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: s/p fall; right chest and abdominal pain major surgical or invasive procedure: none history of present illness: 89 yo female s/p fall while going to the bathroom she lost her balance and fell against the bathtub hitting her right side. she denies any head trauma or loc. she went back to bed and awoke next morning with right chest and abdominal pain. she was taken to an area hospital where she was noted with liver laceration and rib fractures. she was subsequently transferred to for continued trauma care. past medical history: hypothyroid htn s/p left orif social history: denies etoh and tobacco lives with her daughter family history: noncontributory physical exam: a+ox3 perrl, eomi, tms clear or clear, trahcea midline no cspine ttp r chest ttp rrr ctab sft, nd, ruq ttp pertinent results: 09:47am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-6.0 leuk-neg 09:47am pt-11.7 ptt-24.5 inr(pt)-1.0 09:47am plt count-235 09:47am wbc-9.5 rbc-3.31* hgb-10.7* hct-31.1* mcv-94 mch-32.3* mchc-34.4 rdw-12.8 09:47am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 09:47am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:47am alt(sgpt)-287* ast(sgot)-325* alk phos-107 amylase-45 tot bili-0.3 09:47am urea n-33* creat-1.0 09:52am glucose-140* lactate-1.7 na+-137 k+-4.8 cl--99* tco2-28 chest (portable ap) 1:59 pm chest (portable ap) reason: eval for infection medical condition: 89 year old woman who spiked temp this am reason for this examination: eval for infection study: ap chest, . history: 89-year-old woman with fever. evaluate for infection. findings: comparison is made to the previous study from , . the right-sided ij catheter has been removed. there is persistent cardiomegaly. there is calcification throughout the aorta. there is linear plate-like atelectasis within the right mid lung field which is new. there are also linear densities at the left base. this likely represents atelectasis as well; however, early infiltrate would be difficult to exclude. femur (ap & lat) bilat 1:59 pm femur (ap & lat) bilat reason: eval for inflammatory process, fracture medical condition: 89 year old woman with swelling and pain reason for this examination: eval for inflammatory process, fracture study: three views of each femur, . history: 89-year-old woman with swelling and pain. evaluate for inflammatory process or fracture. findings: comparison is made to the prior films from , . two views of the left femur demonstrates a total hip prosthesis with a cemented femoral component. there is no evidence for hardware loosening. there is some heterotopic bone seen adjacent to the greater trochanter. there are vascular calcifications. there are degenerative changes seen of the left knee. chondrocalcinosis is identified. there is generalized osteopenia. no left knee joint effusion is seen. two views of the right femur demonstrates no signs of acute fracture or dislocations. chondrocalcinosis are seen about the right hip and the right knee. vascular calcifications are identified. there are severe degenerative changes of the right knee with marked loss of the lateral joint space and prominent osteophytosis. no knee joint effusion is seen. impression: no signs of acute bony injury on either side. degenerative changes as described above. sinus rhythm with marked first degree a-v block. marked left axis deviation. right bundle-branch block. compared to the previous tracing of no significant change. tracing #2 read by: , a. intervals axes rate pr qrs qt/qtc p qrs t 75 /488.57 31 -67 79 ct abdomen w/contrast 11:27 am ct pelvis w/contrast; ct 150cc nonionic contrast reason: interval change of liver laceration - iv and po contrast field of view: 41 contrast: optiray medical condition: 89 year old woman with liver laceration 3 days ago, now worse hypotension reason for this examination: interval change of liver laceration - iv and po contrast contraindications for iv contrast: none. indication: 89-year-old female with liver laceration three days ago, now with worsening hypotension. comparison: ct torso. technique: mdct acquired axial images of the abdomen and pelvis were performed with iv contrast. ct abdomen: there has been interval development of small bilateral pleural effusions right greater than left. both demonstrate fluid density consistent with effusion rather than hematoma. within the liver, again noted is a similar sized large laceration seen within segment vii and segment viii. now present are multiple areas of hyperdensity surrounding the laceration, likely representing active extravasation. arterial vs venous supply cannot be distinguished. the largest area is best seen on series 2, image 23 seen equal distant between middle and right hepatic veins. this area of hyperdensity measures 8 x 7 mm. the perihepatic and perisplenic hematomas are grossly unchanged in size. the gallbladder, pancreas, spleen, adrenal glands, kidneys are stable. multiple low attenuation lesions are again seen within the kidneys bilaterally that are too small to characterize. the small and large bowel are unremarkable. a small central fat containing hernia is again seen and unchanged. there is no free air. ct pelvis: free fluid is again noted in the pelvis likely representing hematoma and unchanged. a foley catheter is seen within the urinary bladder. the visualized portions of the uterus, rectum, sigmoid colon are unremarkable. optimal evaluation of the pelvis is limited by a left hip prosthesis. bone windows: minimally displaced fracture of 9th right rib again noted. multiple fractures within the left pelvis, likely old. left hip prosthesis. impression: 1) large liver laceration in segment 7 and 8 of the liver with focal areas of active extravasation seen. arterial vs. venous etiology cannot be determined. both laceration size as well as surrounding perihepatic and perisplenic hematoma unchanged in size. 2) bilateral new small pleural effusions, right greater than left. brief hospital course: patient admitted to the trauma service and after resuscitated in the trauma bay was transferred to the trauma icu. serial hematocrits were monitored; initially they dropped slightly. ct imaging of abdomen showed 20% liver laceration and repeat ct of abdomen showed active extravasation from liver laceration. it was discussed with patient to undergo hepatic angiogram and embolization procedure, but patient refused. her subsequent hematocrits remained stable x 24 hours and she was transferred from the trauma icu to the floor. her most recent hematocrit drawn today was 31.6 at 12:25pm; this is up from 29.4 at 6:50 a.m. earlier on the same day. during her hospitalization she was noted to have possible infiltrate on cxr and pan sensitive e. coli in blood, she was started on levofloxacin and aggressive pulmonary toilet. the levofloxacin will need to continue for 7 more days after discharge. physical and occupational therapy have evaluated patient and have recommended short term rehab stay. medications on admission: lopressor 12.5 levoxyl 112qd colace prilosec discharge disposition: extended care facility: & rehab center - discharge diagnosis: s/p fall urinary tract infection bacteremia liver laceration rib fractures discharge condition: stable discharge instructions: follow up in trauma clinic in 2 weeks. follow up with your primary doctor after you are discharged from rehab seek immediate medical care if you experience dizziness, fainting, fevers and severe abdominal pain followup instructions: call for an appointment in trauma clinic with dr. in 2 weeks. call to schedule an appointment with your primary doctor after your discharge from rehab. procedure: arterial catheterization diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism unspecified fall bacteremia traumatic hemothorax without mention of open wound into thorax injury to liver without mention of open wound into cavity laceration, unspecified closed fracture of eight or more ribs cellulitis and abscess of finger, unspecified 

Answer: The patient is high likely exposed to