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: history of present illness: the patient is an 89 year-old female with a history of congestive heart failure and osteomyelitis of her left femur who presented with shortness of breath and decreased o2 saturations on room air in the setting of two days of foul smelling diarrhea. the patient lives at and was transferred today to emergency department, because she was noted to have persistent oxygen saturations in the low 90s and high 80s on 12 liters of oxygen. in addition to being hypoxic while in the emergency department she was noted to be hypotensive to 90/palpable with a temperature of 101.4. with the exception of the story of two days of foul smelling diarrhea there was no further documentation. while in the emergency department the patient was intubated for hypoxic respiratory failure, received 1 liter of normal saline and was started briefly on dobutamine drip for her hypotension. in addition, she received vancomycin, flagyl and ceftriaxone and transferred to intensive care unit for further management. past medical history: 1. osteomyelitis of the left femur that has been chronic. the patient has been wheel chair bound for the last year. 2. congenita one kidney status post nephrostomy tube in the left functional kidney with a history of urosepsis in the past. her nephrostomy tube was changed in . 3. hypothyroidism. 4. congestive heart failure with a normal ejection fraction. echocardiogram in showed moderate as, mild mr, moderate tr, moderate pulmonary hypertension. 5. itp plus cipro exposure. 6. depression. 7. history of c-diff colitis. 8. dementia. allergies: aspirin causing a rash. penicillin causing difficulty breathing, codeine causes vomiting and cipro causing itp. medications on admission: iron 325 mg po q day, levoxyl 50 mg po q day, vitamin b, vitamin e, vitamin c. natural tears to the eyes. zoloft 50 mg po q day, megace 200 mg po b.i.d., milk of magnesia 30 mg po prn, robitussin 5 ml po q 4 to 6 hours prn, tylenol prn, mylanta prn. family history: noncontributory. social history: the patient lives in for the last eight years. her daughter is heavily involved in her care and is her health care proxy. physical examination: temperature 98.6. pulse 109. blood pressure 102/37 with a map of 60. o2 sat 100% on 40% oxygen vented at ac, 600 by 10 with a peep of 5. the patient was paralyzed and sedated. her lungs were clear to auscultation bilaterally. her heart was regular with faint heart sounds. there were no murmurs appreciated. belly was soft and nontender. there were hyperactive bowel sounds. extremities showed no clubbing, cyanosis or edema. however, they were cool to touch. there were good distal pulses. laboratories on admission: white blood cell count 3.2. differential of 61 neutrophils, 3 bands, 34 lymphocytes, 2 monocytes, hematocrit 30.7, platelet count of 317, anion gap was 14. chem 7 showed sodium of 143, potassium 4.8, chloride 115, bicarb of 14, bun 40, creatinine 1.9, which is up from her baseline of 1, glucose 129. ck 53, troponin less then 0.3. calcium 8.7, phosphate 3.5, magnesium 2.5. her inr was 1.4, arterial blood gas 7.3, 28, 448, 100% o2. chest x-ray showed ect in left main stem, blunting of the left costophrenic angle - ect tube was pulled back by 3 cm. ct of the abdomen showed atrophic right kidney with multiple stones. percutaneous nephrostomy tube was in place in the left kidney. a small amount of air in the left kidney. there were bilateral pleural effusion noted. her urinalysis showed red cloudy urine with specific gravity of 1.02. serologic blood positive nitrites, more than 300 protein, negative glucose, trace ketones, small bili, ph of 7.5, large leukocyte esterase. numerous red blood cells. electrocardiogram showed sinus rhythm of 107, normal axis, normal intervals, q wave in 3. no change from the prior. hospital course: in summary, the patient is an 89 year-old female with a single kidney status post nephrostomy tube changed recently who presents with hypertension and hypoxia in acute renal failure. the patient's blood pressure remained stable at approximately 100 systolic overnight off of the pressors. she was continued on her antibiotics including flagyl, ceftriaxone and vancomycin for coverage for urosepsis as well as c-diff. in the morning following admission the patient's blood pressure was noted to be very labile all the way to 40s. a family discussion was undertaken and based on the patient's poor prognosis as well as poor quality of life prior to the hospitalization the decision was made to withdraw care. the patient's antibiotics and fluids were stopped. she was extubated to room air. she passed away at 4:03 p.m. on . the family was present at bedside and her daughter refused postmortem examination. her primary care physician was notified. discharge diagnoses: 1. probable urosepsis. 2. hypoxic respiratory failure. 3. acute renal failure. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: acidosis acute kidney failure, unspecified unspecified septicemia other shock without mention of trauma urinary complications, not elsewhere classified chronic osteomyelitis, pelvic region and thigh renal agenesis and dysgenesis 

Answer: The patient is high likely exposed to