A funeral home in Livingston County says a 67-year-old woman died from a stroke caused by the fungal meningitis outbreak.
Dennis Gaines, director of MacDonald's Funeral Home in Howell, says Lilian Cary died on Sept. 30.
The Howell woman had been treated with a steroid injection at a clinic in Brighton.
Husband George Cary tells The Associated Press that he received identical treatments at the clinic, Michigan Pain Specialists. He doesn't know if he has meningitis.
The steroid was made by a specialty pharmacy and shipped to four Michigan clinics.
Michigan has reported 20 meningitis cases, including two deaths. No one could be reached for comment Monday at the Brighton clinic.
A wake is being held Monday for Cary, followed by a memorial service Tuesday.
She was a native of Stoke-on-Trent, England, and moved to the U.S. in 1965.
A message seeking comment from her family was not immediately returned.