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Does Strep Throat Always Cause a High Fever?

Strep throat is commonly associated with sudden sore throat pain and high fever, especially in children. However, many patients are surprised to learn that strep throat does not always cause a high fever. While fever is a frequent symptom of this bacterial infection, its severity can vary from person to person. Understanding how strep throat presents, and when fever may be mild or absent, can help you recognize symptoms early and seek appropriate care.

For same-day strep throat treatment, visit the walk-in clinic at AFC Urgent Care Denver University Hills. Our medical team specializes in treating a wide range of conditions for patients of all ages. Simply walk in or plan your visit in advance below.

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Understanding Strep Throat

Strep throat is a bacterial infection caused by Streptococcus pyogenes, also known as Group A Streptococcus. It spreads through respiratory droplets when an infected person coughs, sneezes, or shares utensils. Unlike viral sore throats, strep throat typically develops quickly and can cause significant throat pain within hours.

Is a High Fever Common With Strep?

Yes, a high fever is common with strep throat, particularly in children and adolescents. Temperatures often rise above 101°F and may appear suddenly alongside throat pain. However, not everyone with strep throat develops a high fever. Some patients experience:

  • A low-grade fever (below 101°F)
  • Mild temperature elevation
  • No noticeable fever at all

Adults are more likely than children to have milder fever responses. Additionally, early testing (before fever peaks) may detect strep before a high temperature develops.

Why Fever Varies From Person to Person

Fever is part of the body’s immune response. When bacteria invade, the immune system raises body temperature to help fight the infection. The intensity of the fever depends on several factors, including:

  • Age
  • Overall health
  • Strength of immune response
  • Timing of symptom onset
  • Use of fever-reducing medications


Some individuals naturally mount stronger fever responses than others. Taking over-the-counter medications like acetaminophen or ibuprofen can also reduce fever, making it seem less severe.

Other Common Signs of Strep Throat

Because fever may not always be high, it’s important to look for other classic symptoms of strep throat. These often include:

  • Sudden, severe sore throat
  • Pain when swallowing
  • Red, swollen tonsils (sometimes with white patches)
  • Swollen lymph nodes in the neck
  • Headache and body aches

Notably, strep throat typically does not cause coughing, congestion, or a runny nose. When those symptoms are present, a viral illness is more likely. It is possible to have strep throat without a fever. Because symptoms can overlap with viral infections, testing is the only way to confirm strep throat.

When to Seek Urgent Care

You should consider visiting urgent care if you experience:

  • Severe sore throat pain lasting more than 1-2 days
  • Difficulty swallowing
  • Swollen lymph nodes with persistent discomfort
  • Fever that does not improve
  • Symptoms that worsen instead of improve

Even if your fever is mild, persistent throat pain combined with swollen glands may warrant testing. Early treatment with antibiotics can shorten illness duration and reduce the risk of complications.

Get Same-Day Strep Throat Treatment at AFC Urgent Care Denver University Hills

Strep throat often causes a high fever, but not always. Some patients may experience only a mild temperature or none at all. Because symptoms vary, testing is the most reliable way to determine whether strep is the cause of your sore throat. If you’re experiencing pain or other concerning symptoms, come visit the walk-in clinic at AFC Urgent Care Denver University Hills. Our providers can offer quick testing and treatment to help you feel better sooner. Our team is available 7 days a week to develop a personalized treatment plan that supports your health and safety. If you’re interested in the services we provide, please call to speak with one of our medical professionals directly at (303) 756-4500.

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