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Living with Cat scratch disease

A bacterial infection, usually from a cat scratch or bite, that mainly affects the lymph nodes.

Understanding Cat scratch disease

Cat scratch disease (CSD) is a bacterial infection that mainly affects the lymph nodes.

It is usually caused by Bartonella henselae bacteria and spread by a scratch or bite from a cat. Rarely, no scratch or bite is involved. A small bump often forms where the skin was broken, then fever and swollen lymph nodes follow within 1 to 3 weeks. People with weak immune systems may get more widespread illness.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • A small bump at the scratch or bite
  • Fever
  • Swollen lymph nodes
  • Feeling unwell (malaise)
  • Loss of appetite

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Do my symptoms fit cat scratch disease?
Does my immune system raise the chance of more serious illness?
What symptoms should make me call right away?

Quick facts

Symptoms usually startany time in life

It is typically caused by Bartonella henselae bacteria. It is usually spread by a cat scratch or bite.

Infectious

Also known as: bartonellosis due to bartonella henselae infection; benign inoculation lymphoreticulosis; benign lymphoreticulosis; cat scratch fever; cat-scratch disease; cat-scratch fever

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cat scratch diseaseGARD ID 27 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Cat scratch disease.

Explore the Cat scratch disease blog

Explore research for Cat scratch disease

Explore actively recruiting Cat scratch disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cat scratch disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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