Nashville, TN (WOKI / WVLT / WSMV) The Tennessee Department of Health is investigating a botulism-like illness after reported botulinum toxin injections for cosmetic purposes.

The joint investigation with the CDC, FDA and other states has identified concerns about the use of counterfeit products or products with unclear origin administered in non-medical settings such as homes or cosmetic spas.

The health department says that cosmetic injections should be an FDA-approved product, administered by licensed providers and in licensed settings. Suspected botulism illnesses should be reported immediately to the TDH at 615-741-7247.