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Abstract Dermatophytes are common fungal pathogens causing most superficial fungal infections in human and animal with a high prevalence worldwide; dermatophyte infections are significant health problem in Egypt. The accurate diagnosis is very important for appropriate treatment. The clinical diagnosis is usually not enough as clinical lesions caused by dermatophytes are highly variable and closely resemble other skin diseases, so laboratory diagnosis is necessary for the accurate management of infection. This study aimed to confirm the clinical diagnosis of dermatophyte infections by using conventional and molecular methods and to determine the prevalence of their etiological agents among the examined human patients and animals. Two hundred specimens were collected from human patients with suspected dermatophytoses and fifty specimens were collected from animals showing clinically ringworm lesions. All specimens were mycologically examined by direct microscope using KOH solution and culturing on SDA medium with cycloheximide to confirm clinical diagnosis of suspected dermatophytoses, the isolated dermatophyte species from humans and animals were identified by phenotypic methods. In human patients, the prevalence rates of dermatophyte infections were 86.5% and 57.5% by direct microscopic and culture examinations, respectively. Summary 119 The most frequently isolated dermatophyte species was T. violaceum, followed by M. canis and T. rubrum. While the less frequently species were T. verrucosum and E. floccosum. The most common cause of tinea capitis and tinea corporis was T. violaceum, followed by M. canis, while T. rubrum was the most common cause of tinea pedis, tinea cruris and tinea unguium. The most common clinical type of dermatophyte infections in positive cases was tinea capitis, followed by tinea corporis, tinea pedis, tinea cruris and tinea unguium. The most susceptible age group to the dermatophyte infection was that of children less than 10 years old followed by that of 11-20 years old. While, the lowest rate of infection was found in patients more than 50 years old. Tinea capitis and tinea corporis were the most common clinical types in pre-pubertal children, whereas tinea pedis, tinea cruris and tinea unguium were found in adult patients. The dermatophyte infection rate was higher in patients from urban area (60%) than those from rural area (40%). Among human patients with positive dermatophyte infection, 78 cases (67.8%) had no contact with animals, while 37 cases (32.2%) had contact with animals. The highest incidence of human dermatophytosis was reported in winter season followed by autumn, summer and Summary 120 spring. Tinea capitis and tinea corporis were common in winter, while tinea pedis and tinea cruris were common in summer. Out of 50 animals clinically showing ringworm lesions, the overall dermatophyte infection rates were 80% and 60% by direct microscopic and culture examinations, |