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Nashville, TN 10/3/2012 Nashville Saint Thomas neurosurgery clinic shuts down. Health officials say the outbreak has sickened 26 people in five states who received steroid injections. Eighteen of the cases are in Tennessee, where a Nashville clinic received the largest shipment of the steroid from the Framingham-based company. The Food and Drug Administration identified the maker of the steroid as New England Compounding Center, a specialty pharmacy in Framingham, Mass. Last week, the company issued a recall of three lots of the steroid — methylprednisolone acetate. In a statement, the company said it had voluntarily suspended operations and was working with regulators to identify the source of the infection. The Department of Health and Human Services had issued a warning letter to the center in 2006. The letter is posted at www.casewatch.org