Cattle producers usually face considerable economic losses due to neonatal Calf diarrhea (NCD). Aiming to delineate this problem, we conducted bacteriological, serological, and molecular studies on 100 fecal swabs collected from diarrheic calves (1 day to 3 months) old from different farms in Gharbia Governorate, Egypt, from December 2021 to May 2022. The E. coli isolation rate was 34%, with the multi-drug resistance being a general trend in most isolates. Sero-grouping of E. coli resulted in the encountering of O1, O26, O44, O55, O115, O125, O127, O128 (5% for each type), O18, O119 (10% for each type) and K99 (25%). Virulence and resistance genes molecular investigation using PCR in 2 isolates of E. coli serotype(K99) revealed the presence of virulence genes (LT, STa) and resistance genes (qnrA, aac( 6)-IB-cr, blaTEM, KPC, Sul, and aadB). We concluded that the higher the stress the E. coli face from improperly using anti-bacterial drugs, the more advanced and new mechanisms the bacteria develop to overcome this challenge. Therefore, multi-drug resistant strains of E. coli are continuously emerging, posing serious threats to human and animal health.