in the oral cavity or oropharynx may indicate the presence of coxsackievirus or herpes simplex virus Two-thirds of people with strep throat have only redness with no pus on the tonsils

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