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: depakote / sulfa (sulfonamide antibiotics) / penicillins / aspirin / tetracycline attending: chief complaint: hypotension and lethargy major surgical or invasive procedure: none history of present illness: mrs. is a yo f w/ hx dementia, presents from nh with somnolence and hct 17, with reports of black, guaiac positive stools. per reports pt with hx of guaiac positive stools and hct 20 on . she did well otherwise until yesterday when noted to be minimally responsive, with hct 17. sent to ed, where ngl was performed and was negative. no further bms, but minimal stool in diaper was brown. pt w/o discernable abd pain. per nursing, straight cath of urine revealed purulent material. u/a floridly positive. bps low in the 70's to 80's, and pt started on cipro for presumed urosepsis. she has also been given levophed for bp support. hct rose from 17 to 30 with 3 u prbcs, but decreased to a more appropriate 25.6 with additional ivfs. no further stool output overnight. past medical history: hypertension dementia with delusions (listed as body dementia and alzheimer's dementia in different areas of her outside records) per omr, recent psychiatric history: psychiatric admission in for increased agitation and delusions--currently on citalopram, risperdal psychiatric hospitalization at in for increasingly aggressive/agitated behavior psychiatric hospitalization at (?summer ) for increasingly aggressive/agitated behavior (5 wks) social history: lives at . husband ) is hcp. unable to obtain etoh or ivdu/illegal drug use history from patient. former smoker. family history: n/c physical exam: afebrile, hr 86, bp 115/40 on levophed. rr 18, 100% ra pt awake but non-interactive (unclear baseline) no oropharyngeal erythema or exudate. rrr. ii/vi sem. lungs clear anteriorly with minimal effort. +bs. ntnd. rectal with brown, guaiac positive stool no c/c, 1+ edema bilateraly. pertinent results: 03:30pm wbc-11.1* rbc-2.01*# hgb-5.8*# hct-17.8*# mcv-89 mch-29.0 mchc-32.7 rdw-15.8* 03:30pm neuts-79.3* lymphs-17.4* monos-2.7 eos-0.1 basos-0.4 03:30pm plt count-343 03:30pm pt-13.3 ptt-26.1 inr(pt)-1.1 04:28pm urine blood-sm nitrite-pos protein-tr glucose-neg ketone-neg bilirubin-sm urobilngn-neg ph-7.0 leuk-mod 04:28pm urine rbc-2 wbc->50 bacteria-many yeast-none epi-2 04:28pm urine color-yellow appear-hazy sp -1.014 03:40pm lactate-1.6 03:30pm glucose-113* urea n-131* creat-3.6*# sodium-145 potassium-5.5* chloride-111* total co2-21* anion gap-19 11:27pm potassium-5.0 discharge labs: 06:05am blood wbc-7.6 rbc-3.09* hgb-9.0* hct-26.5* mcv-86 mch-29.2 mchc-34.0 rdw-16.0* plt ct-190 06:05am blood plt ct-190 06:05am blood glucose-103 urean-24* creat-0.8 na-140 k-4.5 cl-107 hco3-28 angap-10 06:05am blood calcium-7.7* phos-3.0 mg-1.7 ct abdomen/pelvis: 1. a right-sided 8 x 9 mm non-obstructive stone in the area of the right upj. no hydronephrosis. no stones on the left side. 2. small-to-moderate bilateral pleural effusions with bibasilar atelectasis. 3. severe scoliosis with accompanying degenerative changes of the thoracolumbar spine. 4. fecalized loops of small bowel, without evidence for bowel obstruction. picc placement x ray: right picc in mid svc. cxr (): lungs are clear and unchanged without evidence of pneumothorax, edema, or pleural effusions. a questionable small peripheral granuloma is also unchanged within the right upper lung field. cardiomediastinal silhouette and hilar contours are stable with atherosclerotic disease again noted. degenerative changes are noted within the spine and the left acromioclavicular joint. brief hospital course: 1. hypotension secondary to urinary tract infection and sepsis: presented with uti, grew e coli and proteus--required pressors for several days in icu. initially treated with ciprofloxacin, but proteus resistant. changed to ceftriaxone with plan to complete a 10 day course. she has an unknown reaction to penicillin (pcp, and husband do now know reaction), but tolerated the ceftriaxone in the hospital. picc placement . had abdominal pain in the micu, at ct scan demonstrated a nonobstructing stone on the right. this pain self-resolved. 2. acute blood loss anemia from gi bleed: source unclear as patient did not undergo endoscopy. at admission had hct of 17.5, and received 5 units prbc. had guaiac positive stool. her profound anemia likely contributed to her hypotension/pressor requirement. her hct remained stable after these transfusions and the decision was made not to pursue endoscopy at this point. had guaiac positive stool still at discharge, but not grossly bloody or tarry. 3. dementia: history of agitated delirium, which did not manifest on this hospitalization. continued on outpatient risperidone and celexa. 4. acute renal failure on chronic renal insufficiency: creatinine 3.6 at admission, related to hypotension. responded to resuscitation and improved to baseline at discharge. 5. fen: failed speech/swallow evaulation, required dobhoff placement. repeat s/s evaluation on was performed. the patient had minimal participation and was unable to move the food back through the oral cavity to start swallowing. peg was discussed with the husband, and after extensive discussion, was declined. she should be able to eat if she wants to/shows interest. previous s/s evaluation cleared her for soft solid/think liquid with nutritional supplements ()--repeat swallowing evaluation could be performed at the , if the medical team feels this in indicated. there was no evidence of aspiration on this hospitalization, the patient was unable to participate with the swallow evaluation. 6. disposition: discharged to to complete 10 day course of ceftriaxone. dnr/dni. further goals of care to be discussed at . hospital course and plan discussed with her primary caretakers at and her husband. expressed a desire for her to be comfortable/not suffer. she was taken off antihypertensives, but her bp was normal. nonessential medications were discontinued. she had an ngt until the day of discharge, and thus received all oral medications. medications on admission: atenolol 25 mg po daily norvasc 5 mg po daily colace 100 mg daily senna 2 tabs by mouth daily dulcolax 5 mg po daily as needed prilosec 20 mg po daily celexa 40 mg qhs risperdal 0.5 mg po 8 am, 12 noon, and hs multivitamins discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 3. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 4. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 5. risperidone 0.5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po tid (3 times a day). 6. ceftriaxone in dextrose,iso-os 1 gram/50 ml piggyback sig: one (1) gram intravenous q24h (every 24 hours): to complete a 10 day course, last dose . 7. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. discharge disposition: extended care facility: - discharge diagnosis: primary: septic shock due to uti-e. coli and p. mirabilis acute blood loss anemia due to gi bleed acute renal failure on chronic renal insufficiency hypernatremia secondary: alzheimer dementia hypertension discharge condition: hemodynamically stable discharge instructions: you were admitted with a urinary tract infection and bleeding from your gi tract. you were admitted to the micu for blood pressure support and antibiotics. you required blood transfusions. stool or blood per rectum, inability to tolerate medications, chest pain, shortness of breath or any other concerning symptom. followup instructions: please follow up with the practitioners at md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances transfusion of packed cells infusion of vasopressor agent diagnoses: hyperpotassemia urinary tract infection, site not specified acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified septic shock pressure ulcer, lower back alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site pressure ulcer, stage ii 

Answer: The patient is high likely exposed to