The pain in the ears is caused by generalized inflammation and swelling. The pain you feel is a referred pain and is common in severe sore throats but is not specific to strep. Infectious Mononucleosis, other forms of bacterial tonsillitis and Herpes simplex throat infections all can cause this pain you describe. While ear pain with sore throat is common, it isn’t an indication of beta hemolytic group A strep infection.

the only thing which seems to be missing from this and lots of other web sites on the subject of stretp A is the ear ache which is usually present. It is a very noticable sharp stabbing pain which lasts for a couple of seconds, then goes away completely. This can occur a few times an hour to just a couple of times a day but it unmistakable, it feels like a pin has been pushed through the ear drum and is unlike ordinary throbbing ear ache.

I looked at the article and agree. I made some changes and hopefully it will help with comprehension of the material. Thanks for your input.

Also I would dumb down the language a bit so the common person can understand what your trying to tell them in the article.

From one who has been in the field it makes sense to me but to someone who is just an average person coming to your site it would make them feel intimidated by some of the more technical nuances in your writing.

Otherwise you have a great article here and it is definitely social bookmark worthy.