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: abdominal pain major surgical or invasive procedure: laparascopic cholecystectomy history of present illness: 61 yo female with history of alzheimers and schizoaffective disorder by history living at west park alzheimer and nursing center who presented with fever, vomiting and right sided abdominal history. the patient did have a recent bowel movements but she was unable to provide more history given her mental state. past medical history: alzheimer's disease schizoaffective disorder hypertension iddm legally blind social history: lives in facility at west park alzheimer and nursing center family history: noncontributory physical exam: temperature 100, pulse 96, blood pressure 166/72, respirations 10, oxygen saturation 100% on room air general: elderly woman in no apparent distress, very poor historian cardiace: mildly tachycardic, otherwise regular rate and rhythm lungs: clear to auscultation bilateral upper lung zones, decreased breath sounds at left base abdomen: soft, righty upper quadrant tenderness with voluntary guarding extremities: warm and well perfused rectal: no mass, guiac negative on discharge, the patient's abdomen was soft, nontender and non-distended. the patient had several well healing incision sites. the patient had a u stitch around a previous drain site. pertinent results: 06:00pm blood wbc-28.6* rbc-3.49* hgb-10.7* hct-32.3* mcv-93 mch-30.6 mchc-33.1 rdw-13.8 plt ct-394 06:00pm blood neuts-79* bands-6* lymphs-9* monos-6 eos-0 baso-0 atyps-0 metas-0 myelos-0 06:00pm blood glucose-219* urean-25* creat-1.2* na-138 k-4.4 cl-97 hco3-28 angap-17 06:00pm blood alt-42* ast-29 alkphos-120* amylase-52 totbili-0.7 06:00pm blood lipase-22 11:59am blood calcium-7.9* phos-3.4 mg-2.2 05:00am blood wbc-6.9 rbc-3.39* hgb-10.2* hct-30.9* mcv-91 mch-30.0 mchc-33.0 rdw-13.8 plt ct-339 05:00am blood plt ct-339 04:25am blood glucose-164* urean-18 creat-1.1 na-141 k-3.8 cl-106 hco3-20* angap-19 04:25am blood alt-22 ast-19 totbili-0.5 04:25am blood albumin-2.6* calcium-9.0 phos-3.5 mg-1.4*urine culture (final ): providencia stuartii. >100,000 organisms/ml.. proteus mirabilis. 10,000-100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ providencia stuartii | proteus mirabilis | | ampicillin------------ <=2 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s <=1 s ceftazidime----------- <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s cefuroxime------------ 8 s gentamicin------------ r <=1 s levofloxacin----------<=0.25 s <=0.25 s meropenem-------------<=0.25 s <=0.25 s nitrofurantoin-------- 256 r piperacillin---------- <=4 s <=4 s piperacillin/tazo----- <=4 s <=4 s tobramycin------------ r <=1 s trimethoprim/sulfa---- <=1 s <=1 s **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): sparse growth oropharyngeal flora. ct abdomen : impression: 1. 2mm obstructing stone in the right distal ureter causing right sided hydronephrosis and hydroureter. 2. distended and edematous gallbladder with amorphous intraluminal material likely representing sludge and stones. while the appearance could represent acute cholecystitis in the correct clinical context, the presence of anasarca and ascites raise the possibility of hypoalbuminemia as a cause for this appearance. please correlate clinically . if clinical concern persists further evaluation with hidascan is recommended. 3. left pleural fluid collection and suggestion of split pleura sign raise suspicion for empyema. chest ct is recommended. 4. ascites and anasarca. us ruq : impression: distended gallbladder containing sludge and stones. thickened, edematous wall and pericholecystic fluid are consistent with acute cholecystitis. brief hospital course: the patient was admitted to the surgical service, maid npo, was given ivf, and was started on antibiotics for a uti and suspected cholecystitis. the patient went to the operating room, where a gangrenous gall bladder was discovered, with free fluid in the abdomen. she was transferred to the intensive care unit on a ventilator. she received 2 units of prbcs for a post op hematocrit of 27. she was continued on levo/flagyl. on post op day 1, a vent wean was begun, and recieved fluid bolus for marginal urine output. the patient had a desaturation on psot op day 2 during the vent wean, and required an increase in the peep and fio2. she was extubated later on post op day 2, after diuresis. on post op day 3, the patient did well with excellent diuresis, and was started on her home medications for blood pressure control. on post op day 4, the patients diet was advanced to diabetic and she was transferred to the floor. her jp was discontinued on post op day 5. she was continued on a 2 week course of levofloxacin, and was in stable condition for return to her living facility. she resumed taking all medications she was taking at her facility prior to this admission. medications on admission: lasix, protonix, nifedipine, metoprolol, elavil discharge medications: 1. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 2. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po qd (once a day). disp:*60 tablet sustained release 24hr(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 weeks. disp:*14 tablet(s)* refills:*0* 9. nifedipine 10 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*2* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. amitriptyline hcl 50 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 12. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 13. hydralazine hcl 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 14. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* 16. trazodone hcl 50 mg tablet sig: 0.5 tablet po every six (6) hours as needed for restlessness. disp:*30 tablet(s)* refills:*0* 17. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*120 tablet(s)* refills:*0* 18. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q12h (every 12 hours) as needed. disp:*500 ml(s)* refills:*2* 19. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 20. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 21. insulin regular human 100 unit/ml solution sig: one (1) units injection asdir (as directed): please resume insulin sliding scale given prior to admission. disp:*200 units * refills:*2* discharge disposition: extended care facility: star of - discharge diagnosis: gangrenous cholecystitis urinary tract infection pneumonia blood loss anemia requiring transfusion status post laparascopic cholecystectomy diabetes mellitus alzheimers disease schizoaffective disorder hypertension discharge condition: good discharge instructions: please md with any worsening abdominal pain, intractable nausea or vomiting, spiking fevers, inability to tolerate food, changes in the wound sites including redness, swellilng or discharge from the wounds. you should continue your diet that you had prior to admission, including a diabetic diet. you should resume taking any medication you were taking prior to admission. narcotics may cause constipation. you should take a stool softner such as colace when you are taking narcotics. you can take bandages off in 2 days. you may wash, but do not submerse the wounds. if there is any drainage around the wounds you can replase a clean dressing over the top. you will have a stitch over your drain site. you can have this removed at follow up appointment. followup instructions: you should follow up with dr in weeks. you have a stitch around your previous drain site that will have to be removed at follow up. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours laparoscopic cholecystectomy transfusion of packed cells diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia alzheimer's disease diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled calculus of gallbladder with acute cholecystitis, without mention of obstruction schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to