Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: codeine / percocet / demerol / ceftin / toradol / naprosyn attending: chief complaint: abdominal/back pain s/p nephrostomy tube replacement , also fever/chills. major surgical or invasive procedure: none history of present illness: 45 yo woman with recurrent stage iii papillary serous ovarian ca s/p tah/bso, two subsequent tumor debulkings, chemotherapy, rt, now receiving home hospice, who is referred s/p nephrostogram/tube replacement with rlq pain, r flank pain, fever/chills since day prior to yesterday. she also reports diarrhea that has since resolved. she denies nausea/vomiting. the remainder of her ros is negative. past medical history: past medical history: - stage iii papillary serous ovarian cancer s/p chemotherapy currently receiving rt - recurrent uti with e. coli and enterococcus - recent hospitalization for pyelonephritis - migraine headaches - atrophic left kidney - congenitally atrophic right arm below the elbow - seasonal asthma - htn past surgical history 1. cholecystectomy 2. ovarian cancer cytoreduction s/p tah-bso & omentectomy in ', then 2 debulking surgeries in ' and '; 3. r ureteral stent for right-sided hydronephrosis secondary to extrinsic ureteric compression from advanced ovarian cancer, r percutaneous nephrostomy on , with replacement by ir (pyelogram revealed distal obstruction) social history: lives with: 27 year old daughter () in occupation: previously worked in medical billing at tobacco: smoked 1 pack per month x15 years; quit several yeas ago etoh: denies drugs: denies mood: depressed support system: feels support from daughter/friends "sometimes" family history: mother: recurrent lung ca; dm father: htn, cva at age 48 sister: cervical ca physical exam: t 98.9 84 92/44 15 98 nad rrr ctab abd soft +ttp rlq no g/r +r cvat nephrostomy tube in place, site intact with no erythema/exudate pelvic deferred pertinent results: labs: wbc 6.3 (68% pmns, 0 bands), hct 26.3 (baseline 27-31), plt 492 (baseline 200) pt 12.9 inr 1.1 ptt 31.0 creatinine 1.1 (baseline 1.3) na 142, k 4.1, cl 107, hco3 27, bun11, gluc 92 brief hospital course: 45 yo woman with recurrent stage iii papillary serous ovarian ca s/p tah/bso, two subsequent tumor debulkings, chemotherapy, rt, now receiving home hospice, who is referred s/p nephrostogram/tube replacement with rlq pain, r flank pain, fever/chills since . at presentation on , there was no clear evidence of infection given that her wbc was normal and she was afebrile. her nephrostomy pigtail was replaced and antegrade pyelogram indicated functional nephrostomy tube and persistent distal ureteral obstruction. on cxr, the lungs were clear. she was admitted for pain control. however, her ua revealed >100k wbcs and, on , she mounted a fever to 100.7f. she was placed on zosyn and vancomycin was added when she was persistently febrile. despite urine wbc count as above, urine cultures revealed only yeast 10-100k. a pain consult was requested and they recommended dilaudid pca. she was started on the dilaudid pca, but had several episodes of hypotension while on increased narcotics for her pain requiring transfer to the icu for monitoring. her pca was discontinued and her fentanyl patch was restarted. psychiatry was consulted for management of depression and affective instability and recommendations regarding her multiple medications including clonazepam, lorazepam, mirtazapine and narcotics. during her stay, she was showing signs of mild delirium with decreased attention and concentration. thus psychiatry recommended continuing her mirtazapine and clonazepam, but suggested limiting prn ativan and narcotics as possible, recognizing the difficulty in this given her chronic pain. they also suggested using seroquel for anxiety and insomnia. in the setting of increased pain medication, specifically narcotics, she became hypotensive to 70s systolic. she was mildly lightheaded at this time. she was transferred to the icu where she received iv fluids to which her bp responded with systolics returning to the low 100s mmhg. her hypotension was thought more likely to her pain medication regimen and poor po rather than hypotension to sepsis. during her stay, multiple family meetings including her pastor were had to evaluate code status. she had previously been in the care of hospice prior to this admission. during her stay in the setting of hypotension, code status was readdressed and she decided that she no longer wished dnr/dni, but wanted full code. while in the icu, this was again readdressed with her family, pastor, and patient, and code status was changed to cmo. she requested transfer back to her home hospice care. medications on admission: fentanyl 150 mcg/hr patch lorazepam 1mg prn clonazepam 0.5 mg hs hydromorphone 10 mg prn docusate sodium 100 mg capsule po bid senna qd reglan prn mirtazapine 30 mg hs omeprazole 20 mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 4. mirtazapine 15 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)) as needed. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 6. metoclopramide 10 mg iv q6h:prn 7. zyprexa zydis 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po at bedtime: please give at 10pm. 8. ibuprofen 600 mg tablet sig: one (1) tablet po every six (6) hours. 9. ativan 1 mg tablet sig: 0.5-1 tablet po every 4-6 hours as needed for agitation. 10. ativan 2 mg/ml syringe sig: 0.5-1 mg injection every hours as needed for agitation: give iv or sc. 11. quetiapine 25 mg tablet sig: 0.5 tablet po q4h prn and hs prn as needed for insomnia. 12. clonidine 0.1 mg tablet sig: one (1) tablet po twice a day. 13. fentanyl 100 mcg/hr patch 72hr sig: two (2) patches transdermal every seventy-two (72) hours. 14. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours). 15. morphine 10 mg/5 ml solution sig: five (5) ml po q4hrs: prn as needed for pain. 16. haloperidol 5 mg tablet sig: one (1) tablet po bid: prn as needed for agitation. discharge disposition: home with service facility: discharge diagnosis: ovarian cancer abdominal pain depression anxiety renal insufficiency urinary tract infection hypertension discharge condition: good discharge instructions: call if fever, worsening pain, other concerns/questions followup instructions: home hospice md procedure: replacement of nephrostomy tube diagnoses: other iatrogenic hypotension urinary tract infection, site not specified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified dysthymic disorder pressure ulcer, lower back other specified analgesics and antipyretics causing adverse effects in therapeutic use personal history of malignant neoplasm of ovary secondary malignant neoplasm of other urinary organs 

Answer: The patient is high likely exposed to