The number of cases in Michigan continues to rise as a result of the national meningitis outbreak stemming from tainted steroid injections for neck or back pain. The Michigan Department of Community Health says there are now 224 total cases in the state including 64 cases of meningitis with the number of deaths holding at ten. There also have been 138 epidural abscesses, one stroke, 20 peripheral joint infections and one epidural abscess plus peripheral joint infection. Health officials say three southwestern Michigan residents who died are being counted as Indiana cases since that's where their treatment occurred. The tainted steroids came from a Massachusetts pharmaceutical company that is now the subject of congressional investigations.