The Centers for Disease Control and Prevention (CDC) has issued an advisory cautioning both consumers and sellers to avoid Romaine Lettuce Grown in the Salinas, California amid a multi-state E. coli outbreak.

According to the CDC, five people infected with the bacteria had developed hemolytic uremic syndrome (HUS), a type of kidney failure associated with E. coli.

On Wednesday, Maryland's health department discovered the O157:H7 E. coli strain in a box of Ready Pac Foods Bistro Chicken Caesar Salad after seven people had reported illnesses across the state.

The following day, the United States Department of Agriculture (USDA) announced that New Jersey-based food manufacturer Missa Bay LLC had recalled salad products for fear of contamination.

"We are concerned about the potential for contaminated lettuce on store shelves and in people's refrigerators," Dr. Robert Tauxe, director of the CDC's Division of Foodborne, Waterborne and Environmental Diseases told USA Today .

"Heading into the Thanksgiving holiday, it is critically important to avoid buying or eating Romaine Lettuce from the Salinas growing area so you can protect yourself and your family."