RICHMOND, Va. (AP) - Virginia health officials say a second person has died in the state from a rare outbreak of meningitis.

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Virginia Department of Health spokesman Matthew Lipani said Tuesday night the latest death involved an adult who lived in southwestern Virginia.

The victim's name wasn't immediately released.

Last week an autopsy confirmed a Salem man who received a spinal injection for relief from a pinched nerve died Sept. 18 of acute fungal meningitis.

Nearly three dozen suspected meningitis cases in Virginia have been reported from among 689 patients who received injections of a possibly tainted batch of steroids typically used to relieve back pain. Virginia health officials said two clinics, in Roanoke and Christiansburg, are the only medical facilities in the state to have received the now-recalled steroid from a Massachusetts supplier.