A frozen fruit product is being recalled by the manufacturer after it was linked to at least four cases of typhoid fever by the U.S. Centers for Disease Control yesterday.

Goya Foods is recalling 14-ounce packages of its frozen mamey fruit pulp, which it distributed in 11 Western states including Hawaii. The company ordered the recall after the Food and Drug Administration found traces of salmonella — the bacteria that causes typhoid fever — in a sample of the product taken in Las Vegas.

According to the state Department of Health, no cases of typhoid fever have been reported in Hawaii. The state has contacted Goya for a distribution list and will be contacting firms that may have been affected.

The CDC confirmed seven cases of typhoid fever in California and Nevada, and said four of the victims drank milkshakes made with the product. The CDC said it will continue to investigate possible typhoid cases, including two more reports out of California.

Mamey — known as "sapote" in Latin America — is a red-fleshed fruit native to Mexico and is a common ingredient in milkshakes, smoothies and fruit bars.

In addition to Hawaii, the Goya product was sold in Alaska, Arizona, California, Colorado, New Mexico, Nevada, Oregon, Texas, Utah and Washington.

Though common in the developing world, typhoid fever has become rare in the United States, with just 400 cases reported annually, according to the CDC. Symptoms of the life-threatening illness include sustained high fever, stomach pain and rash. Typhoid fever can only be diagnosed by testing blood and stool samples, and is treated with antibiotics.