The Alabama Department of Public Health is investigating a case of meningococcal disease, the leading cause of bacterial meningitis in children between the ages of 2 and 18 in the United States.

In a news release yesterday, the department’s immunization division said the case was found at Scottsboro Junior High School in Jackson County. No other cases have been identified.

Medical Officer Dr. Karen Landers says the department has already started contacting parents to make them aware of the exposure.

Alabama health officials have contacted four of the six additional Alabamians who received injections of steroid medicine from a specialty pharmacy linked to a meningitis outbreak. The state's deputy director of medical affairs, Dr. Tom Miller, said Wednesday that two are fine. Two are showing symptoms and will be seen by their physician to see if the symptoms are ordinary or something more serious. The Department of Public Health is trying to reach the other two patients. The six live in Alabama, but were treated in Florida.

State Health Officer Don Williamson says 13 Alabamians were injected with the steroid medicine from a specialty pharmacy linked to a meningitis outbreak. Williamson says six were injected in Tennessee and seven in Florida. Alabama did not receive any of the original batch of recalled injections from New England Compounding Center, but Alabamians were exposed because they received treatment in neighboring states that did receive shipments. The company has recalled its other products as a precaution.