Texas is among 23 states that received shipments of a steroid used to treat back pain but is now linked to a rare fungal meningitis outbreak. The outbreak has killed at least five and sickened 35 people, but none in Texas. Christine Mann is a spokeswoman for the Texas Department of State Health Services. She confirms the painkiller produced by the New England Compounding Center was shipped to Texas. The Framingham, Mass.-based company has recalled three lots of the drug. While the agency is looking for cases linked to the product, officials haven't been able to confirm any so far.