Mamey fruit pulp, or juice, produced by COCO, S.A. of Guatemala, and distributed under the brand names, Goya (Goya Foods, Inc.), and La Nuestra (Montalvan Sales), was implicated in an outbreak of typhoid fever in three states. Twelve outbreak associated cases were identified. Nine people were hospitalized. No one died. Laboratory isolates collected from confirmed cases were a genetic match to one another. A non-typhi strain of Salmonella was isolated from an unopened package of frozen mamey pulp obtained from a case-patient home.

Mamey fruit pulp, sometimes called zapote or sapote, is a tropical fruit grown in Central and South America and is commonly found in markets nationwide. The product is often used in shakes and smoothies. COCO, S.A., mamey fruit pulp was previously implicated in an outbreak of typhoid fever in Florida in 1998-99.