Getting Strep Without Tonsils? Is It Possible? AFC Mt. Vernon NY Has Answers for You Is getting strep without tonsils possible? The short answer is yes. Strep throat is caused by a particular strain of bacteria, group A Streptococcus. These bacteria can live in the nose and mouth. The bacteria are spread through an infected person's saliva or mucus and contact with contaminated surfaces and objects. A person without tonsils can contract the infection if ...