10/29/2012 03:27 EDT | Updated 12/29/2012 05:12 EST

CDC: Cases of a rare fungal meningitis rise to 354; Rhode Island in 19th state with a case

An outbreak of fungal meningitis has been linked to steroid shots for back pain. The medication, made by a specialty pharmacy in Massachusetts, has been recalled.

Latest numbers from the Centers for Disease Control and Prevention:

Illnesses: 354, including seven joint infections.

Deaths: 25.

States: 19; Florida, Georgia, Idaho, Illinois, Indiana, Maryland, Michigan, Minnesota, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas and Virginia.