The US Centers for Disease Control and Prevention has issued a health advisory to warn the public of an increase of a drug-resistant bacteria called Shigella.

There are limited antimicrobial treatments available for these particular drug-resistant strains of Shigella and it’s also easily transmissible, warned the CDC in the Friday advisory. It’s also able to spread antimicrobial resistance genes to other bacteria that infect the intestines.

Shigella infections known as shigellosis can cause a fever, abdominal cramping, tenesmus and diarrhea that is bloody.

The bacteria can be spread by a fecal-oral route, person-to-person contact, and contaminated food and water.