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: hypoglycemia, sepsis, uropepsis major surgical or invasive procedure: none history of present illness: 64yo male h/o dm2, presented with sepsis suscpicious for urospepsis. began having high fever at home with urinary retention. had 2 weeks of increased urinary frequency, burning, chills, weakness. treated briefly with peripheral dopamine in the micu and then no longer hypotensive. transferred to floor. past medical history: htn, dm2, stress echo : cardiomyopathy w/ increased lv size and ef 49% his surgical history is significant: -umbilical hernia repair ' and 35 yrs ago -penile prosthesis ' -l2-l5 laminectomies ' social history: former tobacco, no etoh, no ivda; lives at home with his wife. family history: n/c physical exam: t104.3 p173/80 hr 118 r23 sat 99% on 3l gen: wdwn male, nad heent: pink conj, perrl chest: cta bilat cv: rrr nl s1/2 abd: nt, soft, +bs ext: no edema, 2+ dps neuro: non focal pertinent results: 02:05pm plt count-208 02:05pm neuts-79* bands-12* lymphs-3* monos-6 eos-0 basos-0 atyps-0 metas-0 myelos-0 02:05pm wbc-12.5*# rbc-3.81* hgb-10.7* hct-30.2* mcv-79* mch-28.2 mchc-35.6* rdw-14.0 02:05pm alt(sgpt)-16 ast(sgot)-17 alk phos-50 tot bili-0.6 02:05pm glucose-221* urea n-23* creat-1.7* sodium-131* potassium-3.9 chloride-95* total co2-21* anion gap-19 02:22pm lactate-4.1* 02:46pm pt-14.2* ptt-27.3 inr(pt)-1.3* 03:00pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 03:00pm urine color-yellow appear-clear sp -1.020 05:30pm glucose-35* lactate-1.2 07:00pm cerebrospinal fluid (csf) wbc-1 rbc-2* polys-0 lymphs-44 monos-54 eos-1 macrophag-1 07:00pm cerebrospinal fluid (csf) protein-47* glucose-45 05:30pm comments-glucose ad head ct without intravenous contrast: there is no intra- or extra-axial hemorrhage, mass effect, or shift of midline structures. differentiation of and white matter is preserved. the sulci, ventricles, and basal cisterns are within normal limits. there is no hydrocephalus. moderate mucosal thickening is seen involving the ethmoid air cells bilaterally. remaining visualized paranasal sinuses and mastoid air cells are clear. surrounding osseous and soft tissue structures are unremarkable. ct of the cervical spine: no fracture or subluxation is present. extensive degenerative changes are present with large anterior flowing osteophytes, consistent with diffuse idiopathic skeletal hyperostosis. additionally, there is kyphosis of the cervical spine centered at the c5 vertebral body, which demonstrates mild anterior wedging suggestive of a prior trauma to this region. there is marked narrowing of the intervertebral disc spaces at all intervertebral levels, with severe narrowing of the spinal canal and neural foraminal narrowing bilaterally at all levels. most severe changes involve c5- c6. there is no prevertebral soft tissue swelling. dependent opacities are noted within both lung apices, possibly atelectasis, and the airway is patent throughout. ct abd/pelvis: impression: 1. bilateral striated nephrograms with associated perinephric and proximal periureteral stranding highly suggestive of underlying pyelonephrosis versus renal cortical abscesses. 2. bilateral fat containing inguinal hernias. 3. bibasilar atelectasis. 4. subcentimeter hypodensities in the left lobe of the liver, too small to characterize, likely simple cysts. cxr: impression: ap chest compared to : lungs clear. heart size normal. no pleural abnormality. left subclavian line tip projects over the upper svc. no pneumothorax. urine culture: enterococcus sensitive to vanc and ampicillin brief hospital course: a/p: 64m with pmh notable for dm ii (oral hypoglycemics) and hypertension p/w sepsis . 1) sepsis: pt found to have enterococcus in urine, so started on ampicillin and then switched to vancomycin for easier dosing with plan to discharge to home with vna. picc line placed. pt defervesced and blood cultures remained no growth. pt seen by urology who did not appreciate an enlarged prostate , nor tender. decision made to continue flomax at this time and to be seen by urology as an outpatient. -continue iv vancomycin for an additional 7 days for a total treatment length of 14 days of antibiotics -can pull picc line once complete antibiotics 2) hypoglycemia: resolved, likely due to glyburide in face of arf. arf secondary to prerenal azotemia with hypotension. now with baseline renal function and elevated blood sugars so restarted oral hypoglycemics (metformin and glyburide) at previous doses. please follow up as outpatient and adjust as necessary. 3) fall: pt had a fall prior to admit (when giving urine at pcp ) so got a head ct and c spine that were both negative for acute processes. also had benign lp done. medications on admission: dyazide 37.5/25 qday lisinopril 10mg qday gabapentin 100-100-300 metformin 500mg 2tabs qam, 1 tab qpm glyburide 5mg 2tabs qam, 1tab qpm vicodin prn colace 100mg 1 tab discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. gabapentin 100 mg capsule sig: one (1) capsule po qam (once a day (in the morning)). 3. gabapentin 100 mg capsule sig: one (1) capsule po daily (daily). 4. gabapentin 300 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 5. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 7. triamterene-hydrochlorothiazid 37.5-25 mg capsule sig: one (1) cap po daily (daily). 8. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) 1000mg intravenous q 12h (every 12 hours) for 7 days. disp:*14 1000mg* refills:*0* 9. metformin 500 mg tablet sig: two (2) tablet po qam. 10. metformin 500 mg tablet sig: one (1) tablet po at bedtime. 11. glyburide 5 mg tablet sig: two (2) tablet po qam. 12. glyburide 5 mg tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: roscommon discharge diagnosis: urosepsis secondary to enterococcus discharge condition: good discharge instructions: continue full course of antibiotics (7 more days to make 14 days total). call your doctor if you develop discomfort with urinating, fevers, chills, difficulty urinating. followup instructions: provider: , .d. phone: date/time: 1:00 (urology) provider: on at 210pm procedure: venous catheterization, not elsewhere classified spinal tap incision of lung infusion of vasopressor agent diagnoses: other primary cardiomyopathies unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] acute pyelonephritis without lesion of renal medullary necrosis 

Answer: The patient is high likely exposed to