The outbreak of mysterious hepatitis cases in children has spread to New Jersey.

The Centers for Disease Control and Prevention is investigating four pediatric cases in the Garden State that could be linked to the acute liver disease, the state Department of Health announced Wednesday in a statement.

“None of the children underwent liver transplants.

The mysterious disease has affected more than 110 children in nearly 30 U.S.

The state health department issued an alert in April advising medical providers to monitor for suspected cases of hepatitis of unknown origin.

Five children have died from the baffling liver illness in the U.S., and 14% of patients have needed transplants, according to the CDC.

“The states and CDC are looking broadly (including hepatitis cases of unknown origin in children under 10 years of age, since October, 2021), so this number may go up or down as CDC and states review medical charts and learn more.”.