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: no known allergies / adverse drug reactions attending: chief complaint: g-tube fell out major surgical or invasive procedure: replacement of g-tube. history of present illness: 64f nonverbal at baseline, recently discharged after a hospitalization for uti with sepsis who was initially sent in from her for simple g tube replacement, which was found to be out at 6pm. on arrival found to be tachycardic, t 100.4, pr tylenol given. recently admitted for sepsis. . in the ed inital vitals were, 98.4 86 126/76 18 97%, multiple attempts to place a foley in her g-tube track failed, and per report the patient was noted to become tachycardic. her temperature was then noted to rise to 100.4 and she received pr tylenol. throughout the course of the night her bps began to dwindle down. her iv access was a single peripheral 22g iv, and thus a rij was placed. after 2l ivf her bps increased to the 130's systolic. given her recent history of vre utis, and current impressive pyuria she was given iv linezolid and ctx in the ed. she never required pressors. . of note, a note from her most recent hospitalization revealed that her hcp is leaning towards dnr/dni and hospice care. . on the floor, she appears well, she is afebrile with otherwise normal vitals. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: advanced multiple sclerosis htn advanced schizophrenia dm, type ii hyperlipidemia tardive dyskinesias secondary to longterm neuroleptic use dementia history of seizure disorder, h/o of at least 1 episode of status epilepticus in ' triggered by pna. per most recent seizure was 2 months ago. history of frequent utis and urosepsis social history: her son and are co-guardians. currently in in army. she lives at center (, . at baseline, she is alert and will respond to her name and will occasionally say "yes" when asked questions and tracks providers with eyes. she does not say any other words. she does not move at all. per notes chronic bowel and bladder incontinence. no chronic foley. non-ambulatory. needs assistance with all adls. institutionalized for at least 10-15 years family history: unknown. physical exam: admission exam: vitals: t:96.9 ax bp: 120/58 p:100 r: 18 o2:97%ra general: no acute distress heent: sclera anicteric, mmm, oropharynx clear, adentulous neck: supple, jvp unassessable, no lad lungs: diffuse ronchi bilateral cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, obese, peg site clean, dry, and intact bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, no clubbing, cyanosis or edema neuro: rhythmic head movents, lip-smacking/puffing, unclear if attending to voice discharge exam: general: no acute distress heent: sclera anicteric, mmm, oropharynx clear, adentulous neck: supple, jvp unassessable, no lad lungs: diffuse ronchi bilateral cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, obese, peg site clean, dry, and intact bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, no clubbing, cyanosis or edema neuro: rhythmic head movents, lip-smacking/puffing, unclear if attending to voice pertinent results: admission labs: 02:40am blood wbc-11.3* rbc-3.58* hgb-10.4* hct-31.4* mcv-88 mch-29.2 mchc-33.3 rdw-14.3 plt ct-303 02:40am blood neuts-72.3* lymphs-20.5 monos-6.0 eos-1.0 baso-0.2 02:40am blood glucose-207* urean-32* creat-0.6 na-136 k-4.8 cl-101 hco3-28 angap-12 09:00pm blood ammonia-28 09:00pm blood tobra-5.2* 02:50am blood lactate-1.2 discharge labs: 04:20am blood calcium-8.5 phos-2.9 mg-1.7 04:20am blood glucose-272* urean-13 creat-0.5 na-134 k-3.8 cl-101 hco3-25 angap-12 04:20am blood wbc-6.4 rbc-3.15* hgb-9.2* hct-27.6* mcv-88 mch-29.2 mchc-33.2 rdw-14.1 plt ct-262 3:00 am urine site: catheter **final report ** urine culture (final ): mixed bacterial flora ( >= 3 colony types), consistent with skin and/or genital contamination. blood cultures: ngtd x 2 cxr : right ij catheter in proximal svc. no pneumothorax. cxr : right lower lobe pneumonia. brief hospital course: 64f with mmp presented to the hospital because g-tube fell out, found to have hypotension and fever concerning for sepsis. active issues: # sepsis/hypotension: blood cultures still pending so unsure if pt was truly septic or if she was hypotensive for other reasons. pt was febrile on admission and had also lost g-tube access and so had poor po intake prior to admission. hypotension could be multifactorial secondary to volume depletion, febrile vasodilatation, or infection. u/a was dirty on admission and pt has chronic foley placement. however, ucx was negative. also found to have right lower lobe infiltrate on cxr concerning for pneumonia. gave pt tylenol and 2 liters of fluid rescucitation in ed. hypotension and fevers subsequently resolved and she was normotensive and afebrile by the time she reached micu floor and remained so throughout hospital course. treated pt empirically initially with linezolid/cefepime/tobra because of her history of resistant utis. however, palliative care was consulted and confirmed that patient had been made dnr/dni in the past with comfort measures only and plan was to only return