The main symptom, appearing after 3–10 days, is a swollen lymph node near the bite or scratch. The node may become painful and tender, and an infected blister may develop at the site of the injury.
A fever, rash, and headache may occur. Diagnosis is confirmed by biopsy of the swollen lymph node and a skin test. Analgesic drugs (painkillers) may be used to relieve the fever and headache.
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