Bartonella Antibody Blood Test (Cat Scratch Disease Serology)
This blood test detects IgM antibodies against Bartonella bacteria to help diagnose recent Bartonella infections such as cat-scratch disease.
{"Detects IgM antibodies indicating recent or current Bartonella infection","Commonly used to diagnose cat-scratch disease from cat scratches or bites","A positive result suggests infection within the past 1-4 weeks","Follow-up testing with IgG antibodies may be recommended","Treatment with antibiotics is effective for most Bartonella infections"}
Key facts at a glance
- LOINC
- 43921-6
- Short code
- BARTIGM
- Synonyms
- Bartonella IgM Ser Ql
- Category
- chemistry
- Sample
- serum
- Container
- Serum separator tube (SST) or red-top tube without anticoagulant
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 0 years
- Method
- Immunofluorescence Assay (IFA) or Enzyme Immunoassay (EIA)
- CPT
- 86611
- SNOMED
- 313326007
- Specimen volume
- 1-2 mL of serum (minimum 0.5 mL)
- Stability
- Serum stable at 2-8°C for 7 days; for extended storage, freeze at -20°C or lower. Avoid repeated freeze-thaw cycles.
- Hemolysis max
- 100
- Lipemia max
- 50
- Icterus max
- 50
- TAT
- 24–72 hours
- Order
- routine
This test checks a sample of your blood for antibodies against Bartonella bacteria, which cause infections such as cat scratch disease. It helps your healthcare provider find out whether your symptoms are related to a Bartonella infection.
The Bartonella IgM Antibody test is a blood test that looks for IgM antibodies against Bartonella species (also known as Bartonella henselae and other related bacteria) in your blood. IgM antibodies are the first type of antibodies your immune system produces when fighting a new infection, so this test helps determine if you have a recent or ongoing infection.
You may need this test if you have swollen lymph nodes, fever, fatigue, headache, or a sore near the site of a cat scratch or bite. Your provider may also order it if you have a weakened immune system or symptoms that suggest a Bartonella infection.
Your healthcare provider may order this test if you have symptoms suggesting a Bartonella infection, especially if you have been scratched or bitten by a cat. Common reasons include: a recent cat scratch or bite followed by fever, swollen lymph nodes, or a skin lesion; unexplained fever lasting more than a few days; or lymphadenopathy (swollen lymph nodes) near a cat scratch site.
A healthcare professional will clean your skin and draw a small sample of blood from a vein, usually in your arm. The sample is sent to a laboratory, where it is analyzed for antibodies that your immune system produces in response to Bartonella bacteria.
A healthcare professional will draw a small blood sample from a vein in your arm. The blood sample is then sent to a laboratory where it is tested for the presence of IgM antibodies against Bartonella bacteria. You do not need to fast or make any special preparations before this test.
A positive result means Bartonella antibodies were found in your blood, which may indicate a current or past infection. A negative result does not completely rule out infection, so your provider may repeat the test or order additional testing along with a physical exam and your medical history.
A positive IgM result indicates that you likely have a recent or current Bartonella infection, typically within the past 1-4 weeks. A negative result means no IgM antibodies were detected, which could mean you do not have an infection, or the infection is too early or too late in its course for IgM detection. Your healthcare provider will interpret the results in context with your symptoms and medical history.
Bartonella is a group of bacteria that can infect humans and animals. The most common type, Bartonella henselae, causes cat scratch disease, which is usually spread through scratches or bites from infected cats. Symptoms may include fever, fatigue, headache, and swollen lymph nodes near the site of the scratch or bite.
Bartonella is a type of bacteria that can infect humans through various routes, most commonly through cat scratches or bites (causing cat-scratch disease, also known as cat-scratch fever). The most common species causing human infection is Bartonella henselae. Other species can cause different diseases, including trench fever (Bartonella quintana) and Carrion's disease (Bartonella bacilliformis).
Reference range
Negative: No Bartonella IgM antibodies detected. Positive: IgM antibodies to Bartonella species detected, suggesting recent or acute infection.N/A
No special patient preparation required. Fasting is not necessary. Patient should be informed about the venipuncture procedure.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The Bartonella IgM test is primarily used to diagnose acute or recent Bartonella infections, particularly cat-scratch disease (CSD). Clinical significance includes: confirming recent exposure to Bartonella bacteria, aiding in the differential diagnosis of fever and lymphadenopathy, monitoring disease progression or response to treatment (in conjunction with IgG testing), and identifying immunocompromised patients who may develop more severe manifestations such as bacillary angiomatosis.
Frequently asked questions
How long after a cat scratch do symptoms appear?
Is cat-scratch disease serious?
Do I need to do anything special before the test?
How is cat-scratch disease treated?
Can I get tested again to see if the infection is gone?
Sources
- 1
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- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy