Cyclosporiasis cases continue to climb across Michiana, with the biggest increase reported in Kosciusko County.

Health officials said Kosciusko County added 15 new cases, bringing its total to 46.

Elkhart County still has the highest number of cases in the area with 58. No new cases have been reported since Tuesday in Berrien or Cass counties.

Michigan continues to report the most cases nationwide, adding about 400 new infections and bringing the state’s total to more than 9,600 cases in an outbreak linked to iceberg lettuce.