First report of Escherichia albertii in Iran: a case study highlighting diagnostic challenges in pediatric gastroenteritis

August 29, 2025
Case Report
Ali Dadvar, Ali Nemati, Maryam Hafiz, Zahra Khammar, Ute Römling, Mahdi Askari Badouei, Gholamreza Hashemi Tabar
Pathogen:Escherichia albertii
Infection Type:Gastroenteritis
Pathogen Type:Bacteria

Summary

A 1.5-year-old Iranian boy presented with acute gastroenteritis, characterized by fever, vomiting, and non-bloody diarrhea. Initial stool culture did not identify common bacterial pathogens. Subsequent molecular analysis using PCR and sequencing of the 16S rRNA gene from the stool sample revealed the presence of *Escherichia albertii*. This case represents the first reported identification of *E. albertii* in Iran, highlighting the importance of advanced diagnostic techniques beyond routine culture for emerging enteropathogens. The patient recovered with supportive care.

Key note: Standard diagnostic methods may miss emerging enteropathogens like *Escherichia albertii*, necessitating molecular approaches for accurate identification in pediatric gastroenteritis.

DOI: 10.1128/asmcr.00046-25