HomeAnswersInternal Medicinesore throatCan sore throat still persist even after completing a course of antibiotic?

Can I still have sore throat even after testing negative for streptococcus?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At October 26, 2021
Reviewed AtNovember 1, 2021

Patient's Query

Hello doctor,

I am a 18-year-old female. I had a sore throat for a week, 20 days ago. I went to ER, and they gave me shots for pain and infection. I took Benadryl, DayQuil, Tylenol, and antibiotics. The soreness subsided after completing the antibiotic course. Now I have throat redness and postnasal drip from the old sore. Currently, I take birth control medications. My test reports were negative for streptococcus infection.

Kindly help.

Hi,

Welcome to icliniq.com.

Thank you for the query.

I understand your concern.

According to your statement, you have throat redness and postnasal drip. You had a history of sore throat.

Sore throat, throat redness, and postnasal drip may result from any infection such as viral infections like infectious mononucleosis, fungal infections like oral thrush or bacterial infections, allergies, common colds, flu, smoke or irritants, gastroesophageal reflux disease, and many more.

As you still have the complaint after completing antibiotics, your present sufferings may be viral or of fungal origin.

Viral infection could be the possible cause of your throat redness, postnasal drip, and sore throat. Mononucleosis is a viral infection that develops a persistent sore throat, throat redness, and postnasal drip.

The clinical features of mononucleosis are sore throat, throat redness, postnasal drip, swollen tonsils, fever, swollen lymph nodes, rashes, headache, and enlarged spleen. The sore throat is commonly misdiagnosed as streptococcus infection and does not get better after treatment with an entire course of antibiotics like yours.

I suggest you take a throat swab for a monospot test, CBC (complete blood count), and peripheral blood film to confirm the diagnosis of mononucleosis.

There is no specific medication available for treating infectious mononucleosis. You should take adequate rest, drink plenty of fluids and fruit juices, do salt water gargling, and take a pain reliever to subside your present sufferings.

It may take time for a full recovery. Stay calm and be patient with your body as it combats the infection. It can take two to four weeks to get better. In some cases, it may take few months.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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