Infectious Necrotic Hepatitis in Pigs

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Quick Answer
  • See your vet immediately. Infectious necrotic hepatitis is a rare but often fatal liver disease associated with Clostridium novyi type B.
  • Many pigs are found dead with few warning signs. When signs are seen, they may include fever, depression, weakness, poor appetite, and sudden collapse.
  • The disease is linked to liver damage that creates low-oxygen areas where clostridial spores can activate and release toxins.
  • Diagnosis often depends on necropsy and laboratory testing because pigs may die before treatment can begin.
  • Typical diagnostic and herd-investigation cost range in the US is about $150-$900+, depending on farm call fees, necropsy, histopathology, and lab testing.
Estimated cost: $150–$900

What Is Infectious Necrotic Hepatitis in Pigs?

Infectious necrotic hepatitis is a severe bacterial liver disease most often associated with Clostridium novyi type B. You may also hear it called black disease in other species. In pigs, it appears to be uncommon, but when it happens, it can cause very rapid illness and sudden death.

The bacteria are spore-forming anaerobes, which means they can survive in the environment and in the intestinal tract for long periods. Trouble starts when spores reach damaged liver tissue and find the low-oxygen conditions they need to multiply. Once active, the bacteria produce toxins that cause liver necrosis and overwhelming toxemia.

For pet pigs and small herds, this condition is especially frustrating because there may be little time between the first subtle change and a crisis. Some pigs show vague signs like lethargy or reduced appetite, while others are found dead without much warning. That is why any sudden illness, collapse, or unexplained death in a pig deserves prompt veterinary attention.

Symptoms of Infectious Necrotic Hepatitis in Pigs

  • Sudden death
  • Fever
  • Depression or marked lethargy
  • Poor appetite or sudden feed refusal
  • Weakness or collapse
  • Abdominal discomfort
  • Rapid decline over hours

When to worry: immediately. If your pig is suddenly weak, off feed, feverish, collapsed, or dies unexpectedly, contact your vet right away. These signs are not specific to infectious necrotic hepatitis, and other urgent diseases can look similar. Fast veterinary evaluation also matters because sudden death in pigs can raise herd-health and, in some cases, reportable-disease concerns that need prompt rule-out testing.

What Causes Infectious Necrotic Hepatitis in Pigs?

The main cause is infection with Clostridium novyi type B. This organism is considered soilborne and may also be part of the normal intestinal microbiota. By itself, exposure does not always cause disease. The bigger issue is whether spores gain access to the liver and then find the right conditions to activate.

In many species, infectious necrotic hepatitis is strongly linked to preexisting liver injury, especially damage caused by migrating liver flukes. That damage creates oxygen-poor pockets in the liver where clostridial spores can germinate and release toxins. In pigs, the disease is less well described than in sheep and cattle, but Merck notes that pigs can be affected and that C novyi has also been suspected in sudden deaths where obvious liver lesions were not detected.

Other factors that may increase risk include contaminated environments, concurrent disease, and anything that injures liver tissue. Because the condition is uncommon and often diagnosed after death, your vet may also consider other causes of sudden illness or sudden death, including septicemia, toxic exposures, and other clostridial or infectious diseases.

How Is Infectious Necrotic Hepatitis in Pigs Diagnosed?

Diagnosis can be challenging in a live pig because the disease often progresses too quickly. Your vet will start with history, recent deaths, housing and pasture exposure, feed changes, and a physical exam of any affected pigs. If a pig is still alive, bloodwork may help assess liver injury and systemic illness, but it may not give a definitive answer.

In many cases, the most useful diagnostic step is a necropsy performed by your vet or a veterinary diagnostic laboratory. Typical findings can include areas of liver necrosis and evidence of severe toxemia. Histopathology and anaerobic bacteriology may support the diagnosis, although clostridial organisms can be difficult to culture if samples are delayed or handled poorly.

Because sudden death in pigs has a broad differential list, your vet may recommend additional testing to rule out other infectious, toxic, or management-related causes. For herd situations, that may include submission of tissues to a diagnostic lab, review of parasite control, and evaluation of environmental risk factors. Prompt sample collection matters, so if a pig dies unexpectedly, call your vet before moving or disposing of the body whenever possible.

Treatment Options for Infectious Necrotic Hepatitis in Pigs

Spectrum of Care means you have options. Here are treatment tiers at different price points.

Budget-Conscious Care

$150–$400
Best for: Pet parents or small herd managers needing a practical first step when a pig is critically ill or has died suddenly
  • Urgent exam or farm call with stabilization discussion
  • Isolation and close monitoring of affected pigs
  • Basic supportive care directed by your vet
  • Necropsy referral for a pig that died suddenly, when treatment is no longer possible
  • Review of parasite control, housing, and environmental risk factors
Expected outcome: Guarded to poor for clinically affected pigs because the disease is often peracute. Better herd outcomes are possible when the cause is identified quickly.
Consider: Lower upfront cost, but limited live-animal diagnostics may leave uncertainty. This tier often focuses on confirming the cause after death and reducing future risk.

Advanced / Critical Care

$900–$2,500
Best for: Complex cases, valuable breeding animals, or situations where pet parents want the fullest diagnostic picture and intensive support
  • Emergency transport or intensive on-farm critical care when feasible
  • Expanded laboratory workup and repeated monitoring
  • Aggressive fluid and supportive therapy directed by your vet
  • Comprehensive diagnostic laboratory submission with ancillary testing
  • Broader herd investigation for environmental, parasitic, and infectious contributors
Expected outcome: Still guarded to poor for the individual pig if advanced signs are present. The main advantage is a better chance of clarifying the cause and protecting other pigs.
Consider: Highest cost range and may not change the outcome in a peracute case. Intensive care can also be logistically difficult for pigs depending on size, transport, and local resources.

Cost estimates as of 2026-03. Actual costs vary by location, clinic, and individual case.

Questions to Ask Your Vet About Infectious Necrotic Hepatitis in Pigs

Bring these questions to your vet appointment to get the most out of your visit.

  1. Based on my pig's signs, how likely is a clostridial liver disease compared with other causes of sudden illness or sudden death?
  2. Is this an emergency for the rest of the pigs in the group, and should any of them be examined today?
  3. Would bloodwork help in this case, or is necropsy the most useful next step?
  4. What samples should be collected if my pig dies before we reach the clinic?
  5. Are there local parasite risks, including liver flukes, that could make this disease more likely here?
  6. What treatment options are realistic for a live pig with suspected infectious necrotic hepatitis?
  7. What cost range should I expect for exam, farm call, necropsy, histopathology, and lab testing?
  8. What prevention steps should we change right now for the rest of the herd?

How to Prevent Infectious Necrotic Hepatitis in Pigs

Prevention focuses on reducing the conditions that let Clostridium novyi spores activate in the liver. Work with your vet on a herd-health plan that includes sanitation, manure management, feed quality review, and prompt attention to any disease that could damage the liver. If your pigs have pasture access, local parasite risks matter too.

In species where this disease is best studied, liver fluke damage is a major trigger. That means parasite control and environmental management are important parts of prevention when flukes are a concern in your region. Your vet can help decide whether fecal testing, pasture review, or strategic deworming fits your pigs and your area.

Also take sudden deaths seriously. Quick necropsy and laboratory submission can help identify whether infectious necrotic hepatitis is involved and can guide next steps for the rest of the group. In some production settings, clostridial vaccination programs may be considered as part of broader herd prevention, but vaccine use and protocols should be tailored by your vet to the pigs, local disease patterns, and management goals.