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: history of present illness: the patient is a 79-year-old with congestive heart failure with an ejection fraction of 20%, coronary artery disease with two vessel disease, diabetes type 2, hypertension, who was last discharged from on for congestive heart failure exacerbation, urinary tract infection, who presented back on , to the medicine team with intermittent chest pain, left-sided, with radiation to her neck and diaphoretic with dysuria and mental status changes and was found to have a urinary tract infection. secondary to crackles on examination patient was treated with lasix and was given levofloxacin for a uti. the patient's lasix dose was increased from 80 p.o. b.i.d. to 80 iv b.i.d. and patient then on , was found to be hypotensive, 60/palp, with increasing mental status changes. the patient was given one liter of normal saline, was started on levophed and dopamine with appropriate response of increasing blood pressures and she was transferred to the micu and her levofloxacin and dopamine were markedly weaned off. the patient was then switched to intravenous antibiotics and transferred to the micu. patient on admission to the micu denied any chest pain or shortness of breath and presently patient's mental status was back to baseline. past medical history: 1. congestive heart failure with ejection fraction of 20% class ii. 2. diabetes mellitus type 2 with retinopathy and neuropathy. 3. coronary artery disease with two vessel disease. 4. hypertension. 5. glaucoma. 6. nephrolithiasis. allergies: no known drug allergies. medications on admission: 1. losartan 100 q. day. 2. metoprolol 12.5 b.i.d. 3. aspirin 81 q. day. 4. metformin 500 b.i.d. 5. nortriptyline 25 q. hs. 6. glipizide 10 b.i.d. 7. spironolactone 25 q. day. 8. lasix 80 p.o. b.i.d. physical examination on admission: patient's temperature was 95.9, heart rate 98, blood pressure 100/73, respiratory rate 26, 92% on 100% face mask. general: lying in bed in no apparent distress - speaking normally. was awake and alert and oriented times three. cardiovascular: regular rate, positive systolic ejection murmur. heent: no jugular venous distention. chest with minimal bibasilar rales. abdomen: soft and non-tender, non-distended, positive bowel sounds. extremities were warm bilaterally, pink in color, no clubbing, cyanosis or edema were present. laboratory on admission: to the micu, ua was positive for many bacteria, no yeast. wbcs greater than 50. her urine cultures grew gram negative rods greater than 100,000 at the time. her cbc was 9.8, 9.9, 30.8, 194. chem-10 was remarkable for anion gap of 16. cks and troponins were negative times three at that time. electrocardiogram: showed left axis deviation, left bundle branch block, otherwise normal sinus rhythm and no st/t wave changes. good r-wave progression. hospital course: 1. sepsis. patient's sepsis was secondary to urosepsis in which her urine culture eventually grew e. coli which was pan sensitive. patient initially was started on levofloxacin on the floor and was continued in the micu. patient, however, was then started on ceftazidine for double pseudomonas coverage in the micu. the patient once in the micu again dropped her systolic blood pressures to the 60's to 70's range with maps consistently below 65. patient was then quickly started on the sepsis protocol and _________ was also initiated at that time. the patient was also started on levophed and dobutamine per the sepsis protocol. when seen in the micu patient was initially with good systolic blood pressure off all pressors, however, when being admitted she started breathing in a labored pattern again and was tachypneic and coolness on the skin and was hypertensive with decreased mental status. the patient at that time had already been given five liters of normal saline and was started on levophed with little effect on blood pressure. the patient's heart rate decreased to the 60's at which time patient was given one amp of atropine with no changes in heart rate. the patient was also started on dopamine and intubated secondary to mental status changes. the patient was started on ceftazidime in addition to her levofloxacin. per the sepsis protocol patient was also placed on _________ on hospital day two in the micu-b, patient's hematocrit dropped from 32 to 22 and patient's coags including inr and ptt had doubled in value. for this reason patient's ____________ was stopped. dic labs were checked and patient was not in dic. the patient was continued on the sepsis protocol with good hemodynamic response and was completely weaned off all of her pressors by day two in micu-b. the patient remained afebrile on levofloxacin and vancomycin, however, due to no organisms supporting use of vancomycin which were grown on cultures, vancomycin was stopped. the patient remained on a course of levofloxacin for nine days in the intensive care unit and will be continued for one more day on the floor. the patient remained afebrile on the levofloxacin and had no blood pressure or heart rate changes once off all pressors. 