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The bacteria and viruses behind STI throat infections are different from the ones behind strep: Neisseria gonorrhoeae infects the pharyngeal mucosa during oral-genital contact Chlamydia trachomatis can colonize the throat after fellatio or cunnilingus Herpes simplex virus type 1 commonly causes oral and pharyngeal lesions

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Beyond the more common topiramate side effects, there are also some rare but serious health concerns linked to topiramate that are important to keep in mind