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: morphine / aspirin / cephalosporins attending: chief complaint: septic shock, respiratory transfer from osh major surgical or invasive procedure: intubation, central venous line history of present illness: this is a 73 year-old female with a pmh history of parksinson's, protein c/s deficency, multiple vte off anticoag to rp hematoma with ivc filter, ckd, s/p partial colectomy with ostomy who is transferred to the from osh ()a for further management and evaluation of septic shock and respiratory failure. patient presented to osh ed on with 2-3 days of general malaise and abdominal pain at her colostomy site. she was treated with toradol and discharged back to her nursing home with a diagnosis of constipation. she subsequently developed respiratory distress and was sent back to the ed where she was hypotensive and in shock. cxr revealed interstitial edema and b/l pna. she was given lasix 80 mg iv x 1 for possible chf. she was started on levofloxacin, flagyl, and vancomycin. she was admitted to the icu on with septic shock, acute hypoxemic respiratory failure requiring intubation, and pna. a right ij precept catheter was placed along with a right arterial line and she was aggressively resuscitated with ivf. she was also started on levophed. she was found to have bibasilar e.coli pna and e.coli uti. nephrology was consulted for arf on cri which was thought to be to atn from hypotension/sepsis. prior toradol may also have contributed. tte on showed an ef of 55-60% with rv pressure of 46 mmhg. initial creatinine was 4.1, down to 3 on transfer. levophed was weaned on . ucx and scx grew e.coli, resistant to levofloxacin. abx were changed to aztreonam given her drug allergies. she was started on tube feeds as well. also presented with mild rhabdomyolysis at 837 which improved with hydration. ros (per report): denies f/c. positive for nonproductive cough. denies cp or palpitations. no le edema. past medical history: h/o b/l pna h/o septic shock in parkinson's disease protein c and s deficiency h/o multiple vte including pe, briefly off anti-coagulation because of large retroperitoneal hematoma in , s/p ivc filter, and currently anticoagulated with coumadin colectomy for colon cancer cri with baseline creatinine around 2 pancreatitis , unclear cause hyperlipidemia large ventral hernia depression h/o tia postural hypotension restless leg syndrome social history: non smoker, non drinker. lived independently until . daughter is hcp. currently lives in nursing home (the in ). family history: non-contributory physical exam: vitals: per metavision gen: nad, intubated and sedated, opens eyes to verbal stimuli heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm, et tube in place. neck: no jvd, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline. cor: rrr, no m/g/r, normal s1 s2, radial pulses +2. pulm: b/l rhonchi. abd: soft, nt, nd, +bs, no hsm, no masses, colostomy in place. ext: no c/c/e, no palpable cords, chronic venous stasis changes. neuro: sedated. toes downgoing. reflexes normal and symmetric. pertinent results: 09:40pm glucose-141* urea n-95* creat-2.8* sodium-148* potassium-4.2 chloride-116* total co2-20* anion gap-16 09:40pm alt(sgpt)-3 ast(sgot)-13 alk phos-79 tot bili-0.2 09:40pm albumin-3.2* calcium-7.8* phosphate-4.1 magnesium-4.4* 09:40pm wbc-13.7*# rbc-3.36* hgb-10.1* hct-30.5* mcv-91 mch-30.2 mchc-33.3 rdw-15.5 09:40pm neuts-89* bands-3 lymphs-5* monos-3 eos-0 basos-0 atyps-0 metas-0 myelos-0 09:40pm plt smr-low plt count-132* 09:40pm pt-19.4* ptt-27.7 inr(pt)-1.8* 10:09pm lactate-0.7 10:09pm type-art temp-36.5 rates-20/ tidal vol-550 peep-10 o2-50 po2-64* pco2-37 ph-7.37 total co2-22 base xs--3 -assist/con intubated-intubated osh cxr : lll infiltrate with unchanged right basilar infiltrate. osh labs: abg on arrival to osh ed: 7.29/57/52 on 10l nc abg on bipap: 7.20/64/126 abg at time of transfer: 7.34/36/80 on ac, tv 550, rate 20, peep 10, fio2 50%. abg prior to intubation: 7.39/57/52. bnp 143, initial k 2.7, ag 19, wbc 4.5, hct 39, plt 185, inr 1.25. lactate 0.9. c.diff negative x 1 ucx positive for e.coli, only sensitive to cefazolin, tobra, imipenem, and zosyn. scx: e.coli, same sensitivities bcx: ngtd ekg: nsr, no acute st changes, normal axis and intervals. imaging: cxr (): portable ap chest radiograph was compared to prior study obtained on . no recent radiographs obtained in the outside hospital are available for comparison. the current study demonstrates et tube tip being approximately 3.5 cm above the carina. the right internal jugular line tip cannot be visualized but most likely in the right atrium. the ng tube tip is in the stomach. the patient is after placement of ivc filter. left retrocardiac consolidation is demonstrated, new compared to the prior study and might represent pneumonia. bilateral pleural effusions are seen. vascular engorgement is present but no pulmonary edema is demonstrated. brief hospital course: the following is a detailed discussion of her micu course through . briefly, she was admitted with respiratory failure and septic shock complicated by failure to wean from the ventilator. she had gram negative rod infection of lung and urinary system. sepsis did resolve with antbiotic therapy over initial week of hospitalization. she had aggressive diuresis with negative fluid balance. despite this she had persistent and recurrent hypoxemia with attempts to wean from the ventilator and required elevated peep pressures of >12 to maintain pao2>65 despite diuresis, ongoing antibtiotics and recruitment maneuvers. she had heparin continued outside of times of active tracheal