• A history of contact with a cat

Common

• Papule or pustule at site of injury (inoculation), usually the first sign
• Swelling of the lymph nodes (adenopathy) occurs in the area near where the skin was infected (bitten, scratched, etc.)
• Fever in approximately one third of patients
• Fatigue
• Malaise
• Headache

• Loss of Appetite
• Weight loss
• Enlarged Spleen
• Sore throat
• Draining lymph nodes

• Positive Bartonella serology
• Bartonella henselae IFA test (uses fluid or tissue from a lymph node)
• A lymph node biopsy to rule out other causes of swollen glands
• A positive CSD skin test