NASHVILLE (AP) – The state Department of Health said another Tennessee patient who contracted fungal meningitis linked to epidural steroid shots has died, bringing the total number of deaths in the state to 11.

On Tuesday, the department posted an update online announcing the latest death and said the number of total cases remained at 74 in Tennessee. No details on the victims have been released by state officials.

More than 350 people in 19 states have been sickened. The outbreak has been linked to epidural steroid injections that were produced by the New England Compounding Center, a specialty pharmacy in Massachusetts.

This type of meningitis is not contagious, but health officials have said it is incredibly hard to diagnose and treat.

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