5 day progression of Strep Pharyngitis (rapid +) with progressive uvulitis. 30yr old female. No HX of frequent strep infections. Non smoker. No meds. No comorbidities. Day 1- 104 fever with body aches. Started amoxicillin. Day 3 - Fever subsided, no improvement in throat. Uvula swelling and sitting on top of tongue causing choking sensation. Oral prednisone started. Day 5- some improvement in tonsils but uvula ulcerating. ABX changed to augmentin and culture collected - pending at this time. Viscous lidocaine ineffective for pain associated with the uvula.