Hi, I am Dr Atul Kumar Nimawat MS ENT.
Yes, bacterial pharyngitis can sometimes persist for up to 2–3 weeks if left untreated, though this is not very common. Typically, streptococcal pharyngitis resolves within 7–10 days with appropriate antibiotics. However, in cases where the infection is not treated or if the immune response is altered due to repeated episodes, the inflammation may linger longer.
From what you’ve described — a sore throat that began with tonsillitis and pharyngitis, associated with body aches, and now progressing to low-grade fever and a swollen lymph node — it’s quite likely that the symptoms are still due to the underlying throat infection. The lymphadenopathy in your neck is most likely reactive, secondary to the pharyngeal or tonsillar infection.
Next Steps
It’s advisable to get a throat swab culture and a CBC done. If the infection is bacterial, a course of appropriate antibiotics should help resolve the symptoms. Supportive care like warm saline gargles, plenty of fluids, and anti-inflammatory medication will also help with symptom relief.
Health Tips
If the swelling in the lymph node increases or you develop any difficulty in swallowing or breathing, do not delay further evaluation.