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: neurontin attending: chief complaint: altered mental status. major surgical or invasive procedure: left subclavian central line history of present illness: ms. is a 72 year old woman with a history of recurrent urinary tract infections who presented to the ed on with a chief complaint of confusion. she was in her usual state of health until approximately 2 weeks pta, when she was diagnosed with a urinary tract infection by her primary care physician, prescribed levofloxacin when urine cultures showed a pathogen sensitive to this antibiotic. at this time, she noted dysuria on top of her baseline urinary incontinence. after completing a 14 day course of levofloxacin, her daughter noted that the patient became confused and exhibited strange behaviors such as washing the sinks in the bathroom with creams. pertinent positives from her presentation included: orthostatic lightheadedness/dizziness on rising from a chair; fever. her pcp advised her to present to the ed, where she was found to be hypotensive with sbp in the 70s-80s with only slight improvement with 4l ns. a central line was placed, she received levophed, 1g cefepime iv and 1g vancomycin iv, and was transferred to the micu. upon arrival to the micu, she was asymptomatic. she had no pain and reported no shortness of breath, chest pain, abdominal pain, nausea, vomiting. she felt well. urine cultures subsequently grew out e coli (). during her micu stay, the patient recalls have nausea, vomiting and diarrhea, and began to feel better 2 days prior to transfer to medicine. on arrival to medicine, her dysuria has resolved, and she denies chest pain, shortness of breath, abdominal pain, or any other symptoms. past medical history: 1. recurrent uti (/yr, nitrofurantoin prophylaxis which patient was taking at time of current uti development) - pseudomonas was cultured on . 2. urinary incontinence 3. recurrent lower extremity cellulitis 4. spinal stenosis 5. osteoarthritis 6. migraine 7. depression, anxiety 8. prior inferior mi by ekg 9. allergic rhinitis 10. gerd . psh: 1. r total hip replacement 2. l/r total knee replacement 3. l le split-thickness skin graft 4. l/r carpal tunnel release procedures 5. lumbar laminectomy - no relief of stenosis symptoms social history: she lives with her daughter. she has 6 children, is separated from her husband, but manages his finances. drugs: none tob: never alc: none family history: mother with brain aneurysm. father has dm. physical exam: t: 98.3 pulse:80 bp:126/60 rr:18 02sat:97ra gen: well-appearing nad heent: mucous membranes dry, op clear, perrl neck: jvp flat, no lad cv: regular rate and rhythm, 2/6 systolic murmur at right upper sternal border, early peaking, no s3/s4 pulm: ctab no w,r,r abd: hypoactive bowel sounds, soft, nontender, nondistended ext: warm, 2+ pulses, trace edema, right shin with 1-2 cm nodule with overlying ecchymoses neuro: awakens to alert and oriented x 3. knows hospital, correctly remembers medication doses pertinent results: admission labs: =============== 08:00pm blood wbc-8.7# rbc-4.21 hgb-12.8# hct-37.2# mcv-88 mch-30.3 mchc-34.3 rdw-14.4 plt ct-326# 08:00pm blood neuts-77* bands-2 lymphs-13* monos-6 eos-2 baso-0 atyps-0 metas-0 myelos-0 11:45pm blood pt-13.6* ptt-30.4 inr(pt)-1.2* 08:00pm blood glucose-100 urean-40* creat-1.6* na-137 k-2.2* cl-87* hco3-35* angap-17 08:00pm blood calcium-9.0 phos-3.4 mg-2.67.0 . pertinent labs during hospitalization: ====================================== wbc trend: 8.7 - 9.7 - 10.4 - 7.1 - 7.0 - 5.4 - 5.7 crp 64.7 () vancomycin 7.1 () . studies ekg : sinus bradycardia. old inferior wall myocardial infarction. modest lateral st-t wave changes which are non-specific. compared to tracing of there is no significant diagnostic change. . cxr impression: limited evaluation as described above. possible small focal infiltrates in the left upper lung. recommend repeat pa and lateral views, when feasible. . cxr impression: status post interval placement of left subclavian central line with tip projecting over the mid svc. no pneumothorax. no acute cardiopulmonary process . us of r leg impression: images consistent with a right lower extremity subcutaneous hematoma. . echo the left atrium is mildly dilated. the estimated right atrial pressure is 16-20 mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the report of the prior study (images unavailable for review) of , the findings are similar. brief hospital course: # septic shock secondary to uti: patient with hypotension and positive urine analysis consistent with infection. patient had central line placed in ed with cvps followed. increased to 10 and bps still in the low 80-90s and thus pressors were started. however, on arrival to the micu the patient had low cvps reflecting dehydration. urine seemed most likely