The Michigan Department of Community Health is reporting a fifth death due to an outbreak of fungal meningitis. According to officials, the latest victim is a 62-year-old Washtenaw County man. The number of fungal meningitis cases in Michigan linked to tainted steroid injections is now up to 45 and four non-meningitis infection cases related to the same contaminated steroids that were used to treat back pain. Health officials says the five people who have died include a Cass County woman who received her injections at a pain clinic in Indiana. The Centers for Disease Control and Prevention says the outbreak has spread to 16 states with 257 cases and 20 deaths. Only Tennessee has had more cases than Michigan. Health officials say the number of cases is expected to increase. The outbreak is tied to tainted steroid injections from a Massachusetts company.