02596nas a2200229 4500000000100000008004100001260003400042653005700076653001700133653002400150653002100174653001000195100001300205700001400218700001400232700001500246700001500261700001200276245011400288520193900402022002502341 2021 d bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aParasitology10aInfectious Diseases10aGeneral Medicine10aticks1 aAzrag RS1 aBakhiet S1 aMhmoud NA1 aAlmalik AM1 aMohamed AH1 aFahal A00aA possible role for ticks in the transmission of Madurella mycetomatis in a mycetoma-endemic village in Sudan3 aAbstract Background Currently there is a wide knowledge gap in our understanding of mycetoma epidemiological characteristics, including the infection route. Methods A cross-sectional descriptive epidemiological study was carried out to determine the role of exposure to animals and insects such as ticks in the transmission of eumycetoma in two adjacent villages at eastern Sudan. Results Significant differences were found between the two villages in the level of contact and exposure to animals and ticks, the percentages of people bitten by ticks, participation in cleaning animal pens and knowledge of the medical importance of ticks. In the village with a high mycetoma prevalence rate, there were high infestation rates of ticks in domestic animals. Hyalomma and Rhipicephalus species were the most prevalent species in houses with mycetoma patients and together they constituted 83% of the total collection. Pool screening of vectors for the detection of Madurella mycetomatis recombinant RNA genes showed one positive pool from Rhipicephalus evertsi following amplification of the universal fungal primer and one positive sample from Hyalomma rufipes following the use of a specific primer. Conclusion The findings indicate a possible role of ticks in the transmission of eumycetoma causative agents. However, further in-depth studies are needed to verify this.  a0035-9203, 1878-3503