to hospital for g-tube replacement. therefore, iv antibiotics were stopped and pt was given prescription for oral cefpodoxime for total 5 day course to treat infection with plans to not treat or hospitalize should infection recur. # nutrition/g-tube - replaced g-tube by ir while in house and resumed tube feeds and po meds. # comfort care: per above, pt is comfort measures only with no plans for further hospitalization. adjusted patient's home medications upon discharge as follows: stopped simvastatin for cad/hld; stopped heparin for dvt ppx; stopped vit. c, multivitamin, and vit. d; stopped amlodipine and lisinopril for hypertension; stopped for infection prophylaxis inactive issues: # seizure d/o - gave home seizure meds by iv while awaiting g-tube replacement. after placement, switched back to po meds. will continue for comfort. # diabetes: continued pt on ssi. will continue insulin glargine and insulin lispro as outpatient # copd: continued ipratropium, albuterol nebs medications on admission: heparin 5000 units vitamin c 500mg daily senna 2 tabs twice a day multivitamin daily metoprolol 100mg klonopin 0.5mg lactulose 30ml daily simvastatin 10mg daily vitamin d 50,000 units monthly insulin sliding scale albuterol nebulizer q6hours and as needed scopolamine 1.5 patch q72h tiotropium daily lispro insulin lantus 10 units bedtime senna as needed dulcolax 10mg suppository daily as needed fleet as needed tylenol as needed levsin 0.125 micrograms every 8 hours guaifensen 10ml daily amlodipine 10mg daily lisinopril 20mg daily omeprazole 20mg daily 1g daily valproic acid (250mg/5ml) 1500mg (30ml) q12h keppra (100mg/ml) 750mg (7.5ml) discharge medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) neb inhalation q6h (every 6 hours) as needed for wheezing/sob. 2. tiotropium bromide 18 mcg capsule, w/inhalation device : one (1) cap inhalation daily (daily). 3. hyoscyamine sulfate 0.125 mg tablet, sublingual : one (1) tablet, sublingual sublingual qid (4 times a day). 4. ipratropium bromide 0.02 % solution : one (1) inh inhalation q6h (every 6 hours) as needed for secretions. 5. levetiracetam 100 mg/ml solution : seven y (750) mg po bid (2 times a day). 6. valproic acid (as sodium salt) 250 mg/5 ml syrup : 1500 (1500) mg po q12h (every 12 hours). 7. insulin lispro 100 unit/ml solution : as directed units subcutaneous as directed. 8. cefpodoxime 100 mg tablet : two (2) tablet po q12h (every 12 hours) for 4 days. 9. metoprolol tartrate 50 mg tablet : two (2) tablet po bid (2 times a day). 10. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day). 11. senna 8.8 mg/5 ml syrup : five (5) ml po bid (2 times a day) as needed for constipation. 12. clonazepam 0.5 mg tablet : one (1) tablet po bid (2 times a day). 13. lactulose 10 gram/15 ml solution : thirty (30) ml po once a day. 14. scopolamine base 1.5 mg patch 72 hr : one (1) patch transdermal q72h. 15. lantus 100 unit/ml solution : ten (10) units subcutaneous at bedtime. 16. tylenol 325 mg tablet : 1-2 tablets po every six (6) hours as needed for fever or pain. 17. fleet bisacodyl 10 mg/30 ml enema : one (1) enema rectal once a day as needed for constipation. 18. guaifenesin 50 mg/5 ml liquid : ten (10) ml po once a day. 19. omeprazole 20 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: extended care facility: center - discharge diagnosis: primary diagnosis: dehydration urinary tract infection pneumonia discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: thank you for letting us take part in your care at . you came to the hospital because your feeding tube came out. your blood pressure was low so you were given iv fluids. you were also given antibiotics because there was concern for a urinary tract infection and for pneumonia. palliative care was consulted because they had worked with you in the past. they confirmed that you were comfort measures only so several of your medications were stopped and you were sent home on oral antibiotics. the following changes were made to your medications: started cefpodoxime 100 mg tablet: two (2) tablet po q12h (every 12 hours) for 4 days stopped heparin 5000 units vitamin c 500mg daily multivitamin daily simvastatin 10mg daily vitamin d 50,000 units monthly amlodipine 10mg daily lisinopril 20mg daily omeprazole 20mg daily 1g daily followup instructions: none. return to hospital only to replace g-tube. md procedure: enteral infusion of concentrated nutritional substances replacement of tube or enterostomy device of small intestine injection or infusion of oxazolidinone class of antibiotics central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified esophageal reflux urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere unspecified schizophrenia, unspecified other and unspecified hyperlipidemia epilepsy, unspecified, without mention of intractable epilepsy do not resuscitate status dehydration multiple sclerosis attention to other artificial opening of digestive tract other antipsychotics, neuroleptics, and major tranquilizers causing adverse effects in therapeutic use subacute dyskinesia due to drugs 

Answer: The patient is high likely exposed to