2. pulmonary: patient was intubated on secondary to mental status changes. the patient remained intubated while on the sepsis protocol, however, when attempting to extubate on it was noted that patient was not able to pull in good tidal volumes. at that time patient's airway resistance was calculated to be in the 20's which was much higher than normal being 5 for her and her compliance was normal. unsure of why her airway resistance was high a bronchoscopy was done in which no mucus plugs and no airway collapse was found. however, patient continued to have a left lower lobe collapse on her chest x-ray. the patient remained intubated and was started on iv solu-medrol secondary to her increased airway resistance. however, after three to four days of being on intravenous solu-medrol patient's airway resistance did not change going from 22 to 21. her compliance remained the same. the patient was also started on increasing frequency of nebulizers at that time. after further discussion with the family it was decided that the patient, if extubated, code status was changed to "do not re-intubate." therefore, patient was tried on inhaler therapy and maximal diuresis with lasix responding to 40 iv b.i.d. and was then extubated on . the patient did well post extubation with no problems and no changes in her respiratory rate. however, the etiology of her increased airway resistance was still unclear. the patient remained on pulmonary toilet including chest pt, was started on scheduled and p.r.n. nebulizers and was changed back to her home dose of lasix 80 p.o. b.i.d. on transfer to the floor. patient again remains a "do not re-intubate." the patient may need outpatient thyroid function tests as her reason for increased airway resistance was unclear with a negative bronchoscopy. 3. congestive heart failure with ejection fraction of 20%. patient was effectively diuresed in the micu with lasix 40 iv p.r.n. patient's i's and o's goals were met and on leaving the icu patient's total length of stay net as positive 819 cc. the patient never had any congestive heart failure exacerbation while in the unit. on day of transfer to the general , the patient was restarted on a low dose of captopril and changed from intravenous lasix to p.o. lasix 80 b.i.d. 4. hematology: patient's hematocrit dropped while being on the _________ overnight. however, with three units of packed red blood cells the patient had an appropriate response with hematocrits remaining in the high 30's to 40's throughout the rest of her hospitalization. the patient had no other hematologic complications during her hospitalization in the micu. 5. renal: patient's creatinine was 1.9 on admission, however, with adequate fluid resuscitation and removal of all nephrotoxic drugs, the patient's creatinine fell to 1.1 on day of discharge to the general service. patient had no other renal issues and had good urine output with the lasix. 6. gastroenterology: patient was found to have ischemic hepatitis with liver function tests going into the 3000's on both alt and ast with alt being 3811 and ast _______. again, patient's ischemic hepatitis was resolving on __________. the patient also had a right upper quadrant ultrasound which was negative at the time. right upper quadrant ultrasound was done because patient only showed ischemic changes in her liver and no other organs. at the end patient was tolerating p.o.'s and a regular diet on discharge to the floor. 7. diabetes type 2: patient when on tube feeds and steroids was on an insulin drip with good control of sugars. patient was then changed to regular insulin sliding scale on discharge to the floor. the patient may be able to wean off to p.o. hyperglycemic agents in the future. patient remained on protonix, subcu heparin and pneumoboots throughout this hospitalization. patient had a right ij placed and an a-line placed on admission to the icu. patient's lines were all discontinued on with no complications. code status: patient remained a "dnr do not re-intubate dni" throughout this hospitalization. contacts: contact with the son, , who is the health care proxy. discharge diagnoses: 1. urosepsis. 2. increased airway resistance. 3. congestive heart failure with ejection fraction of 20%. 4. acute renal failure which is now resolved. 5. ischemic hepatitis resolving. 6. diabetes type 2. discharge medications: will be dictated on a future date as well as follow-up plans. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy arterial catheterization infusion of drotrecogin alfa (activated) diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension severe sepsis acute respiratory failure septic shock septicemia due to escherichia coli [e. coli] hepatitis, unspecified diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to