Tennessee health officials are reviewing recent deaths that were not previously linked to fungal meningitis after a deadly outbreak has sickened 105 people nationwide. Tennessee Commissioner of Health Dr. John Dreyzehner said that a death on September 26 during the first week of the outbreak was not initially reported to the state until this weekend. That has now increased the number of people killed to four in Tennessee and eight nationwide. Officials did not have many details on what sort of deaths they would review. Officials say there is a fungal meningitis outbreak among patients who have received steroid shots for back pain. That steroid was made by a specialty pharmacy in Massachusetts and the outbreak has sickened people in Tennessee, Michigan, Virginia, Indiana, Florida, Maryland, Minnesota, North Carolina and Ohio. (bg)