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 a 38-year-old black woman with a past medical history of hypertension, morbid obesity, and frequent urinary tract infections and urinary retention who presented on the evening of with a 24-hour history of abdominal pain, fevers to 102, and decreased urine output for several hours prior to presentation. she had decreased oral intake and nausea and vomiting for three episodes for one day. she had diffuse abdominal tenderness. the patient received a ct of the abdomen in the emergency room which showed a right obstructed uropathy with a 5-mm right ureterovesical junction stone, mild right hydronephrosis, right hydroureter, and right periureteral stranding; no abscess. she was then taken to the operating room for cystoscopic decompression and stent placement as she was not a candidate for percutaneous nephrostomy tube given large body habitus and an in wall hydro. physical examination on presentation: vital signs revealed temperature was 101.5, heart rate of 132 to 140, blood pressure of 145/63, respiratory rate of 38, 97% on room air. in general, she was tachypneic and uncomfortable-appearing. head, eyes, ears, nose, and throat revealed pupils were equal, round, and reactive to light and accommodation. extraocular muscles were intact. the oropharynx was dry. neck revealed no jugular venous distention and no thyromegaly. chest revealed decreased breath sounds at the base, otherwise clear. the heart was tachycardic. first heart sound and second heart sound. no murmurs, rubs or gallops. the abdomen was obese, soft, diffusely tender, positive normal bowel sounds. no masses. no flank tenderness. extremities revealed no edema and 2+ dorsalis pedis pulses. pertinent laboratory data on presentation: laboratories on admission showed a white blood cell count of 22, hematocrit of 29.5, platelets of 286, a mean cell volume of 71, and rdw of 17. sodium of 138, potassium of 3.6, chloride of 102, bicarbonate of 22, blood urea nitrogen of 23, creatinine of 1.8. ast was 27, alt was 29, alkaline phosphatase was 94, amylase was 22, lipase was 7, a total bilirubin of 0.6. urinalysis showed a specific gravity of 1015, moderate blood, negative nitrites, no red blood cells, 3 to 5 white blood cells, and many bacteria. blood cultures times two were positive for 2/4 bottles for gram-negative rods; later found to be escherichia coli. hospital course by system: 1. renal: the patient was found to have right 5-mm ureterovesical junction stone, mild hydronephrosis, pyelonephritis. sent to operating room for cystoscopy, stent placement, and decompression since was not a surgical candidate due to large body habitus. the procedure was without complications. the patient was transferred to the unit and then later called out to the floor and was started on antibiotics; ampicillin and levaquin, later changed to just levaquin given gram-negative rods susceptibilities. the patient did well and the plan was for removal of stents in one month by dr. (telephone number ). 2. cardiovascular: the patient has known hypertension. blood pressure was controlled in house with captopril. the patient was discharged on home medications for hypertension. also of note, the patient was in sinus tachycardia for much of this admission, mainly attributed to pain and was resolved by the day of discharge. 3. pulmonary: the patient with noted tachypnea along with tachycardia. she denied chest pain. arterial blood gas was mainly reassuring; although, the patient received a ct angiogram which was negative for pulmonary embolism. 4. hematology: the patient known to be anemic and came in with a hematocrit of 29.5 which was around her baseline. iron studies were sent as well as hemoglobin electrophoresis, and the patient was instructed to restart iron therapy. 5. gastrointestinal: the patient complained of right upper quadrant tenderness and pain. liver function tests were checked again and found to be slightly elevated with an ast of 67 and alt of 85, which was above her baseline. a right upper quadrant ultrasound was obtained, even though the patient was status post laparoscopic cholecystectomy in to look for sludging or stones, and the ultrasound was normal besides fatty liver. the patient was to follow up as an outpatient and have liver function tests rechecked. 6. infectious disease: the patient found to have escherichia coli bacteremia and was discharged on a total 2-week course of levofloxacin; received three days in house, discharged with 10 more days of medication at 500 mg p.o. q.d. condition at discharge: condition on discharge was good. discharge status: discharged to home. medications on discharge: 1. levofloxacin 500 mg p.o. q.d. (times 10 days). 2. 60 mg 1 tablet p.o. every morning. 3. ferrous sulfate 325 mg 1 tablet p.o. three times a day. 4. flexeril 10 mg 1 tablet p.o. in the evening as needed. 5. ibuprofen 800 mg 1 tablet p.o. three times a day as needed. 6. percocet 325 mg 1 tablet p.o. every six hours as needed. 7. univasc 50 mg 1 tablet p.o. every day. 8. verapamil 360 mg 1 tablet p.o. every day. discharge instructions: the patient was to be careful walking around house and up stairs for the next few days. get plenty of rest. diet as tolerated. discharge followup: follow-up appointment with dr. in in the next week and with dr. of urology for stent removal in one month. , m.d. dictated by: medquist36 procedure: arterial catheterization insertion of indwelling urinary catheter diagnoses: unspecified essential hypertension bacteremia hydronephrosis calculus of ureter acute pyelonephritis without lesion of renal medullary necrosis tachypnea sickle-cell trait other calculus in bladder 

Answer: The patient is high likely exposed to