A cross-sectional study was conducted to determine the prevalence of epizootic lymphangitis (EL) in 309 cart-mules (cart-pulling mules) in Bako and Ejaji towns, Western Ethiopia using clinical and microbiological examinations, between November 2002 and April 2003. The overall prevalence was 21% (CI=16.6-26%). The clinical, histological and mycological characteristics of EL in a cart-mule were similar with those in a horse. There was significant (chi2=133.5, P=0.001) association between tick infestation and EL lesions in study cart-mules. Amblyoma coherence and Boophilus genera were the ticks collected from lesions of cases of EL, and thus played a predisposing role. In conclusion, our results showed that EL has high prevalence in cart-mules in the two towns.