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: zantac 75 / lipitor attending: chief complaint: fatigue, nausea/vomiting, left neck swelling and pain major surgical or invasive procedure: ct guided drainage of abdominal abscess history of present illness: the patient is a 49 y/o female with h/o diverticulitis and multiple abdominal surgeries presents with increasing lethargy for 3-4 days. she began to notice swelling of her left neck 4 days ago accompanied by ear pain and pain on swallowing. her husband has noticed increased drainage from her abdominal wound. the patient has also had frequent episodes of nausea and vomiting. she denies fever, chills, shortness of breath, chest pain, or abdominal pain. her ostomy output has remained constant. past medical history: pmh: 1.)colocutaneous fistula 2.)aspiration pneumonia with mrsa 3.)diverticulitis 4.)anxiety 5.)depression 6.)afib psh: 1.)- exploratory laparotomy with total colectomy 2.)- takedown of ileorectal anastomosis, pouch, ileostomy 3.)- sigmoid colectomy 4.)- cholecystectomy social history: mrs. lives in with her husband and four kids (7,9, 17, and 19 years of age). this is her second marriage and she stays at home and cares for the children. before her first marriage, she worked at a nursing home. she has a 16 pack-year smoking history, quitting in due to her hospitalization. she drinks alcohol occassionally and has no history of illicit drug use. she buckles up when she drives and does not own a gun. she does not bike and has no history of felonies or misdemeanors. she is on a limited hospital diet and does not actively exercise. she has not been sexually active due to her hospitalizations but otherwise, only has sex with her current husband. family history: mother passed away of lung cancer and was a heavy smoker. her father is alive and well. there is no history of diverticulitis, diabetes, cancer or cardiac problems. physical exam: t 95 p 70 bp 100/60 r 20 sao2 100% gen - no acute distress heent - no scleral icterus, tympanic membranes clear; fullness, warmth, and erythema along left sternocleidomastoid muscle lungs - clear heart - regular rate and rhythm abd - soft, nontender, nondistended, bowel sounds audible; ostomy patent; purulent material draining from abdominal wound extrem - no lower extremity edema pertinent results: 12:19am blood wbc-13.0* rbc-3.10* hgb-8.7* hct-25.7* mcv-83 mch-28.2 mchc-34.0 rdw-14.1 plt ct-363 12:19am blood pt-32.6* ptt-54.6* inr(pt)-3.5* 12:19am blood glucose-97 urean-22* creat-1.1 na-133 k-3.1* cl-100 hco3-23 angap-13 12:19am blood alt-9 ast-14 alkphos-302* amylase-108* totbili-0.2 12:19am blood lipase-16 11:00 am abscess right retro peritoneal . **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 3+ (5-10 per 1000x field): gram positive rod(s). 2+ (1-5 per 1000x field): gram negative rod(s). 1+ (<1 per 1000x field): gram positive cocci. in pairs. smear reviewed; results confirmed. wound culture (final ): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). work up of gramnegative rods requested by dr . escherichia coli. heavy growth. trimethoprim/sulfa sensitivity testing available on request. escherichia coli. heavy growth. second strain. trimethoprim/sulfa sensitivity testing available on request. escherichia coli. heavy growth. third strain. trimethoprim/sulfa sensitivity testing available on request. enterococcus sp.. quantitation not available. staph aureus coag +. quantitation not available. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. klebsiella pneumoniae. sparse growth. trimethoprim/sulfa sensitivity testing available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | escherichia coli | | escherichia coli | | | enterococcus sp. | | | | staph | | | | | k | | | | | | ampicillin------------ =>32 r =>32 r =>32 r <=2 s ampicillin/sulbactam-- =>32 r =>32 r 16 i 4 s cefazolin------------- <=4 s <=4 s <=4 s <=4 s cefepime-------------- <=1 s <=1 s <=1 s <=1 s ceftazidime----------- <=1 s <=1 s <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s <=1 s <=1 s cefuroxime------------ 8 s 16 i 4 s <=1 s ciprofloxacin--------- =>4 r =>4 r =>4 r 1 s erythromycin---------- =>8 r gentamicin------------ <=1 s <=1 s <=1 s <=0.5 s <=1 s imipenem-------------- <=1 s <=1 s <=1 s <=1 s levofloxacin---------- =>8 r =>8 r =>8 r =>8 r 1 s meropenem-------------<=0.25 s <=0.25 s <=0.25 s <=0.25 s oxacillin------------- =>4 r penicillin------------ 8 s =>0.5 r piperacillin---------- =>128 r piperacillin/tazo----- <=4 s <=4 s <=4 s <=4 s rifampin-------------- <=0.5 s tetracycline---------- <=1 s tobramycin------------ <=1 s <=1 s <=1 s <=1 s vancomycin------------ <=1 s <=1 s anaerobic culture (final ): no anaerobes isolated. brief hospital course: the patient presented to the ed and had an abdominal ct scan which showed a large right sided peritoneal fluid collection despite an appropriately placed drainage catheter. she presented with a clinical picture of sepsis as she was hypotensive with sbp in the 80s. she was transferred to the sicu for intensive monitoring and was started on broad spectrum antibiotics of vancomycin and zosyn. a levophed drip had to be started for the patient's hypotension. the patient had been on coumadin for a history of atrial fibrillation and came in with an inr of 3.5. the patient was given ffp to bring the inr down so that she could have ct guided drainaged of her abscess. 450cc was able to aspirated during the procedure and the loculations were broken up. the aspirated fluid was sent for cultures, which grew back e. coli and mrsa. ent was consulted for the patient's neck pain which was diagnosed to be parotitis, this was treated with sialogues, hot compresses, aggressive parotid massage, and iv antibiotics. these measures were successful in treating her parotitis. the patient was transfused one unit of packed rbcs for a hct of 22.6. the patient was able to be weaned off the levophed drip and was stable enough to be transferred to the floor on hospital day 2. the patient's diet was able to be advanced and she was able to tolerate a regular diet. however, the patient continued to feel lethargic and nauseous and have a low level of activity. on hospital day 6, she vomited and she was made npo. she continued to have good ostomy output and drainage from her abdominal drain at this point. another ct scan was obtained to assess the abscess drainage which revealed near-complete resolution of right lower quadrant fluid collection with pigtail catheter in place. there was also decrease in size of posterior fistulous tract through the right flank muscles. given these findings, the patient's nausea likely was not due to insufficient abscess drainage. the patient had another episode of nausea and vomiting on hospital day 10. her diet was gradually advanced and the patient was able to tolerate a regular diet on discharge. physical therapy was consulted to assist the patient with ambulation and she was able to ambulate independently. coumadin was restarted and the patient's inr closely monitored. the patient had a picc placed so that she could receive iv antibiotics after discharge. the hospital course was complicated by acute renal failure due to a high vancomycin level. as her vancomycin level trended down, her cr trended down as well and was stable at on discharge. the patient had adequate urine output throughout her admission. she was discharged to home with services in stable condition. medications on admission: warfarin 1mg qhs protonix 40mg qday trazodone 100mg qhs citalopram 20mg qday alprazolam 1mg tid prn discharge medications: 1. warfarin 1 mg tablet sig: one (1) tablet po hs (at bedtime). 2. alprazolam 1 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 3. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 4. trazodone 100 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 5. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 6. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*20 capsule(s)* refills:*0* 7. reglan 10 mg tablet sig: one (1) tablet po every six (6) hours. disp:*120 tablet(s)* refills:*2* 8. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 3 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: abdominal abscess discharge condition: stable discharge instructions: call your doctor or seek immediate medical attention if you experience fever, chills, lightheadedness, dizziness, chest pain, shortness of breath, severe abdominal pain, nausea/vomiting, or bleeding, increased drainage, or redness from drain site. activity as tolerated. try to walk at least three times a day. you may resume your home medications. no driving while taking pain medications. no tub baths or swimming. followup instructions: call to schedule an appointment with dr. in weeks. procedure: percutaneous abdominal drainage transfusion of packed cells transfusion of other serum diagnoses: acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation long-term (current) use of anticoagulants dehydration other specified antibiotics causing adverse effects in therapeutic use peritoneal abscess ileostomy status diverticulitis of colon (without mention of hemorrhage) sialoadenitis 

Answer: The patient is high likely exposed to