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: patient recorded as having no known allergies to drugs attending: chief complaint: hypoglycemia, hypotension major surgical or invasive procedure: central venous catheter placement. history of present illness: ms. is a 77yo female with pmh significant for copd on 4l nc, htn, anemia, and recent pubic ramus fracture who is being transferred to the micu for hypotension, hypoxemia, and hypoglycemia. per her family, she fractured her pubic ramus 3 weeks ago. she was evaluated at the and was found to be a non-surgical candidate. she was then transferred to hospital and admitted. during her stay she was found to have a uti and was treated with cipro. her daughter states that after 5 days of treatment she found out that the bug in her urine was resistent to the cipro. she was then apparently treated with cefpodoxime and the last day was . she had a foley in place during these times which was removed yesterday. two days after being at the nh, she represented to ed with symptoms suggestive of a bowel obstruction. of note, she has been on narcotics during this time. she was then discharged back to bostonian where she has been since . per daughter, she has had poor intake over the past few days. at 8:15am this morning her bs was low according to the glucometer. she was immediately given glucagon im and glucose gel. her bs increased to 40 at 8:50am after a second glucagon shot. blood sugar remained at 42 per nurse . ems was called and she was immediately brought to . in the ed initial vitals were t 98.2 bp 119/70 ar 78 rr 28 o2 sat 80% ra. she was immediately placed on nrb and her o2 saturation increased to 92%. repeat blood sugar was 135. she received asa 325mg, levaquin 750mg iv, flagyl 500mg iv, zofran 4mg iv, and 3l normal saline. she was then transferred to the micu for further management. past medical history: 1)pubic ramus fracture 2)syncope 3)copd on 4l at home 4)iddm 5)hypertension 6)anemia (followed by hematologist) social history: patient lives with husband. current tobacco, alcohol, or ivda. family history: nc physical exam: vitals t 95.6 bp 161/84 ar 89 rr 20 o2 sat 86% on 6l nc gen: awake, responsive to commands, increased respiratory effort heent: mucous membranes slightly dry heart: rrr, no audible m,r,g lungs: ctab, +crackles at posterior bases abdomen: soft, distended, nt/nd, +bs extremities: 1+ bilateral edema pertinent results: ct abdomen and pelvis: 1. patchy and nodular depdendent airspace opacities most consistent with aspiration pneumonia/neumonitis and tiny bilateral pleural effusions. 2. evidence of constipation, with large amount of stool in rectum. 3. no other evidence of acute abdominal process. . . ct angiogram of the chest: 1. no pulmonary embolism identified. 2. left lower lobe infiltrate, perhaps representing aspiration pneumonia. 3. smaller right lower lobe infiltrate. small bilateral pleural effusions. . . echocardiogram severe pulmonary hypertension with dilated right ventricle and global right ventricular systolic dysfunction. grossly preserved left ventricular systolic function. moderate tricuspid regurgitation. dilated thoracic aorta. . . urine cultures: e. coli resistant to cipro only . . blood and sputum cultures negative brief hospital course: ms. is a 77yo female with pmh as listed above who presents with hypotension, hypoxemia, and hypoglycemia, originally admitted to the micu. . 1)urosepsis: patient has had multiple utis over the past few weeks. per daughter, the bacterial strain was resistant to flouroquinolones (cipro). she was subsquently treated with cefpodoxime for unknown time course which she completed on . on arrival to the ed she was hypotensive and u/a was floridly positive. she was given levaquin in the ed. her blood pressure improved with ivfs. on transfer to the micu she was started on vancomycin and cefepime for broad spectrum coverage. once she stabilized, she was converted back to cefpodoxime to complete a seven day course. . 2)hypoxemia: patient is on 4l nc at home for copd. she presented with an increasing oxygen requirement from baseline. an echocardiogram obtained in the micu showed preserved lvef but also revealed a dilated rv without hypertrophy, consistent with pressure overload and severe pulmonary hypertension. a cta of the chest was obtained to rule out pe given her multiple risk factors. her ct showed no pe but confirmed bilateral airspace disease, and she was covered with vancomycin and cefepime for possible hospital acquired pna. this was changed to cefpodoxime to cover both her uti and likely aspiration pna. her oxygen requirements returned to baseline but her right-sided heart failure warrants further evaluation. . 