Members' NAVLE study guide

Feline External Parasites

2,499 words 10 min read 2 figures Reviewed November 15, 2026

External parasites are among the most frequent reasons a cat is itchy, scaly or head-shaking. Fleas, mites, lice and ticks each have a recognisable pattern, and the treatment choice matters because cats are far more sensitive than dogs to several common insecticides.

Key facts

Parasites (external) at a glance
  • Species and system: cat; integumentary (skin, coat and ear canals).
  • Most prevalent flea: Ctenocephalides felis, the cat flea, which also infests dogs (MSD Manual).
  • Classic presentations: flea allergy dermatitis with miliary dermatitis; dark brown "coffee ground" ear debris with Otodectes; severe crusting of the face and ears with Notoedres; dorsal scale with Cheyletiella.
  • Safety rule: permethrin and other pyrethroids are toxic to cats. Never use a dog flea or tick product on a cat.
  • Zoonotic: Notoedres and Cheyletiella can cause itchy rashes in people; fleas carry Bartonella henselae, Rickettsia felis and Dipylidium caninum.

What's inside

13 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Clinical signs
  5. Diagnosis
  6. Differential diagnoses
  7. Treatment and management
  8. Permethrin is toxic to cats
  9. Prevention, control and public health
  10. Prognosis
  11. Quick review
  12. Test yourself
  13. References
The full guide also has 5 tables, 2 figures, 3 self-test questions and 10 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Parasites (external) on the NavleExam blog.

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Feline · Integumentary