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Among these enzymes, lipoxygenase (LOX) contributes the most, followed by amylase, and both have the closest relationship with changes in the relative abundance of bacterial genera

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Other strep throat symptoms may include: Painful swallowing Swollen tonsils appearing unusually red, sometimes with pus patches and streaks Multiple red spots on the backside of the mouth Tender lymph nodes in the neck Headache Rash Nausea and vomiting (common in younger children) Body ache Note: A doctor generally tests specifically for a strep throat, as the causes of these symptoms can also be a viral infection or other illnesses

The urethra can narrow (meatus stenosis), resulting in a thin or crooked urinary flow