What symptoms present during strep pyogene that are not skin infections?

Pharyngitis (doesn't include coughing like the viral one, white dots, red tonsils and swollen uvula) Otitis Sinusitis May cause acute endocarditis due to strep endotoxins (SPEs which are TSST1-like) Cause toxic shock syndrome due to bacteremia (unlike staph which is caused by toxemia As well as scarlet fever.