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: cc: major surgical or invasive procedure: left ij central line placed. history of present illness: 64 yo man with rectal cancer (all details unknown) presented to ed from w/ rigors, fever, hypotension during chemotherapy today (unsure what chemo he is getting). he was briefly unresponsive by report w/ ?seizure activity vs. severe rigoring. he was given 1 g cefepime at . he has minimal recollection of the event but remembers waking up on a stretcher on the way to the , feeling "cold." "they told me i seized." finger stick 140 upon arrival. in ed, bp 130/90 hr 130 (sinus tach), resp 44, sat 97% on nasal cannula ?liters, temp 103.7. bp recheck 86/39, hr 124. given 4l ns, uop 400 on ed note, l ij placed, levophed started. given cefepime and vanco and diflucan 400 mg iv x 1. head ct negative. cxr negative except for small nodular density over lung base. u/a positive for uti. started on sepsis protocol. k,mg repleted. bp's improved to 119/59 upon arrival to . patient reports feeling somewhat better currently. he is alert, pleasant, and has no discomfort currently. he said he hasn't felt "right" for approximately one week. his "legs haven't been steady" and he has had a decreased appetite and fatigue with his ongoing chemotherapy. dr is his primary oncologist. he has a chronic foley x ?1 year. patient is unsure why he has this, but he has had radiation to rectum which may have led to incontinence. . patient reports having shaking chills last week-- went to as chronic foley was "blocked." denies getting abx and was sent home after foley flushed. past medical history: pmh: 1. rectal ca w/ colostomy, has had xrt, cryotherapy, and various chemo regimens per patient. he is unsure of names but thinks he may have had leucovorin and 5 fu. he is currently undergoing "supplemental" chemo, but cannot elaborate. . 2. dvt on lovenox "my leg swelled up" chronic foley x 1 year . 3. ortho procedure on lle after fracture . denies other pmh . 4. pancreatitis . 5. aaa social history: social: lives w/ mother; son helps out; able to do own adl's, used to work in bakery as a frozen shipper; couple drinks/week or none- denies h/o withdrawal--last drink more than one week ago; quit smoking 5 years ago but smoked 3 ppd for many years. family history: noncontributory physical exam: pe: t 95 p 57 r 16 100% 4l bp 100/53 gen: comfortable, ill-appearing man, conversant heent: no oral lesions, dry mm, dentures in place, nc in place neck: no jvd chest: cta with faint crackles at bases; right sided port-a-cath w/o erythema or induration cv: rrr no m/r/g abd: soft, obese, multiple well healed scars, ostomy in place draining brown, liquid stool; nabs, non tender, no erythema over ostomy site neuro: poor historian but conversant, a+o x 3; follows all commands, good tone in extrem extrm: cool, clammy, diaphoretic, 2+ dp and radial pulses bilaterally. scant edema . pertinent results: admission labs: glucose-237* urea n-13 creat-0.7 sodium-141 potassium-5.0 chloride-118* total co2-15* calcium-7.7* phosphate-0.9* magnesium-1.5* wbc-7.6 rbc-3.74* hgb-9.4* hct-29.5* mcv-79* mch-25.2* mchc-31.9 rdw-15.6* plt count-150 ua: moderate blood, moderate leuk esterase, ph 9.0, wbc , many bact urine cx: pansensitive proteus mirabilis; and no growth day of admission urine(data from ): serratia sensitive to levofloxacin blood cx: , , no growth day of admission blood (data from ) pansensitive proteus mirabilis cxr: no radiographic evidence of pneumonia. small rounded nodular density projecting over the right lateral extreme lung base. comparison with outside studies if available is recommended. when clinically feasible, this may be further evaluated with a repeat x- ray with shallow oblique views. ct head: no hemorrhagic or mass effect. brief hospital course: mr. is a 64 yo man w/ rectal ca (stage unknown to this hospital) and a chronic indwelling foley catheter who presented with urosepsis. he states that he no longer sees his old pcp, is frequently seen by his oncologist dr. of cancer institute, nad his urologist dr. of . for this particular hospitalization he was diverted to because was full at that time. 1. urosepsis: mr. presented in sepsis with a ua consistent with uti. he was admitted to the icu and began sepsis protocol. he required pressors only for a few hours, after which his pressure responded well to fluid boluses overnight. urine culture quickly grew out pansensitive proteus mirabilis and the pt was started on ampicillin and gentamycin due to a report of "2 gnrs" from the microbiology laboratory with further id pending. later confirmation with the lab showed a blood culture with pansensitive proteus only, and a urine culture with serratia. the patient was changed to po levofloxacin and will discharged with this as well to complete a 14 day antibiotic course. his foley catheter was changed during this hospitalization and subsequent urine cultures x 3 were all negative. 