Pains are severe, throbbing and worse for warmth. The throat is bright red and glands are swollen. Flushed, thirstless and delirious with a burning, dry fever. Child is angry when unwell and may throw tantrums. Throbbing earache with noises in the ear.
Child is sweaty, especially the head and back of the neck, especially at night.
Burning fever with shivering. Child is inconsolable, wants to be carried, screams with the pains and is very angry. Asks for things which are then rejected or thrown down. Throat feels as if there is something stuck in it. Tonsils are swollen and ulcerated.