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: demerol / compazine / reglan / betadine surgi-prep / tape "x10yd / iodine-iodine containing / vancomycin attending: chief complaint: abdominal pain and rigors major surgical or invasive procedure: none history of present illness: 49f w/ syndrome and an extensive surgical history including total colectomy and end ileostomy on chronic tpn now w increasing abdominal pain, nausea, and bilious vomiting x 1 day. also complains of subjective fevers and chills, and says that this episode is similar to prior episodes of bacteremia due to line infections. denies chest pain and shortness of breath. on tpn at home, and by report, apparently her dog has been biting the catheter tip yet she has continued to use picc, concerned for line infection. she was brought by her pca to hospital, where vitals were 98.3 127 96/45 20 and she complained of diffuse abdominal pain. wbc count 7.4 w/ 96% neutrophils, hct 32.9, plt 122, alt 67, ast 42. she got 2l iv fluids, zofran and dilaudid, but remained tachycardic. by her request she was transferred to . in the ed, initial vitals were 98.2 116 102/58 18 94%. bp in 90s, dropping to the 80s despite 4l ivf. having rigors, appears unwell. started on zosyn and daptomycin. has picc in l femoral, claims to have clotted off all the rest of her veins. ended up getting non-con ct as radiology will not use hickman and patient allergic to iodine. no pivs. vitals prior to transfer 97.7 99/51 124 92%ra. on the floor, patient complaining of ongoing nausea and severe bilateral lower-quadrant, sharp, unremitting abdominal pain. per patient's sister, the patient dnr/dni, which was confirmed with the patient. the patient is alright with getting pressors and continuing antibiotics, but did not want an arterial line. past medical history: ++ syndrome - diagnosed age 23 - total colectomy, end ileostomy - small bowel resection (multiple) secondary to recurrent polyposis - subsequent short gut syndrome - on tpn since , ++ benign cystadenoma - partial hepatectomy, ++ line-associated blood stream infections - her cvl in her l leg has been in place for at least 5 years, when she has had infections the line has been changed over a wire as pt has limited remaining access (l groin vessels and hepatic vessels are only usable vessels) - mssa, - - c. parapsilosis + coag neg staph, - non-albicans, - c.parapsilosis, - k. pneumoniae, --> resistant to cipro, cefuroxime, tmp/smx --> treated with meropenem /08 - line change due to positive blood cultures (?) --> had an echocardiogram that was abnormal as noted below coag neg staph --> line changed over wire --> linezolid --> coag neg staph , no line change, on dapto till - admitted to with history of + urine for vre isolated on at healthcare hospital. ++ venous thrombosis/occlusion - failed access in r ij, r brachiocephalic - reconstructed ivc w/ kissing stent extensions into high ivc - stenting to r femoral, external iliac ++ gi bleed ++ hsv-1 ++ fibromyalgia ++ osteoporosis ++ scoliosis; h/o surgical repair ++ right hip fracture; orif ++ meniscal tears of knee; 4 prior surgeries, ++ total abdominal hysterectomy; bilateral salpingo-oophorectomy ++ left multiple metatarsal fractures ++ dermoid cyst removal (small bowel, ovaries) ++ hepatic cyst adenoma; resected ++ cholecystectomy, ++ ? paradoxical emboli ++ intracranial hemmorhage on fondaparinux ++ chronic left eye blindness and expressive aphasia ++ multiple pe and dvt, most recent in social history: lives with her elderly mother. she is cared for by pca's and a private nurse. - tobacco: none - alcohol: none - illicits: none family history: father and 6 of 8 siblings with syndrome. mother and relatives with htn and resulting cva. sister with breast cancer. her father's parents died of cancer. physical exam: admission exam: general: drowsy but easily arousable, moderate respiratory distress heent: sclera anicteric, dry mucous membranes, oropharynx clear neck: supple, jvp not elevated, no lad lungs: tachypneic, decreased breath sounds at right base, clear otherwise cv: tachycardic and hyperdynamic, no murmurs abdomen: patient sitting with knees up to chest, abdomen soft, diffusely tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: picc line in place with slight surrounding erythema. extremities warm with 2+ pulses. neuro: aaox3, cns intact, moving all extremities. pertinent results: admission labs: 10:40pm blood wbc-13.6*# rbc-3.83* hgb-11.2*# hct-35.0*# mcv-91# mch-29.3# mchc-32.1 rdw-13.8 plt ct-181 10:40pm blood neuts-92.8* lymphs-5.2* monos-1.6* eos-0.3 baso-0.1 05:00am blood pt-21.3* ptt-46.2* inr(pt)-2.0* 10:40pm blood glucose-102* urean-19 creat-0.9 na-139 k-4.1 cl-110* hco3-18* angap-15 10:40pm blood alt-48* ast-42* alkphos-251* totbili-0.9 10:40pm blood albumin-3.3* 06:04am blood type-art temp-36.6 fio2-60 o2 flow-10 po2-90 pco2-37 ph-7.22* caltco2-16* base xs--11 intubat-not intuba comment-simple fac 11:38am blood lactate-5.9* urine: 01:30am urine color-yellow appear-clear sp -1.016 01:30am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-sm 01:30am urine rbc-1 wbc-8* bacteri-few yeast-none epi-1 transe-<1 micro: bcx: klebsiella oxytoca | ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin/tazo----- s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s studies: cxr: no acute cardiac or pulmonary process. no change from prior radiographs from . ct abd: 1. right lower lobe consolidation is concerning for infection. 2. no acute intra-abdominal or pelvic process. 3. diffusely hypodense liver, most consistent with focal fat deposition. brief hospital course: ms. is a 49 year old woman with h/ syndrome, short gut syndrome, prior line infections, only access is l femoral hickman, who was admitted with abdominal pain and rigors, found to have gnr bacteremia. the patient was septic on admission, requiring bp support with 3 pressors. she was treated with meropenem. the patient was tachypneic and satting in the 70-90s on nrb. given her pain and increased work of breathing, patient was started on a morphine gtt. she was made comfort measures only on , and passed away later the same day. medications on admission: - fentanyl 200mcg/72hrs - famotidine 40mg iv daily - amitriptyline 50mg qhs - benadryl 50mg q12hrs - ativan 1mg po q4-6hrs prn - morphine oral solution 2-4mg q6hrs prn - zofran 8mg iv q8hrs prn - warfarin 4mg discharge medications: none. discharge disposition: expired discharge diagnosis: gnr bacteremia discharge condition: expired. discharge instructions: none. followup instructions: none. procedure: parenteral infusion of concentrated nutritional substances diagnoses: acidosis severe sepsis osteoporosis, unspecified septic shock other and unspecified postsurgical nonabsorption myalgia and myositis, unspecified ileostomy status septicemia due to gram-negative organism, unspecified acquired absence of intestine (large) (small) bloodstream infection due to central venous catheter 

Answer: The patient is high likely exposed to