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: lethargic major surgical or invasive procedure: central line placement arterial line placement history of present illness: pt is a 83 yo female with h/o dm2, cad s/p cabg, carotid stenosis s/p stent to l ica, asd, tia, cri, seizure d/o presents to the ed with lethargy and non-specific complaints. the symptoms had been increasing and were accompanied by decreased po intake per the patient's family. in addition, she had developed n/v/d and, more recently, abdominal pain. in the pt was found to be anemic to 28, with a creat of 3.8 (baseline 1.6-2.1), k of 6.5, lactate 2.2 --> 0.89. ua was c/w infection and a low grade temp to 100.2. pt was hypotensive to 60's and 70's. she received ivf without resolution, and was entered into the sepsis protocol (r ij was placed, total of 4l ivf given, dopamine started, and vanc/levo/flagyl were started). pt also reported to have been hypoxic with sats in low 80's and put on nrb. dopamine was weaned off in micu. past medical history: 1. dm type 2 2. cad s/p 2 vessel cabg and pci to lima-lad in ' 3. carotid stenosis s/p stent to left ica in ' 4. atrial septal defect 5. tia/cva 6. chronic kidney disease 7. stroke induced seizures 8. htn 9. hyperlipidemia 10.cervical spondylosis 11.lumbar radiculopathy 12. s/p cataract repair 13. s/p lue fx repair 14. depression social history: retired math professor , married, husband is health care proxy. etoh. family history: non- contributory physical exam: vitals: 74, 112/45 (art bp), oxygen sats 95% on 2l nc gen: arousable, and will follow very simple commands. appears pale. heent: perrl, op clear, mmm, no lad cv: rrr, ii/vi systolic murmur at lsb. lungs: clear abd: soft, mild tenderness, +bs. protruberant, but no fluid wave ext: trace edema, +left surgical scar and mild erythema at shin neuro: cn ii-xii intact grossly - no droop, mae pertinent results: labs on admission: 09:30pm blood wbc-18.0*# rbc-3.38* hgb-9.4* hct-28.6* mcv-85 mch-27.9 mchc-33.0 rdw-14.5 plt ct-291 09:30pm blood neuts-89.6* bands-0 lymphs-7.5* monos-2.7 eos-0.1 baso-0.1 11:00pm blood pt-13.0 ptt-21.8* inr(pt)-1.1 09:30pm blood glucose-75 urean-117* creat-3.8*# na-136 k-6.5* cl-99 hco3-20* angap-24* 09:30pm blood ast-17 ck(cpk)-106 alkphos-75 amylase-104* totbili-0.2 12:10am blood calcium-7.4* phos-3.9 mg-1.5* 12:21am blood type- po2-133* pco2-43 ph-7.23* calhco3-19* base xs--9 09:35pm blood lactate-2.2* k-6.6* _______________________ other labs: 09:30pm blood ck-mb-4 ctropnt-0.07* 12:10am blood ck-mb-4 ctropnt-0.04* 09:30am blood ck-mb-7 ctropnt-0.08* 09:30pm blood ast-17 ck(cpk)-106 alkphos-75 amylase-104* totbili-0.2 12:10am blood ck(cpk)-103 09:30am blood ck(cpk)-129 11:34am blood caltibc-252* ferritn-92 trf-194* 08:15am blood cortsol-20.1* 09:00am blood cortsol-38.7* 09:30am blood cortsol-43.7* 12:10am blood crp-130.3* 09:30pm blood valproa-20* _______________________ labs on discharge: 06:00am blood glucose-96 urean-28* creat-1.1 na-142 k-3.8 cl-109* hco3-24 angap-13 06:00am blood calcium-8.5 phos-2.4* mg-1.7 _______________________ radiology: - cxr ap- impression: no free intraperitoneal air or evidence of pneumonia is identified. brief hospital course: 83 yo female admitted to micu from ed under sepsis protocol. found to be in urosepsis. 1. pt was septic and entered sepsis protocol. she was on dopamine for bp support in the micu overnight and started on vancomycin, levaquin, and flagyl. initially urine grew gnr, and blood had 2/4 bottles of staph coag negative. additionally, ct scan showed ? minimal diverticulitis and thus all those things were being covered. the staph was likely contaminant as it grew out four different species. additionally, urine grew e. coli pansensitive and pt was started on amoxicillin. vancomycin, levaquin, and flagyl were then d/cd. pt was then hemodynamically stable and did well. 2. pt with hct that had decreased to 24 on admission, with a normal hct in low 30s and here with guaiac positive stool, requiring two units of prbc. also appeared to have anemia of chronic disease on iron studies (low iron, low tibc, high ferritin). an active t&s was kept at all times as well as 2 large bore ivs. ppi was changed to . hct after transfusions remained stable. 