Tested positive for strep a white spots on tonsils. (negative for glandular fever.) penicillin vk for 21 days and spots came back. Now have ear ache?

Strept Secrets. Bacterial group a strept infection is often associated with fever, enlarged lymph nodes and the tonsillar "white spots" known as exudates. These are a white cell (pus) response from the lymph tissue (tonsils) just below the surface and can recur if inadequate treatment or chronic infection. Tonsillar stones (saliva/mucous/food particles) are what people often see in the folds of the tonsils.