3)hypoglycemia: patient was found to be hypoglycemic on the morning of admission. bs was ~40s despite receiving glucagon x2. she was on a very aggressive regimen at home including metformin, nph, and lispro; and was only requiring 6-8 units daily of sliding scale. we held her home regimen and will continue to titrate up as needed. . 4)copd: baseline is 4l nc at home, she was maintained on this, and her nebulizers were continued. . 5) bladder retention: the patient failed a foley removal trial, and will need bladder retraining. . 6) abdominal pain: the patient is having vague cramping abdominal pain, with no fevers or diarrhea. her kub was negative, however, there is moderate clinical suspicion for c. diff in the setting of multiple abx. she will need to be tested for this while at rehab. medications on admission: enoxaparin 30mg sq daily procrit 40,000 units tuesday, saturday nph insulin 10 units qhs lispro 2 units with meals vitamin c 500mg po bid zinc sulfate 220mg po daily bisacodyl 10mg prn levothyroxine 200 mcg daily oxycodone 2.5mg po q4h prn lactulose enalapril 20mg po daily albuterol nebs tiotropium fluticasone vitamin b12 mcg daily metformin 500 mg asa 325mg po daily simvastatin 40mg po daily cyanocobalamin 100 micrograms po daily multivitamin docusate 100mg po bid oxycontin 20mg po bid senna niferex lasix 80 mg discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 2. procrit 40,000 unit/ml solution sig: 40,000 units injection on tuesdays and thursdays. 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. colace 100 mg capsule sig: one (1) capsule po twice a day. 6. tylenol 325 mg tablet sig: two (2) tablet po every four (4) hours as needed for pain. 7. oxycodone 5 mg capsule sig: 0.5 capsule po every four (4) hours as needed for pain. 8. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) nebulized solution inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. nebulized solution 9. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 10. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 13. hexavitamin tablet sig: one (1) tablet po once a day. 14. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 15. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed for constipation. 16. levothyroxine 100 mcg tablet sig: two (2) tablet po daily (daily). 17. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 18. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 19. insulin regular human 100 unit/ml solution sig: per sliding scale units injection asdir (as directed). 20. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: --type 2 diabetes mellitus, poorly controlled with complications healthcare associated pneumonia --urinary tract infection (e. coli) --severe copd on chronic home o2 (3-4 l by nc) --ckd - stage iii --anemia nos --hypothyroidism with abnormal tfts --severe constipation, resolved --osteoporosis with recent pelvic fracture --right heart failure, nos, presumably secondary to copd --delirium, multifactorial, improving --incidentally noted 1.2 cm nonspecific precarinal lymph node --h/o tah and bilateral salpingoophorectomy with h/o endometrial ca --left heel decubitus ulceration --urinary retention discharge condition: stable on baseline o2 requirement of 4l through a nasal cannula, satting 90-92%, which is her goal oxygen saturation. afebrile conversant discharge instructions: you were admitted with low blood pressure and blood sugar. we think this is because you had a uti, pneumonia, and your insulin regimen was too aggressive. . we made the following changes to your medications: 1. we are not continuing your nph or metformin, you will have an insulin sliding scale and have this increased as you need it. 2. we decreased your lasix to 40mg twice daily . please follow up as indicated below . if you experience any further hypotension, fevers, or signs/symptoms of hypoglycemia, please return to the emergency department so you can be evaluated. followup instructions: . please see the pulmonologist dr. on at 1pm on the of the building. provider: , md phone: date/time: 10:00 provider: , md phone: date/time: 1:00 ***you had an incidentally noted enlarged lymph node in your chest that should be followed with a ct scan in months to ensure it is not getting larger.*** ***you should have repeat thyroid function tests in 6 weeks*** ***you had urinary retention and should see a urologist for follow up. md procedure: venous catheterization, not elsewhere classified diagnoses: anemia in chronic kidney disease urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, stage iii (moderate) pneumonitis due to inhalation of food or vomitus diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled osteoporosis, unspecified retention of urine, unspecified pressure ulcer, heel delirium due to conditions classified elsewhere chronic diastolic heart failure 

Answer: The patient is high likely exposed to