Enterococcal Infective Endocarditis following Periodontal Disease in Dogs

PLoS One. 2016 Jan 11;11(1):e0146860. doi: 10.1371/journal.pone.0146860. eCollection 2016.

Abstract

In humans, one of the major factors associated with infective endocarditis (IE) is the concurrent presence of periodontal disease (PD). However, in veterinary medicine, the relevance of PD in the evolution of dogs' endocarditis remains poorly understood. In order to try to establish a correlation between mouth-associated Enterococcus spp. and infective endocarditis in dogs, the present study evaluated the presence and diversity of enterococci in the gum and heart of dogs with PD. Samples were collected during necropsy of 32 dogs with PD and visually diagnosed with IE, which died of natural causes or euthanasia. Enterococci were isolated, identified and further characterized by Pulsed-Field Gel Electrophoresis (PFGE); susceptibility to antimicrobial agents and pathogenicity potential was also evaluated. In seven sampled animals, PFGE-patterns, resistance and virulence profiles were found to be identical between mouth and heart enterococci obtained from the same dog, allowing the establishment of an association between enterococcal periodontal disease and endocarditis in dogs. These findings represent a crucial step towards understanding the pathogenesis of PD-driven IE, and constitute a major progress in veterinary medicine.

Publication types

  • Research Support, Non-U.S. Gov't
  • Retracted Publication

MeSH terms

  • Animals
  • Anti-Bacterial Agents / chemistry
  • Dogs
  • Drug Resistance, Bacterial
  • Electrophoresis, Gel, Pulsed-Field
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / veterinary*
  • Enterococcus*
  • Female
  • Gingiva / microbiology
  • Gram-Positive Bacterial Infections / veterinary*
  • Male
  • Microbial Sensitivity Tests
  • Mitral Valve / microbiology
  • Periodontal Diseases / complications
  • Periodontal Diseases / microbiology
  • Periodontal Diseases / veterinary*
  • Tricuspid Valve / microbiology
  • Virulence

Substances

  • Anti-Bacterial Agents

Grants and funding

This study was performed on ‘‘Centro de Investigação Interdisciplinar em Sanidade Animal’’ (CIISA/FMV) from Faculdade de Medicina Veterinária da Universidade de Lisboa (Faculty of Veterinary Medicine, University of Lisbon), through Project UID/CVT/00276/2013 from ‘‘Fundação para a Ciência e Tecnologia - FCT’’. Teresa Semedo-Lemsaddek was financially supported by Program ‘‘Ciência’’ from FCT. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.