bleeding and there was no clinical evidence to suggest pe. she had prolonged course and had clearly stated to her family that return to a level of function to allow independent living prior to illness. when faced with decision to pursue trach/peg after > 14 days on ventilator in the setting of weakness and persistent hypoxemia extensive and repeated family meetings were held. after discussion with her family and health care proxy, she was made comfort measures only and she was extubated on . she passed away from cardiopulmonary arrest at 4am . micu course: 73 year-old female with a pmh history of parkinson's, protein c/s deficency, multiple vte off anticoag to rp hematoma with ivc filter, ckd, s/p partial colectomy with ostomy who is transferred to the from osh () for further management and evaluation of septic shock and respiratory failure. # sepsis/recent septic shock: sources previously found to be resistant e. coli in urine and sputum, and mrsa in her sputum. sputum culture sensitivity shows sensitivity to meropenem, zosyn, and cephalosporins. pt unfortunately has an allergy to beta lactams. initially treated with vanc, levo, flagyl and switched to aztreonam once sensitivities returned however per id, aztreonam not a good singel source , changed to meropenem. spurum cx returned with mrsa, initially treated with vancomycin but changed to linezolid for better mrsa coverage. pt also noted to have a positive fungal culture from , her subsequent bld cultures have not been positive however even with one positive result fungemia is a concern. pt was started on caspofungin. sensitivities fort voriconazole and fluconazole have been ordered and are pending. recent sputum cx with no growth. bronch on showed mucous plugging. she will be continued on linezolid for 14 days for mrsa pna ?????? day 1- ; meropenem for 14 days ?????? day 1 ; and caspofungin for in blood ?????? day 1 . her wbc has been trending downwards. # respiratory failure/pneumonia: pna with e.coli from osh, grew mrsa in sputum here. dfa for flu and urine legionella negative. vent weaning very difficult. treated with meropenem and linezolid as above. given the amount of secretions and blood suctioned from the bronchoscopy pt??????s peep dependance may be due to the amount of secretions she has in her lungs. unfortunately even though suctioning would aid with secretion removal it would likely worsen the blding providing more trauma. have been instilling normal saline and suctioning from within the ventilator tube system if she appears to have mucous plugging. she has also been undergoing gentle diuresis as her sbps tolerate with a lasix gtt with a daily goal negative of 500 cc to 1 l. her los fluid balance is ***. her heparin gtt was stopped given the trauma seen on the bronch. # uti: e.coli on cx from osh, negative here. abx as above. # nongap metabolic acidosis: resolved, was likely to increased colostomy output. c.diff negative. # arf on cri: resolved, at 1.6 which is below the patient's reported baseline of 2. the patient's arf was thought to be secondary to atn given hypotension/septic shock plus recent toradol. her cr improved greatly with ivf. # parkinson's disease - the patient was continued on sinemet and requip. # lue swelling: l >r, has anasraca so difficult to assess. has been off heparin gtt recently. u/s several days ago was noted to be negative, however given the worsening of edema one the left side as well as the erythema and tenderness this morning will re-order an u/s for dvt. will be done monday morning. # protein c/s deficiency - the patient has a h/o of dvt and pe. as her inr was subtherapeutic she was started on a heparin gtt initally, however this was stopped after the bronch showed tracheal bleeding. # anemia - likely anemia of chronic disease. her initial hct was 39 at osh ed, likely concentrated. no clinical evidence of bleeding, except the tracheal bleeding seen on bronch. she has been trending down throughout her hospitalization. was 21.1 on , so was given 1 unit of prbc with an appropriate rise in her hct. her heparin gtt was held as above. # comm: daughter , cell ( medications on admission: home medications: oxycodone (unclear dose) ativan 0.5 mg po q12h prn anxiety tylenol prn albuterol/atrovent prn requip 4 mg po tid sinemet 25/100 one tab po tid zocor 20 mg po daily protonix 40 mg po daily kcl 40 meq po daily spironolactone 25 mg po daily feosol 325 mg po daily oxycontin 80 mg po bid lasix 80 mg po daily advair 250/50 1 puff fexofenadine 60 mg po bid renagel 1600 mg po tid/meals cod liver oil vitamin d medications on transfer: zoloft 100 mg po daily zocor 20 mg po daily coumadin 7.5 mg po daily requip 4 mg po tid sinemet 25/100 one tab tid aztreonam 1 g q8h combivent 6 puffs q4h protonix 40 mg iv daily versed gtt vancomycin 1 gram iv q48h hydrocortisone 50 mg iv q6h nystatin powder tid docusate 100 mg daily tylenol prn morphine prn discharge disposition: expired discharge diagnosis: respiratory failure discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified severe sepsis obstructive chronic bronchitis with (acute) exacerbation accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified paralysis agitans acute respiratory failure septic shock long-term (current) use of anticoagulants accidental cut, puncture, perforation or hemorrhage during other specified medical care pneumonia due to escherichia coli [e. coli] pressure ulcer, lower back primary hypercoagulable state streptococcal septicemia hemoperitoneum (nontraumatic) pressure ulcer, unspecified stage unspecified peritonitis other staphylococcal septicemia 

Answer: The patient is high likely exposed to