2. rectal ca: the pt is seen by dr. at for chemotherapy. he has a follow up appointment with dr. on friday at 12:45 pm. the pt has a r sided hickman portacath which appeared clean and intact during his stay here. the pt also has an colostomy, which was cared for by nursing during his stay here. the patient's pain, which he describes as in his rectum or back, was well controlled with his usual regimen of ms contin 15 and oxycodone 5mg po q4hrs prn for breakthrough. 3. h/o dvt : the pt continued on his usual regimen of lovenox during his stay here. 4. glucose intolerance in setting of sepsis: the pt has no known history of dm, however while he was in the micu he repeatedly had high fs. upon transfer to the floor, when the pt was stable, his fs were in normal range. he did not receive steroids during his stay. this should be followed up on as an outpt insofar as he is likely at increased risk for the development of diabetes later on. 5. nodule on cxr: as described, there was a "small rounded nodular density projecting over the right lateral extreme lung base" on cxr. as no other films were available for comparison, we recommend viewing of pt's past cxr or performing another cxr as an outpt for comparison and follow up by his usual caregivers. 6. health coverage: the patient believed that he did not have health coverage, however our case manager revealed that he does, in fact, have medicare. his medications are given to him from the free care pharmacy at and , and he received free levo from our free care pharmacy as well on discharge. 7. home services: the pt was offered vna services at home in particular to aid with colostomy care, his portacath site, his foley catheter, and medications, however he repeatedly refused this stating that he did not want someone coming into his home in this capacity. 8. access: during his stay, a left ij central line was placed and removed without event. the pt has a right sided hickman portacath. 9. chronic indwelling foley catheter and uti risk: the pt stated that he used to straight cath himself, but has been sleeping many hours per day and had overflow incontinence on many occasions. he has, therefore, had an indwelling cathether for the last year. this may be followed and discussed as an outpt with his usual urologist as to whether this is the best option for the pt, given the infection risk, versus the convenience of a foley. the pt does not believe he has had other utis in this time period and may therefore be quite good at maintaining his foley. 10. code: full medications on admission: oxycodone 5 mg prn q4 hr pain ms contin 15 mg lovenox 80 mg sc qd imodium 2 mg qd prochlorperazine 10 mg q6 hr potassium 20 mg qd ditropan 5 mg qd . chemo as per dr. at . discharge medications: 1. morphine 15 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. 2. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 3. enoxaparin 80 mg/0.8 ml syringe sig: one (1) injection of syringe subcutaneous q24h (every 24 hours). 4. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 5. prochlorperazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. 7. loperamide 2 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: uti, sepsis discharge condition: stable discharge instructions: please continue to take your antibiotic, levofloxacin, one pill per day until you have finished all of the pills. take the first pill tomorrow. if you have fever, abdominal pain, increased weakness, or lightheadedness, or if your urine looks very cloudy (or infected) please call dr. or come to the emergency room. followup instructions: please keep your appointment with dr. on friday at 12:45. procedure: venous catheterization, not elsewhere classified diagnoses: acidosis urinary tract infection, site not specified unspecified septicemia severe sepsis septic shock colostomy status infection and inflammatory reaction due to indwelling urinary catheter personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus 

Answer: The patient is high likely exposed to