Four people have been sickened in two states by salmonella poisoning linked to pistachio cream, a nut butter spread used in desserts and other dishes, federal health officials said Monday.

A multistate outbreak of Salmonella Oranienburg infections tied to Emek-brand Pistachio Cream has sickened four people across two states, according to an investigation update from the FDA.

Four people have been sickened in two states by salmonella poisoning linked to pistachio cream, a nut butter spread used in desserts and other dishes, federal health officials said Monday.

Four people have been sickened in two states by salmonella poisoning linked to pistachio cream, a nut butter spread. Three people in Minnesota and one in New Jersey fell ill.