Editing Scarlet fever (section)

===Mouth and throat===
[[File:Pos strep.JPG|thumb|upright|Throat of a child with a positive throat culture for streptococcal pharyngitis]]
[[File:Streptococcal pharyngitis.jpg|thumb|Streptococcal pharyngitis with red throat/uvula and spots on roof of mouth]]

[[Streptococcal pharyngitis|Strep throat]] is usually associated with fatigue and a fever of over 39&nbsp;°C (102.2&nbsp;°F).<ref name=Wessels2016>{{Cite book|url=https://www.ncbi.nlm.nih.gov/books/NBK333418/|title=Streptococcus pyogenes: Basic Biology to Clinical Manifestations|last=Wessels|first=Michael R.|chapter=Pharyngitis and Scarlet Fever|date=2016|publisher=University of Oklahoma Health Sciences Center|editor-last=Ferretti|editor-first=Joseph J.|location=Oklahoma City (OK)|pmid=26866221|editor-last2=Stevens|editor-first2=Dennis L.|editor-last3=Fischetti|editor-first3=Vincent A.|access-date=28 January 2018|archive-date=3 March 2021|archive-url=https://web.archive.org/web/20210303033712/https://www.ncbi.nlm.nih.gov/books/NBK333418/|url-status=live}}</ref> The tonsils may appear red and enlarged and are typically covered in [[exudate]].<ref name=Andrew2020/> The throat may be red with [[Forchheimer spots|small red spots]] on the [[soft palate|roof of the mouth]].<ref name=Pardo2022/> The [[palatine uvula|uvula]] can look red and swollen.<ref name=Zitelli2023/> 30% to 60% of cases have associated enlarged and tender [[cervical lymph nodes|lymph nodes]] in the neck.<ref name=Zitelli2023/> During the first two days of illness the tongue may have a whitish coating from which red swollen [[lingual papillae|papillae]] protrude, giving the appearance of a "white strawberry tongue".<ref name=Zitelli2023/> After four to five days when the white coating sheds it becomes a "red strawberry tongue".<ref name=Zitelli2023/> The symptomatic appearance of the tongue is part of the rash that is characteristic of scarlet fever.<ref name="Ferri-2018">{{Cite book |title=Ferri's Clinical Advisor 2018 |last=Ferri|first=Fred|publisher=Elsevier|year=2018|pages=1143}}</ref><ref name="Goldsmith-2012">{{Cite book|title=Fitzpatrick's Dermatology in General Medicine |last1=Goldsmith|first1=Lowell|last2=Katz|first2=Stephen|last3=Gilchrist|first3=Barbara|last4=Paller|first4=Amy|last5=Leffell|first5=David|last6=Wolff|first6=Klaus|publisher=McGraw Hill|year=2012}}</ref><ref name="Usatine-2013">{{Cite book|title=Color Atlas of Family Medicine, Second Edition|last=Usatine|first=Richard|publisher=McGraw Hill Companies|year=2013}}</ref>