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Tennessee health officials are once again alerting patients who received tainted steroid shots after finding that some have infections at the injection site that could lead to fungal meningitis.

Tennessee Health Commissioner John Dreyzehner said Thursday that since Thanksgiving, officials have identified 22 new cases of these localized infections and one case of meningitis without a localized infection. Two patients with the injection-site infections also showed early signs of meningitis.

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