It can be caused by a number of things, but a cold is the most common cause. Like a sore throat, ear pain also has a few underlying causes. Strep throat in adults can present itself in several variations. Generally speaking, it is a bacterial infection that occurs in the throat and tonsils. Streptococcal bacteria can cause strep throat, irritation and inflammation. While strep does cause pain in the throat, sore throats are typically viral infections and. Strep throat is a bacterial infection that causes inflammation and pain in the throat. We explain the common signs, diagnostic tests, treatment options, and potential complications. A sore throat that starts quickly, pain with swallowing, and fever are some of the common signs and symptoms of strep throat. Children and certain adults are at increased risk anyone can get strep throat, but there are some factors that can increase the risk of getting this common infection. The pain begins as a throbbing pulse before switching to an ache and then to a hurtful stabbing pain that radiates down your throat and in your inner ear. A sore throat alone can be unbearable, but when you are also suffering from an earache, it can restrict daily activities.