Andrei Svechnikov and Jackson Blake scored in the shootout for Carolina.
Bryan Rust scored for Pittsburgh on a rebound with 36 seconds remaining in the third period to tie it 4-4 after Noel Acciari cut it to 4-3 with 2:08 left with Stuart Skinner pulled for the extra attacker.
Alexander Nikishin had a goal and an assist, and Seth Jarvis and Logan Stankoven also scored for the Hurricanes (41-17-6), who are 11-0-1 during the streak. Frederik Andersen made 24 saves.
Rust had two goals and an assist for the Penguins (32-17-15), who have lost five of seven (2-2-3). Skinner made 39 saves.
Stankoven gave Carolina a 1-0 lead at 7:46 of the first period. After Skinner stopped consecutive shots by Mike Reilly, the Hurricanes’ defenseman passed to Stankoven for a snap shot below the left hash marks.
Mantha tied it 1-1 at 19:04 when he took a pass from Ville Koivunen and curled to the slot before scoring on a snap shot under the crossbar.
Rust scored on the power play to give Pittsburgh a 2-1 lead at 11:44 of the second period. Egor Chinakhov made a diagonal pass from above the left circle to Rust, who roofed a shot from below the right circle.
Jankowski tied it 2-2 at 2:49 of the third period. His shot from the slot hit Skinner in the mask, but Jankowski scored on a rebound in the low slot.
Jarvis gave the Hurricanes a 3-2 lead at 3:48. Svechnikov chipped the puck up the boards through the neutral zone, and Jarvis protected the puck and cut through the slot to score over Skinner’s glove.
Nikishin extended it to 4-2 at 11:21, one-timing a pass from Aho on a 5-on-3.
