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: metrogel / desipramine / sanctura attending: chief complaint: sepsis major surgical or invasive procedure: r ij central venous line placement history of present illness: the patient is a 75-year-old female who complains of progressively worsening rectal and buttock pain over the past 2 weeks. upon presenting to the ed today, she initially had a hr of 77 with a bp of 105/69, but quickly became hypotensive to 56/40 with a heart rate of 98. sepsis protocol was initiated. a central line was placed with great difficulty due to near-complete ivc collapse. she was placed on a norepinephrine drip and underwent a ct scan when she was somewhat stable. the scan shows a large pre-sarcal abscess with rim enhancement, and air and fat stranding tracking to a r hip prosthesis. on , she underwent a diverting loop colostomy by dr. for a large rectovaginal fistula. intra-operatively, she was noted to have stool in the rectum, vaginal and presacral space, and the posterior/presacral space was cleaned out. she was discharged on pod#6. it is noteworthy that prior to her operation, she did manifest fever and hypotension to sbp of 75. an echocardiogram was reassuring, with an ef of 65% with trace valvular disease. she was evaluated in clinic about two weeks ago by dr. , who was not reassured by her progress at that time. she appeared to be slowly declining with a pelvic choleca situation which was not amenable to repair due to the prior radiation damage and poor vascular supply. past medical history: cad s/p mi in 94 pvd (s/p aorto-fem bypass and l femoral endarterectomy) l breast ca s/p mastectomy in early 90's colon adenocarcinoma ' s/p lar with chemo and xrt sbo s/p xlap with loa in asthma hypothyroidism hyperlipidemia osteoporosis orif r tibia bilateral thr paf social history: she lives in with her husband. she is a former smoker but quit 15 years ago. she reports drinking vodka and fruit juice "most days." she has worked various jobs throughout her life and cared for her four children family history: he is unable to give much specific history but reports "everyone is dead" of different things. physical exam: gen: elderly female, nad, no icterus heent: nc/at, eomi, perrla bilat., dry mm, without cervical lad on my exam cor: rrr without m/g/r, no jvd, no bruits lungs: cta bilat. : +bs, soft, nd, nt, no masses rectal: large communicating fistula palpable between rectum and vagina anteriorly. tender on vaginal and ++ tender on rectal exam. no perineal erythema ext: warm feet, 2+ pitting edema to knees pertinent results: labs: | 138 | 108 | 14 / 83 agap=13 | 3.7 | 21 | 0.9 \ ca: 7.1 mg: 1.7 p: 3.5 alt: 11 ap: 145 tbili: 0.4 ast: 15 lip: 6 cortsol: 34.3 crp: pnd 7.4 25.8 >--< 622 23.5 n:88 band:4 l:4 m:3 e:0 bas:1 pt: 19.0 ptt: 54.0 inr: 1.8 lactate 2.8 -> 3.1 -> 3.4 imaging: ct /pelvis with iv contrast: * 65 x 34 mm collection posterior to the rectum highly suggestive of an abscess * pockets of air in the fascial planes of the right thigh and around the right hip joint suggestive of either a fistula or a developing abscess * stable severe compression of l1 * distal limbs of aortobifemoral graft not in continuity with iliac/femoral vessels brief hospital course: patient admitted to sicu. started on antibiotics, resuscitated with fluids, intubated, and placed on pressors. she quickly deteriorated and had worsening acidosis with a ph as low as 6.9 and lactate greater than 20. she was requiring multiple pressors and her due to her age and prognosis, it was decided to speak with the family regarding comfort measures, as there was no effective long term treatment for the pelvic source of sepsis. the family agreed. it took about 24 hours to get all the family members to the hospital to say their goodbyes. once they arrived the ett was removed, pressors and ivfs were stopped. the patient continued to breath spontaneous and maintain a blood pressure in the low 80s. after many hours it appeared that the dying process may take a while longer. therefore she was transferred to the floor and treated with an infusion of morphine for pain control. on at 0405 am the patient expired, immedicate cause of death being cardiopulmonary failure secondary to sepsis. the family was present at the time of death, and declined an autopsy. the attending physician of record, dr. was , as well as the chief surgical resident of the service, dr. . medications on admission: amiodarone 200 , 81', vit b 12, advair, folic acid 1', imdur 30', combivent, levoxyl 112, mvi, toprol 25', singulair 10', nitro 0.3', omeprazole 40', oxytol, oxycodone 10", plavix 75', ranitidine 150", simvastatin 20', trazadone 50 discharge disposition: expired discharge diagnosis: sepsis multiorgan failure discharge condition: expired md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube percutaneous abdominal drainage peripheral nerve injection, not otherwise specified proctotomy diagnoses: acidosis anemia of other chronic disease coronary atherosclerosis of native coronary artery cellulitis and abscess of trunk urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism atrial fibrillation asthma, unspecified type, unspecified aortic valve disorders personal history of malignant neoplasm of breast personal history of tobacco use acute respiratory failure defibrination syndrome osteoporosis, unspecified compression of vein personal history of malignant neoplasm of large intestine accidents occurring in other specified places surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation streptococcus infection in conditions classified elsewhere and of unspecified site, other streptococcus hip joint replacement colostomy status digestive-genital tract fistula, female persistent postoperative fistula abscess of anal and rectal regions personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus infection and inflammatory reaction due to internal joint prosthesis atherosclerosis of nonautologous biological bypass graft of the extremities 

Answer: The patient is high likely exposed to