Which of the following statements is not true regarding streptococcal pharyngitis?

A) It presents with a purulent exudate over the tonsils.
B) It can lead to scarlet fever if it is an erythrogenic toxin-producing strain.
C) It can lead to serious sequelae.
D) It is usually caused by the viridans streptococci.
E) It causes redness, difficulty in swallowing, and fever.