Key points
This outbreak is over. Learn what you can do to protect yourself from getting sick from Salmonella.
Latest update
November 21, 2025
CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) collected different types of data to investigate a multistate outbreak of Salmonella Enteritidis infections.
Epidemiologic data showed that certain home delivery menu items made by Metabolic Meals may have been contaminated with Salmonella Enteritidis and made people sick.
Epidemiologic data
A total of 21 people infected with the outbreak strain of Salmonella were reported from 13 states. Illnesses started on dates ranging from July 24, 2025, to October 3, 2025. Of the 19 people with information available, 8 were hospitalized and no deaths were reported.
The true number of sick people in this outbreak was likely much higher than the number reported, and this outbreak may not have been limited to the states with known illnesses. This is because many people recover without medical care and are not tested for Salmonella.
Public health officials collect many different types of information from sick people, including their age, race, ethnicity, other demographics, and the foods they ate in the week before they got sick. This information provides clues to help investigators identify the source of the outbreak.
The table below has information about sick people in this outbreak ("n" is the number of people with information available for each demographic).
Age
(n=20)
Range from 0 to 96 years
Median age of 56
Sex
(n=21)
62% female
38% male
Race
(n=17)
100% White
0% African American/Black
0% Native American or Alaska Native
0% Asian
0% Native Hawaiian or other Pacific Islander
0% reported more than one race
Ethnicity
(n=18)
94% non-Hispanic
6% Hispanic
State and local public health officials interviewed people about the foods they ate in the week before they got sick. Of the 15 people interviewed, 13 (87%) reported eating a Metabolic Meals prepared menu item. This suggested that people in this outbreak got sick from eating certain Metabolic Meals prepared menu items.
Laboratory data
Public health investigators used the PulseNet system to identify illnesses that may have been part of this outbreak. CDC PulseNet manages a national database of DNA fingerprints of bacteria that cause foodborne illnesses. DNA fingerprinting is performed on bacteria using a method called whole genome sequencing (WGS).
WGS showed that bacteria from sick people's samples were closely related genetically. This suggested that people in this outbreak got sick from the same food.
Based on WGS analysis, bacteria from 21 people's samples had predicted resistance to nalidixic acid and nonsusceptibility to ciprofloxacin (NSC). Most people with Salmonella illness recover without antibiotics. However, if antibiotics are needed, Salmonella illness with this predicted resistance may not be treatable with some commonly recommended antibiotics and may require a different antibiotic choice. More information is available at the National Antimicrobial Resistance Monitoring System (NARMS) site.
Previous updates
CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are collecting different types of data to investigate a multistate outbreak of Salmonella Enteritidis infections.
Epidemiologic data show that certain home delivery menu items made by Metabolic Meals may be contaminated with Salmonella Enteritidis and may be making people sick.
Epidemiologic data
As of September 5, 2025, 16 people infected with the outbreak strain of Salmonella have been reported from 10 states. Illnesses started on dates ranging from July 24, 2025 to August 15, 2025. Of the 15 people with information available, 7 have been hospitalized and no deaths have been reported.
The true number of sick people in this outbreak is likely much higher than the number reported, and this outbreak may not be limited to the states with known illnesses. This is because many people recover without medical care and are not tested for Salmonella. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.
Public health officials collect many different types of information from sick people, including their age, race, ethnicity, other demographics, and the foods they ate in the week before they got sick. This information provides clues to help investigators identify the source of the outbreak.
The table below has information about sick people in this outbreak ("n" is the number of people with information available for each demographic).
Age
(n=16)
Range from 0 to 96 years
Median age of 56
Sex
(n=16)
56% female
44% male
Race
(n=13)
100% White
0% African American/Black
0% Native American or Alaska Native
0% Asian
0% Native Hawaiian or other Pacific Islander
0% reported more than one race
Ethnicity
(n=14)
93% non-Hispanic
7% Hispanic
State and local public health officials are interviewing people about the foods they ate in the week before they got sick. Of the 12 people interviewed, 10 (83%) reported eating a Metabolic Meals prepared menu item. This suggests that people in this outbreak got sick from eating certain Metabolic Meals prepared menu items.
Laboratory data
Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. CDC PulseNet manages a national database of DNA fingerprints of bacteria that cause foodborne illnesses. DNA fingerprinting is performed on bacteria using a method called whole genome sequencing (WGS).
WGS showed that bacteria from sick people's samples are closely related genetically. This suggests that people in this outbreak got sick from the same food.
Based on WGS analysis, bacteria from 16 people's samples had predicted resistance to nalidixic acid and nonsusceptibility to ciprofloxacin (NSC). Most people with Salmonella illness recover without antibiotics. However, if antibiotics are needed, some illnesses in this outbreak may not be treatable with some commonly recommended antibiotics and may require a different antibiotic choice. More information is available at the National Antimicrobial Resistance Monitoring System (NARMS) site.