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: penicillins / biaxin / vioxx / erythromycin base / wellbutrin / trazodone / advair diskus / benadryl attending: chief complaint: hypoxia, perforated sigmoid diverticulitis, sepsis, respiratory distress major surgical or invasive procedure: percutaneous tracheostomy exploratory laparotomy, revision of ileostomy percutaneous gastrostomy tube history of present illness: patient is a 60 year-old woman with history of diverticulosis, asthma, significant smoking (>60 pack years) who developed diarrhea on new year's day of this year and then subsequently on acute severe rectal and pelvic pain followed by multiple episodes of vomiting admitted to on for perforated proximal rectum by ct. patient subsequently underwent emergent partial resection of perforated sigmoid colon with diverting colostomy on evening of admission. transferred to icu postoperatively with hypotension hospital course since that time has been complicated by sepsis with bacteroides bacteremia, e. coli and pseudomonal peritoneal isolates, s. aureus pneumonia and likely ards, respiratory failure, coagulopathy. patient transferred to on night for worsening hypoxia, intubated before transfer. past medical history: diverticulosis, last colonoscopy in benign polyps tia r face, hand and foot paresthesias/mri at time showed b/l lacunar infarcts in basal ganglia by mri osetoporosis dx t12 compresssion fracture and scoliosis sacral fracture hyperlipidemia asthma depression remote alcohol abuse, sober since got pneumovax in tobacco 1.5 packs per day since peptic ulcer disease seizure valium vs. alcohol giant cell tumor in forearm dvt but undocumented (?'s) cholecystectomy kyphoplasty breast biopsy with atypical hyperplasia echo -ef of 70%, trace mr, pleural effusions, normal pulm art pressure pulm function testing -normal fev1, fvc social history: 1.5 packs per day since (intermittent periods of quitting) history of alcohol abuse, sober since as per some reports, but nursing notes from osh note 2 vodka tonics per day. lives with her daughter and works as a nurse state hospital family history: mother-alive with hypothyroidism and hyperlipidemia father-died at 71 from prostate cancer and als paternal aunt with breast cancer. alcohol abuse among her father, brother and son physical exam: vs: temp 99.3, bp: 102/53 hr 121 rr 16-no pressors, weight 65 kg vent: ac 500 x 14, peep 7, fio2 100%, spo2 100% general: intubated, sedated, diaphoretic heent:neck is supple, rij c/d/i, no jvd, no carotid bruits, no cervical or supraclavicular lymphadenopathy, op without lesions lungs: coarse breath sounds heart: distant, hard to assess over vent/coarse breath sounds abdomen: hypoactive bowel sounds, distended, staples c/d/i, jp drain with serosanguinous fluid, colostomy with stool, dressing c/d/i extremities:no edema, pneumoboots, 2+dp pulses skin:warm, damp, no mottling, no petechiae or rashes neuro:intubated, sedated, pertinent results: from : labs: notable for wbc 16.2, with 21 bands 73 polys, 5 lymphs, 1 mono sodium 151, potassium 3.6, chloride 117, bicarb 27, bun 12, creatinine 0.6, glucose 128, mag 1.7, inr 1.33, ptt 50.9 wbc: 17.2 with 87 polys, 7 bands, crit 29.4, plt 206 sodium 150, pot 2.8, chl 117, bicarb 33, bun 15, creat 0.6 mag 1.7, ca 8.1 phos 1.5, ptt 36.7, inr 1.25 aalb 1.5, bnp 298 micro: blood cultues from with bacteroides pelvic: e. coli and pseudomonas sputum : with staph aureus abg today of 7.458/41.2/58/28/4.3 ekg :sinus tachycardia, poor r wave progression trop i of <0.04 on 6 am, bnp of 306/245 on and cxr:: new diffuse pulmonary infiltrates b/l upper lung field infiltrates, sensities at both bases which represent combination of effusions and consolidation pulmonary edema increased from the 6th , infiltrate in right lower zone, b/l pleural effusions echo: ef 70%, pleural effusions, normal pulmonary artery pressures, trace mr/tr cta chest : large bilateral pleural effusions with significant compressive atelectasiss in right and left lower lobes, bilateral upper lobe pulm infiltrates, no pe leni: negative for dvt abdominal upright: no acute process ct abdomen: acute diverticulitis with perforation of diverticulum resulting in extravasation of rectal contrast into the pericolic soft tissues. results here: admit labs: am ekg: sinus tachycardia rate of 120, normal axis, pvc, poor r wave progression, no significant change from osh ekg. am chest x-ray: brief hospital course: assessment and plan: 60 year-old woman transferred from osh after perforated sigmoid diverticuli s/p partial sigmoid resection, right-sided weakness, colostomy, sepsis, respiratory failure, pneumonia and ards, quite notable on cxr. due to her respiratory status, she received a percutaneous tracheostomy tube on . she also underwent an exploratory laparotomy with revision of her ostomy site, at which time by report she underwent a 5cm bowel resection; the final operative report was not available at time of this