source for infection given that she had a positive ua. cvps were followed with goal of ~8 and bolused appropriately. blood pressure improved and the patient was weaned from pressors. e. coli grew from cultures, but given her history of drug resistance, cefepime was continued until sensitivities were recorded. pt was transferred to medicine team after pressures stabilized. altered mental status improved. . on medicine floor, the patient improved despite being on cefepime, which was found to be resistant to her e. coli uti. she was switched to bactrim and has remained asymptomatic. her vs have been stable, and she has no signs of systemic illness, remaining afebrile with a decreasing wbc. she was at her baseline mental status at discharge. she was discharged with bactrim x 11 days to complete a 14 day course. . # hypotension: the patient required pressors in the unit, and she was successfully weaned and stabilized. her sbps in the micu averaged 110-120. upon arrival on the floor, her sbp was in the 90s. as she had a lower sbp, her home antihypertensive medications were held. she was given ivfs once on the floor. her bp at discharge was 110-120's. she was discharged home without her blood pressure medications. she is to follow up with dr. about restarting these medications. . # hypokalemia: likely due to patient's furosemide and hydrochlorothiazide use. it was aggressively repleted during this admission. . # acute renal failure: found to have increased bun, creatinine (1.6) upon ed arrival on . labs all consistent with hypovolemia and dehydration. renal failure resolved once she was adequately rehydrated. . # rle hematoma: no signs of infection, will follow up with pcp. . # depression: continued outpatient prozac. . # back pain: continue oxycontin/codone. . # prophylaxis: heparin sc, pantoprazole and bowel regimen . # diet: regular . # comm: daughter is hcp: . # code: full medications on admission: oxycontin 30 mg tid (per last d/c summary) oxycodone trazadone prozac 50 mg daily macrobid buspar 7.5 mg qam, 5 mg qpm topomax detrol hctz ?37.5 mg daily discharge medications: 1. trazodone 50 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. 2. buspirone 5 mg tablet sig: 1.5 tablets po qpm (once a day (in the evening)). 3. buspirone 5 mg tablet sig: three (3) tablet po qam (once a day (in the morning)). 4. topiramate 25 mg tablet sig: one (1) tablet po hs (at bedtime). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. zinc sulfate 220 (50) mg capsule sig: one (1) capsule po daily (daily). 11. oxycodone 10 mg tablet sustained release 12 hr sig: three (3) tablet sustained release 12 hr po q8h (every 8 hours). 12. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 11 days. disp:*22 tablet(s)* refills:*0* 13. detrol 2 mg tablet sig: two (2) tablet po once a day. 14. fluoxetine 20 mg tablet sig: two (2) tablet po twice a day. 15. oxycodone 5 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. 16. loratadine 10 mg tablet sig: one (1) tablet po once a day. 17. tizanidine 4 mg tablet sig: one (1) tablet po three times a day. 18. nasonex 50 mcg/actuation spray, non-aerosol sig: two (2) each nostril nasal once a day. discharge disposition: home with service facility: vna discharge diagnosis: primary diagnosis: sepsis secondary to urinary tract infection chronic pain - spinal stenosis . secondary diagnosis: depression hypertension discharge condition: stable. blood pressure stable. discharge instructions: you were admitted to the hospital for a urinary tract infection. you were found to have a low blood pressure, and were admitted to the intensive care unit. following this, you were transferred to medicine for further management of your urinary tract infection. you are being treated with an antibiotic bactrim. please finish your antibiotic for 11 more days. please do not take your nitrofurantoin while on bactrim. speak to your pcp about restarting it when you finish your bactrim. . please follow up with your pcp as below. . your blood pressure has been normal. please do not take your home blood pressure medications (triamterene-hctz and lasix) unless your primary care physician says to restart them. . you should return to the hospital for fever >101, chills, lightheadedness, dizziness, difficulty or pain urinating, chest pain, shortness of breath, abdominal pain, or any other concerning symptoms. followup instructions: you should follow up with your pcp . on 2:30pm on . please call if you need to reschedule. md, procedure: venous catheterization, not elsewhere classified diagnoses: urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified severe sepsis depressive disorder, not elsewhere classified septic shock unspecified accident septicemia due to escherichia coli [e. coli] neurogenic bladder nos contusion of lower leg 

Answer: The patient is high likely exposed to