RALEIGH -

Health officials in North Carolina say the number of E. coli cases linked to the Cleveland County Fair has climbed to 46.
    
The state Department of Health and Human Services said Tuesday that 29 children and 17 adults have been affected by the outbreak. Ten people have been hospitalized, and officials said there are two cases from South Carolina.
    
A 2-year-old died of complications from the bacterial illness.
    
The nine-day fair ended Oct. 7. Health officials say symptoms of E. coli infection could come up to 10 days after exposure and can include diarrhea, abdominal cramps, nausea and vomiting.
    
Officials haven't yet determined the source of the outbreak.