Can it be strptococcal

A 32 years female with recurrent pharyngo conjunctivitis..previously treated as adenoviral infection as it presented previously with conjunctivitis,pharyngitis and developed membranes on eyes..again started with pharyngitis and tongue is as shown in image..fever and severe myalgia present

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super case ..for every medico .. I m following this case .. pt. having lots of diversity... but main etiology due to streptococcus. ..it's looks like Scarlett fever... too ..
STREPTOCOCCAL PHARYNGITIS SHOWINGTONSILAR ERYTHEMA + EXUDATE
No rash now