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: penicillins / warfarin attending: chief complaint: weakness major surgical or invasive procedure: none history of present illness: 87 f presented to ed w/ complaints of bilateral lower extremity pain and weakness over the lsat 9-10 days. she lives alone in her own apartment and is now having trouble ambulating because "my legs just won't work well, and i have pain from hips to my feet". she was recently admitted and treated with azith + cefpox for presumed uri. at that time, it was recommended by pt consult that she go to rehab, but she refused. her daughter stayed with her at home until today when she went back to ny. patient then came here. she states she wanted to come into ed on friday, but daughter 't let her. . ros: no ha, falls, fever, sob, cp, abd pain, cough, chills, flank pain, numbness, change speech, diarrhea, vomiting, dysuria, rash or syncope. other 10 pt detail is negative . in the ed vital signs wer 98.6, 168/82, 85, 18, 99%ra. they noted her abdomen to be tender. urinalysis was concerning for urinary tract infection so she was given ciprofloxacin for presumed uti. (prior uas have shown wbcs, leuk est, without doucmented uti). she denies dysuria, fever, flank pain. other labs were normal. she received xrays of pelvis, hips, l-s spine and these were reportedly normal (final read pending). a 5 x 2.5cm aaa was noted on ct aortogram, and felt to be unchanged from prior evaluations (final read pending). she has stable mild hip flexor weakness but no other neurologic symptoms. . she has no elected hcp in her chart. a daughter is listed as her emergency contact. past medical history: 1. hypertension 2. hyperlipidemia 3. coronary artery disease s/p cabg in2006 4. paroxysmal atrial fibrillation 5. right common iliac stenosis with retrograde dissection 6. abdominal aortic aneurysm (4.5 x 4.7 cm) 7. h/o hyperthyroidism 8. cataracts 9. vitamin b12 deficiency 10. history of gallstone pancreatitis 11. hearing loss 12. s/p appendectomy 13. uterine prolapse s/p pessary placement (none now) 14. s/p spinal infarct 10 yrs ago. patient now has partial numbness in both leg, vagina and perineum. 15. recent antibiotic treatment: azithromycin/cefpodoxime social history: home: lives alone; widowed; has a daughter in () and son in etoh: denies drugs: denies tobacco: 60-80 ppy history, quit > 10 years ago family history: father - died at age 77 with bleeding pud mother - died in 90s with history of htn sister - died at age 59 with colon cancer physical exam: vs: 98.2, 65, 173/81, 98% ra gen: well in nad ent:anicteric, op clear w/o lesions, no , nl thyroid, no bruits lungs: cta bilat cor: regular w/ occasional premature beat, nl s1/s2, no audible mrg abd: soft, non-tender, palpable pulsatile mass, no hsm, active b.s. ext: no c/c, no edema skin: no rash or lesions neuro: a&o x 3, moves all extremities, strength grossly intact except 4+/5 left hip flexor vs r, all else is symmetric, no sensory deficits, patient walks with me in the hallway taking my arm. initially states she can't get beyond the bed, but when distracted seems to walk well and does so down the hallway with me. stands to side of bed and gets in bed on her own without difficulty. pertinent results: 02:25pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-tr 02:25pm urine rbc-0-2 wbc-* bacteria-few yeast-none epi-0-2 trans epi-0-2 renal epi-0-2 10:40am urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-6.5 leuk-sm 10:40am urine rbc-0 wbc-21-50* bacteria-few yeast-none epi-0-2 10:38am lactate-1.4 10:30am glucose-100 urea n-15 creat-0.9 sodium-141 potassium-4.1 chloride-106 total co2-25 anion gap-14 10:30am lipase-33 10:30am calcium-8.6 phosphate-2.9 10:30am wbc-5.9 rbc-4.20 hgb-11.0* hct-33.3* mcv-79* mch-26.2* mchc-33.0 rdw-15.1 10:30am plt count-418 pelvic xray hip xray l-s xray ct aortogram brief hospital course: 87 yo female admitted with self-reported functional decline. this coincides with her daughter having left to return to out-of-state home after being with her for several weeks after last admission. patient has reportedly declined home vna and home pt, and she states they weren't giving me what i needed, though is vague about the latter. soon after admission she developed af with rvr. . atrial fibrillation with rapid ventricular response: the patient has a long h/o af wiht rvr. an iv amio load was started and soon afterward she cardioverted back to sr. unfortunately she refused to take the po amio as she developed the same side effects that she previously had on this drug. she was put back on her toprol xl and the dose was titrated to 100 mg . her resting hr's are in the 50-60's at this dose and she ambulates without symptoms. if she failed this bb dose, may consider dronedarone. at this higher dose of bb she does occasionally go into af, but the rates stay in the 100-120 range rather than 200+ as she had on admission. should have a high threshold for holding bb. would avoid adding hctz as electrolyte abnormalities propigate her af. coronary artery disease: s/p cabg in . she has a known reversible lad defect on stress testing with st changes with rapid rates which have now resolved. we continued asa 325. cellulitis: the patient got an infection at an iv site. this was treated with ancef/keflex and it improved rapidly. she will complete a 5 day course. anemia: hematocrit at baseline. continue b12 supplements deconditioning:the patient is quite deconditioned from her multiple hospital stays and needs physical therapy. this was not working well at home and we have arranged inpatient rehab for her. dirty ua: repeat ua's were not significant for infection. would not treat w/o symptoms. code: confirmed dnr/dni communication: patient . patient requests that her family not be contact. (ter) medications on admission: regular daily meds 1.aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2.cyanocobalamin 500 mcg tablet sig: one (1) tablet po daily (daily). 3.metoprolol tartrate 50 mg tablet sig: one (1) tablet po three times a day. . non-regular meds 4.pyridoxine 50 mg tablet sig: 0.5 tablet po daily (daily). 5.senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6.miralax 17 gram powder in packet sig: one (1) packet po once a day as needed for constipation for 3 doses. discharge medications: 1. cyanocobalamin 500 mcg tablet sig: one (1) tablet po daily (daily). 2. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po bid (2 times a day). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 5. keflex 500 mg capsule sig: one (1) capsule po four times a day for 4 days. discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: 427.31 atrial fibrillation secondary diagnosis: 401.1 hypertension, benign secondary diagnosis: 414.05 cad, bypass graft secondary diagnosis: 285.9 anemia, unspecified secondary diagnosis: 682.3 cellulitis, arm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: patient being transferred to a facility. followup instructions: (if patient no longer in rehab) department: when: tuesday at 11:00 am with: , md building: campus: east best parking: garage department: cardiac services when: tuesday at 1:20 pm with: , m.d. building: sc clinical ctr campus: east best parking: garage md procedure: venous catheterization, not elsewhere classified diagnoses: acidosis anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis unspecified essential hypertension unspecified septicemia hyposmolality and/or hyponatremia severe sepsis atrial fibrillation other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure disturbance of skin sensation septic shock cellulitis and abscess of upper arm and forearm intestinal infection due to clostridium difficile unspecified hearing loss other postprocedural status personal history of noncompliance with medical treatment, presenting hazards to health abdominal aneurysm without mention of rupture acute vascular insufficiency of intestine adult failure to thrive other specified noninflammatory disorders of vagina unspecified vitamin d deficiency cellulitis and abscess of hand, except fingers and thumb family history of malignant neoplasm of gastrointestinal tract infection following other infusion, injection, transfusion, or vaccination unspecified persistent mental disorders due to conditions classified elsewhere adjustment disorder with mixed anxiety and depressed mood other specified noninflammatory disorders of vulva and perineum 

Answer: The patient is high likely exposed to