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ATLANTA — A rare U.S. outbreak of typhoid fever has been linked to a frozen tropical-fruit product used to make smoothies, health officials reported Thursday.

Seven cases have been confirmed — three in California and four in Nevada, according to the Centers for Disease Control and Prevention.

The CDC said five of the victims drank milkshakes or smoothies made with frozen mamey fruit pulp. Four of them used pulp sold by Goya Foods Inc. of Secaucus, N.J.

A sample from one package found in Las Vegas tested positive for the bacteria that causes typhoid, the Food and Drug Administration reported Wednesday. A phone call to Goya seeking comment was not immediately returned Thursday.

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