Causes of sore throat and body aches without fever
Pro Research Analysisby 
Searched over 200M research papers
Common Causes of Sore Throat and Body Aches Without Fever
Sore throat and body aches are common symptoms that can occur together, even in the absence of fever. Understanding the possible causes can help guide appropriate care and management.
Viral and Bacterial Infections Without Fever
Most sore throats are caused by viral or bacterial infections. While fever is a typical symptom, it is not always present. Many viral infections, such as those causing the common cold, can lead to sore throat and body aches without a significant rise in temperature. These infections often also cause symptoms like nasal congestion, cough, and general malaise, but fever may be mild or absent, especially in adults or those with mild infections 134.
Bacterial infections, such as those caused by group A beta-hemolytic streptococcus, can also present with sore throat and body aches. However, fever is more common in these cases, but not universal 46.
Non-Infectious Causes: Allergies, Environmental Factors, and Reflux
Non-infectious factors are also important causes of sore throat without fever. Allergies, exposure to irritants (like smoke or pollution), and post-nasal drip from sinus infections can all cause throat discomfort and sometimes mild body aches, but typically do not cause fever 124. Gastroesophageal reflux disease (GERD) is another common non-infectious cause of chronic sore throat, often without fever or other signs of infection .
Chronic and Less Common Causes
Chronic sore throat can result from autoimmune diseases, such as pemphigus vulgaris or mucous membrane pemphigoid, or from malignancy, though these are less common. Fungal infections and tuberculosis are rare causes but should be considered in persistent cases, especially if other risk factors are present .
Rheumatic Fever and Sore Throat History
Rheumatic fever is a complication that can follow untreated streptococcal throat infections. While it is more often associated with fever, some patients may present with a history of sore throat and body aches without current fever, especially if the acute infection has resolved .
Conclusion
Sore throat and body aches without fever are most commonly due to mild viral infections, allergies, environmental irritants, or reflux. Bacterial infections and more serious causes are less likely but should be considered if symptoms persist or worsen. If a sore throat lasts more than a week or is accompanied by other concerning symptoms, medical evaluation is recommended 147.
Sources and full results
Most relevant research papers on this topic