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: meperidine / heparin agents / bactrim attending: chief complaint: fevers major surgical or invasive procedure: none history of present illness: in brief this is a 60 yo female with muliple complications from uterine ca s/p xrt including radiation cystitis/colitis with multiple enteric and vessicular fistulas requiring bowel resections and chronic colostomy and nephrostomy who presents with 2 days of bladder spasm, and fever to 101.5. most recently admitted in with line infection (mrsa, vre in urine), treated for 2 weeks with dapto. during that admission she was noted to have ef 20-30% with global hypokinesis. seen in office yesterday ()with low grade fever, bladder spasm. urine/blood cultures taken and based on previous cx, vanco/levo started. b/l urine cx from nephrostomys now growing >100,000 gnrs. tonight she calls and says that she has a fever to 101.8 and also that she had a twinge of chest pain. referred to ed for eval. she was started on vanco and levo since yesterday. in the ed, initial vital signs were t 101.8, hr 121, bp 123/66, rr16, o2 96%ra. urine cultures from came back growing gnr's. her blood pressure dropped to 83/60 and she received 500cc ns. she received a total of 1.5l ns and her sbp remained in the mid 70's. she refused a central line, but was started on levophed through her central line. she received zosyn 4.5mg iv x 1. past medical history: 1. endometrial/cervical cancer 2. s/p tah in (due to uterine cancer) 3. chylous ascites 4. colectomy, cholecystectomy, and ileostomy (, likely related to radiation bowel damage.) and chronically draining fistula 5. small bowel removal and ileostomy () c/b chronic skin infection 6. s/p ventral hernia w/ repair 7. pe s/p ivc filter 8. anxiety 9. nephrostomy tube replacements, multiple 10. hyperbilirubinemia and hyper alkaline phosphatemia thought to be tpn induced chronic cholestasis. 11. anemia of chronic disease 12. vre 13. basal cell of face social history: lives with her husband and has 2 children. denies current alcohol use. had been banking executive prior to development of health issues. smokes + ppd for 19 years. family history: father 83 (deceased, cva, mi); mother (deceased, 92, cva); brother (79, esophageal cancer); sister (60s, colon cancer, lung mass, afib) physical exam: vitals - t99.4, hr94, bp 118/55, rr19, o2 98% gen - nad, appears chronically ill, somnolent, but arousable heent - perrl, mmm, no elev jvp heart - rrr, no murmur appreicates lungs - clear to - soft, mild diffuse discomfort, no rebound/guarding. small amount of discharge from fistula. extrem - + pitting edema bilaterally neuro - cnii-xii intact, ue and le strength skin - multiple echymosis, no rashes pertinent results: 01:00am glucose-94 urea n-25* creat-0.7 sodium-138 potassium-3.2* chloride-103 total co2-26 anion gap-12 01:00am wbc-3.3* rbc-2.93* hgb-9.8* hct-28.9* mcv-99* mch-33.4* mchc-33.8 rdw-18.3* 01:00am neuts-66.6 lymphs-23.4 monos-8.4 eos-1.1 basos-0.5 01:16am lactate-3.1* 01:30am urine blood-lg nitrite-pos protein-500 glucose-neg ketone-neg bilirubin-lg urobilngn-12* ph-6.5 leuk-neg 01:30am urine rbc-* wbc-* bacteria-mod yeast-none epi-0 07:14am pt-16.5* ptt-37.9* inr(pt)-1.5* 07:14am glucose-107* urea n-23* creat-0.7 sodium-138 potassium-2.9* chloride-108 total co2-25 anion gap-8 07:14am calcium-7.3* phosphate-2.3* magnesium-1.5* 07:14am wbc-3.9* rbc-2.54* hgb-8.3* hct-24.5* mcv-97 mch-32.7* mchc-33.9 rdw-18.4* 07:30am lactate-2.1* 11:07am cortisol-19.3 11:07am cortisol-24.3* 03:41pm potassium-3.6 04:04pm lactate-1.5 . micro: blood culture (, ): no growth to date. urine (): klebsiella pneumoniae, coag positive staph aureus (): staph aureus . imaging: cxr (): the heart size is moderately enlarged but the precise appreciation of its borders is difficult due to new bilateral moderate pleural effusions accompanied by bibasilar atelectasis. perihilar haziness has increased in the meantime interval suggesting either volume load or pulmonary edema or combination of both. central venous line inserted through the left subclavian line terminates at the cavoatrial junction with its tip looped and pointing upward, unchanged since . brief hospital course: ms. was admitted with complaints of bladder spasms, fevers and hypotension. there was high concern for sepsis physiology and she was found to have an elevated lactate. the patient was volume resucitated and recieved broad antibiotic therapy with zosyn and daptomycin. her bp improved and urine cultures grew klebsiella and staph aureus. her klebsiella was pan sensitive, but because of her history of pan resistent klebsiella we continued to treat with zosyn. her staph aureus was mrsa and was continued to be treated with daptomycin. she will complete a 10 day course at home. she was discharged home from the icu. medications on admission: mirtazapine 15 mg tablet qhs ativan 0.5 mg tablet 1-2 tabs po q8hrs epoetin alfa 4,000 unit/ml solution sig: 20000u qtuesday loperamide two capsule po qid prn fludrocortisone 0.1 mg daily opium tincture 10 mg/ml tincture qid diphenoxylate-atropine 2.5-0.025 mg q6h discharge medications: 1. piperacillin-tazobactam-dextrs 4.5 g/100 ml piggyback sig: one (1) dose intravenous q8h (every 8 hours) for 7 days. disp:*21 doses* refills:*0* 2. daptomycin 500 mg recon soln sig: two y (250) mg intravenous q24h (every 24 hours) for 7 days. disp:*1750 mg* refills:*0* 3. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 4. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 5. epoetin alfa 4,000 unit/ml solution sig: 20,000 units injection once a week. 6. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 7. opium tincture 10 mg/ml tincture sig: one (1) dose po three times a day. 8. diphenoxylate-atropine 2.5-0.025 mg tablet sig: one (1) tablet po every six (6) hours. discharge disposition: home with service facility: home therapies discharge diagnosis: mrsa/klebsiella urosepsis discharge condition: stable; normotensive discharge instructions: you were admitted to the hospital because of a urinary tract infection and low blood pressue. we are treating your infection with 2 antibiotics. you will need to continue these medications for another 7 days at home. your new medications: 1. zosyn - an antibiotic to treat your urinary tract infection 2. daptomycin - an antibiotic to treat your urinary tract infection please continue all of your other medications as you were prior to being hospitalized. please return to the hospital for fevers, chills, worsening pain, difficulty breating. 1. followup instructions: -- please make an appointment to see dr in the next 1-2 weeks. procedure: parenteral infusion of concentrated nutritional substances diagnoses: other primary cardiomyopathies anemia, unspecified urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site personal history of malignant neoplasm of other parts of uterus personal history of other malignant neoplasm of skin other and unspecified postsurgical nonabsorption 

Answer: The patient is high likely exposed to