“…The disease has been associated with several virulence genes, including fimC, fimH, papC, iss, stx1, stx2, tss, cvi, and iucD [10][11][12][13]. Virulence factors include invasins, adhesins, protectins, iron acquisition systems, and toxins and are crucial for invasion, colonization, and adherence of the pathogen to the surface of respiratory tract, its resistance mechanisms, its ability to multiply under iron-restricted situation, and its cytotoxic effects [10,14]. Among virulence genes, fimC (Type 1 fimbriae C) is responsible for adherence and colonization on epithelial cells, iucD (iron-uptake systems of E. coli D) is responsible for ironacquisition, and papC (pyelonephritis-associated pili C) is responsible for bacterial adhesion [10].…”