North Carolina has doubled its reported total of hepatitis cases, from four to nine, as the mysterious infections continue to pop up around the country.
State health officials reported the updated figures on Wednesday night, WRAL reports. North Carolina was among the first states to report a case of the disease late last month.
In total, the U.S. has recorded 115 confirmed or suspected cases of the condition in 26 states and Puerto Rico. Five children died from the disease, and 15 required liver transplants.
Missouri officials also increased the state’s running total of confirmed and suspected hepatitis cases to ten on Wednesday as well.
Also Thursday, Irish officials reported the country’s first death from the condition, marking at least ten worldwide from the mysterious liver illness.
The exact cause of the mysterious hepatitis is currently unknown. The adenovirus – which is often associated with the common cold – is the lead suspect, though not all children who have had the disease so far have tested positive for it.

Read More News: NC officials report that the state has detected NINE pediatric cases of mysterious