3. cv- a. ischemia- ekg showed inferolateral twi and st depressions. cardiac enzymes x 3 were done. troponins were up to 0.08 but cks and mbs flat; this was thought to demand, a low pressure state, and increased hr. we continued asa, beta blocker, statin, and ace inhibitor. b. pump- echo with ef 20%. pt was euvolemic on exam. initially we held her lasix as she was auto diuresing and did not take in a lot of po except for when her husband was present. lasix was restarted on discharge. continued beta blocker, ace as above. c. rhythm- normal sinus. 4. metabolic acidosis- pt had a non gap hypochloremic metabolic acidosis initially. it was likely renal failure as well as normal saline. this resolved. 5. arf- baseline creatinine 1.6-2.1, 3.8 on admission. it was from a prerenal etiology, low blood pressure and decreased forward flow. this resolved during hospitalization. 6. dm- gets 14 units 70/30 at home. continued home insulin, slightly decreased as pt was taking poor pos. she was also on a riss. 7. seizure disorder- continued valproate per outpatient dosages. 8. psych- continued zyprexa per home dosages. 9. f/e/n- cardiac low salt diet. electrolytes were checked and repleted. 10. ppx- subcutaneous heparin, bowel regimen, ppi. refused to work with physical therapy. 11. code status- code status was full code. 12. access- ij cvl, arterial line while in micu. 2 pivs on floor. medications on admission: aspirin 81 mg daily atorvastatin 20 mg daily gabapentin 300 mg tid isosorbide mononitrate 30 mg qd lansoprazole 30 mg capsule once daily atenolol 50 mg tablet daily glyburide 5 mg tablet daily. zyprexa 2.5 mg tablet at bedtime. zyprexa 2.5 mg tablet prn riss - check fsg qidachs lisinopril 5 mg tablet daily lasix 20 mg tablet po daily 70/30 humulin 14 units qam depakote 150 mg discharge medications: 1. amoxicillin 500 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 6 days. disp:*12 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. olanzapine 2.5 mg tablet sig: one (1) tablet po hs (at bedtime). 5. olanzapine 2.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. divalproex 125 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po bid (2 times a day). 7. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 8. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 9. glyburide 5 mg tablet sig: one (1) tablet po once a day. 10. insulin per outpatient dose. 14 units 70/30 humulin qam 11. lasix 20 mg tablet sig: one (1) tablet po once a day. 12. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. capsule, delayed release(e.c.)(s) discharge disposition: home with service facility: caregroup discharge diagnosis: primary diagnosis: urosepsis anemia acute renal failure secondary diagnosis: coronary artery disease diabettes mellitus seizure disorder hypertension hyperlipidemia discharge condition: hemodynamically stable. she is refusing physical therapy. discharge instructions: please call your doctor or go to the ed immediately if you have fever, chills, feel dizzy, lightheaded, shortness of breath, breathing problems or any other health concern. take your medications as prescribed. you are on a new medication called amoxicillin which is an antibiotic. your stool tested positive for blood here a few times. you should follow up with dr. . you may need an outpatient colonoscopy if you have not had one recently. followup instructions: please call dr. for follow up in the next week. procedure: venous catheterization, not elsewhere classified arterial catheterization transfusion of packed cells diagnoses: acidosis anemia of other chronic disease coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis other convulsions chronic kidney disease, unspecified other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to