Two trains collided outside the Egyptian city of Alexandria on Friday, killing at least 21 people, a health ministry official said.
The crash also injured 109 people, Sharif Wadi, an assistant to the health minister, told state television.
Footage on the state broadcaster showed one train had partly keeled over in the crash, and medics were seen moving the dead and injured to ambulances.
State television, citing transport ministry officials, reported that the crash was probably caused by a malfunction in one of the trains that brought it to a halt on the rails.
The other train then crashed into it.
The dead and injured were initially placed on blankets by the sides of the tracks amid farmland on the outskirts of the Mediterranean city.
Wadi told state television that most of the injured have been taken to the hospital.
It was the deadliest train accident in the North African country since a November 2013 collision between a train and a bus killed 27 people south of Cairo.
In 2002, 373 people died when a fire ripped through a crowded train south of the capital.(AFP reported)