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When to see a doctor Call your doctor if you or your child has any of these signs and symptoms: A sore throat accompanied by tender, swollen lymph glands A sore throat that lasts longer than 48 hours A fever A sore throat accompanied by a rash Problems breathing or swallowing If strep has been diagnosed, a lack of improvement after taking antibiotics for 48 hours Causes Strep throat is caused by infection with a bacterium known as Streptococcus pyogenes, also called group A streptococcus