writing. she continued on tpn, however, as she was felt to be unable to swallow, and in need of aggressive nutrition. an mri on confirmed the clinical diagnosis of left mca stroke, eliciting her right-sided weakness. she continued aggressive antibiotic and antifungal therapy at the recommendation of the infectious disease service. as she experienced return of bowel function, she was transitioned from tpn to tubefeeds, and was at goal tubefeeds by . a further cardiology workup revealed a mitral endocarditis, for which she was treated with aggressive antibiotic therapy by the cardiology team. her ards was slow to improve, and was closely followed with chest x-rays and clinical monitoring. pt continued a slow but steady improvement. it was only by that any significant radiologic improvement was noted in her ards, although she seemed to be tolerating the tracheosotomy well, with good saturations. a follow up cxr on , however, still showed large infiltrates bilaterally. in order to maximize her nutritional status, a percutaneous gastrostomy tube was placed on . as her post-operative fever and wbc cell count remained elevated, a tagged wbc scan was undertaken, which showed no focal aggregations of white blood cells. although of unclear origin, her difficulty swallowing remained. she did not tolerate a passy-muir valve; she had quite thick secretions and was noted to be in some distress with the valve. she is quite comfortable on the trach collar. her white blood cell count stabilized, and she remained afebrile for over a week. by , the nature of her care requirements was more suitable for an acute care rehabilitation facility (she will require extensive rehabiliation, and a skilled nursing facility would be inappropriate), and was transferred to hospital in good condition. medications on admission: to osh: ecottrin 81, paxil 10, fosamax 70, singulair 10, flovent and albuterol (not using last 3), muxinex 600bidprn, ultram 50 q6 hr prn, xanax 0.25 mg prn flying calcium 500 with vitamin d, allergies: nectarines=anaphylaxis, penicillin causes rash, gi upset with biaxin, vioxx, diarrhea with erythromycin, insmnia on wellbutrin, dizziness on trazadone, headache with advair, hyper on benadryl. previous history of hypotension with morphine from osh: vancomycin day 1, flagyl day 4, primaxin day 1, solumedrol 40 iv q 8, mucinex 600 , protonix 40 iv, fentanyl patch, paxil 10, demerol and visteril prn. also received cipro on , levoquin on discharge medications: 1. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for temp > 101. 3. ipratropium bromide 18 mcg/actuation aerosol sig: four (4) puff inhalation qid (4 times a day). 4. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours). 6. sodium chloride 0.65 % aerosol, spray sig: four (4) spray nasal (2 times a day). 7. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily): through g-tube. 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. atenolol 100 mg tablet sig: one (1) tablet po daily (daily). 10. acetylcysteine 20 % (200 mg/ml) solution sig: three (3) ml miscell. q4-6h (every 4 to 6 hours) as needed. 11. lorazepam 2 mg/ml syringe sig: 0.5 ml injection q4h (every 4 hours) as needed. 12. haloperidol lactate 5 mg/ml solution sig: two (2) mg injection q4-6h (every 4 to 6 hours) as needed. 13. morphine sulfate 10 mg/ml syringe sig: 0.2-0.6 injection q3-4h () as needed. discharge disposition: extended care facility: & rehab center - discharge diagnosis: acute middle cerebral artery stroke perforated diverticulitis adult respiratory distress syndrome sepsis post-operative fever post-operative ileus respiratory distress diverting ileostomy discharge condition: stable. discharge instructions: please take all medications as prescribed. if you develop fevers>101.5, chills, nausea/vomiting, or other concerning symptoms, please contact our office and the physicians at your rehabiliation facility. dr will wish to see you in 4 weeks, please call his office to schedule that appointment. followup instructions: dr will wish to see you in 4 weeks, please call his office to schedule that appointment. md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other endoscopy of small intestine diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances thoracentesis other bronchoscopy other and unspecified partial excision of large intestine percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy other revision of stoma of large intestine diagnoses: anemia, unspecified other postoperative infection unspecified pleural effusion severe sepsis other complications due to other vascular device, implant, and graft chronic obstructive asthma, unspecified hemorrhage of gastrointestinal tract, unspecified other and unspecified mitral valve diseases septicemia due to anaerobes hyperosmolality and/or hypernatremia cerebral artery occlusion, unspecified with cerebral infarction other colostomy and enterostomy complication 

Answer: The patient is high likely exposed to