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: nausea, vomiting, diarrhea, and anemia major surgical or invasive procedure: exploratory laparotomy, cholecystectomy, gastrojejunostomy tube placement. history of present illness: the patient is a 47 y/o female who presented to the ed early on the morning of with complaints of nausea, vomiting, diarrhea, and anemia. before any history could be obtained, she became hypotensive, tachycardic, and hemodynamically unstable. she had a large brown heme positive bowel movement. she was intubated, started on neosynephrine and levophed, and given 6l of saline and 2u prbc. past medical history: severe alcoholism cocaine use social history: unknown family history: non-contributory physical exam: t 97.9 r 119 bp r 31 ac 500/18/5/100% gen: intubated, awake, in distress, not following commands lungs: rhonchi throughout heart: regular rate and rhythm, tachycardic abd: distended, diffusely tender, rebound tenderness, guarding difficult to assess, no incisional scars extrem: cool, dry, 1+ pulses, no edema pertinent results: 02:30am blood wbc-8.8 rbc-3.21*# hgb-8.7*# hct-26.6*# mcv-83 mch-27.1 mchc-32.6 rdw-17.3* plt ct-79* 02:30am blood neuts-65 bands-12* lymphs-17* monos-3 eos-0 baso-0 atyps-0 metas-2* myelos-1* nrbc-1* 02:30am blood pt-16.8* ptt-45.9* inr(pt)-1.5* 02:30am blood plt smr-very low plt ct-79* 01:59pm blood fibrino-400 02:30am blood glucose-61* urean-47* creat-2.9*# na-137 k-3.1* cl-96 hco3-5* angap-39* 02:30am blood alt-296* ast-2805* alkphos-520* amylase-211* totbili-1.3 02:30am blood lipase-9 11:28am blood ck-mb-9 ctropnt-0.09* 01:59pm blood ck-mb-9 ctropnt-0.08* 08:21pm blood ck-mb-10 mb indx-2.9 ctropnt-0.08* 02:30am blood albumin-2.4* calcium-3.5* phos-11.5* mg-1.0* 02:30am blood osmolal-299 04:30am blood cortsol-48.7* 02:30am blood hcg-<5 04:30am blood crp-84.9* 04:30am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 04:30am blood comment-green top 04:30am blood lactate-5.3* 07:50am blood freeca-0.45* 01:37pm blood alcohol profile-test: methanol - result: none detcted 01:37pm blood ethylene glycol-test: ethylene glycol result: <10 reference range/units <10 mg/dl 12:33pm blood heparin dependent antibodies- 06:07am blood wbc-18.0* rbc-2.91* hgb-8.7* hct-25.5* mcv-88 mch-30.1 mchc-34.2 rdw-17.5* plt ct-137* 06:07am blood glucose-94 urean-34* creat-2.6* na-144 k-3.3 cl-110* hco3-16* angap-21* 06:07am blood calcium-6.1* phos-4.0 mg-1.6 11:47am blood glucose-84 lactate-1.0 02:30am blood alt-30 ast-20 alkphos-155* totbili-1.2 07:54pm urine rbc-0-2 wbc-* bacteri-mod yeast-none epi- transe-0-2 renalep-0-2 07:54pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 07:54pm urine color-straw appear-clear sp -1.006 2:40 am urine site: catheter **final report ** urine culture (final ): gram positive bacteria. >100,000 organisms/ml.. alpha hemolytic colonies consistent with alpha streptococcus or lactobacillus sp. 2nd isolate. <10,000 organisms/ml. time taken not noted log-in date/time: 4:15 am blood culture **final report ** aerobic bottle (final ): reported by phone to at 4:00 am. pseudomonas aeruginosa. final sensitivities. sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa | cefepime-------------- <=1 s ceftazidime----------- 2 s ciprofloxacin---------<=0.25 s gentamicin------------ 2 s imipenem-------------- 2 s meropenem------------- 0.5 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s anaerobic bottle (final ): no growth. brief hospital course: patient was admitted in acute respiratory distress, resuscitated, and transferred to the icu for supportive care. the patient was treated empirically with vancomycin, levoquin, and metronidazole and transfused 2 units frozen plasma for active gi bleed with severe shock. blood culture grew pan-sensitive pseudomonas and urine culture grem alpha hemolytic or lactobacillus. ct scan showed 1. diffuse wall abnormality with irregular wall thickening seen throughout the small and large bowel. this finding is more consistent with diffuse intramural hemorrhage. question bleeding diathesis. less likely, this could represent an infectious etiology or ischemic etiology. contrast is seen extending into the hepatic flexure with no evidence of obstruction. 2. bilateral consolidations consistent either with infection or aspiration. 3. gallstones with mildly distended gallbladder. no definite evidence of wall thickening. 4. bulky calcifications within the pancreas with no acute inflammatory changes. question history of chronic pancreatitis. 5. tiny nonobstructive right kidney stone. 6. a small amount of ascites. 7. diffuse osteopenia and sclerosis, which could be secondary signs of chronic renal failure. the patient's lactate and wbc continued to rise. there was a likelihood that the patient had an ischemic or infected bowel and an ex-lap, cholecystectomy, and open g/j tube placement was performed to examine the patient's abdomen. global hypoperfusion of the bowel was found during the operation. the etiology of the patient's acidosis remained unclear and icu supportive care was continued. tube feeds and zosyn were started post-operatively. echo was obtained to investigate possible cardiac etiology which showed: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. the patient continued to be in oliguric renal failure consistent with atn and renal was consulted for advice. the patient was weaned off vasopressors and transfused 1 unit of platelets and for her thrombocytopenia which was likely related to sepsis with a small element of dic. pt did not require dialysis as she began to have good urine output and her renal failure began to resolve. renal ultrasound showed tiny simple cyst within the right kidney, otherwise normal renal ultrasound without evidence for hydronephrosis or stones. antibiotics were discontinued with the exception of zosyn. pt was able to be weaned off the vent and started on flagyl for empiric treatment of c. diff colitis . cxr showed basilar atelectasis and effusion and incentive spirometry was encouraged. pt was started on a regular diet and tolerated that well and was transferred to the floor . she refused her tube feeds because it made her "too full" and is discharged to rehab tolerating a regular diet. medications on admission: vitamin b12 tums neurontin vit d oxycodone discharge medications: 1. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 3 days. disp:*9 tablet(s)* refills:*0* 2. zosyn 2.25 g recon soln sig: one (1) intravenous every eight (8) hours for 3 days. disp:*9 recon soln* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. hydralazine hcl 10 mg iv q4-6h:prn keep sbp<140 hoold for sbo<100 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for wheezing. disp:*30 actuations* refills:*0* 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. therapeutic multivitamin liquid sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 9. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*2* 10. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po bid (2 times a day). disp:*120 tablet, chewable(s)* refills:*2* 11. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 12. oxycodone 5 mg/5 ml solution sig: po q4-6h (every 4 to 6 hours) as needed. disp:*100 ml* refills:*0* 13. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 14. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: alcoholic ketoacidosis, bowel ischemia vs. infected bowel, sepsis discharge condition: stable discharge instructions: call your doctor if you experience fever, chills, lightheadedness, dizziness, shortness of breath, chest pain, palpitations, severe abdominal pain, nausea/vomiting, or bleeding from abdominal incision. do not swim or take baths. activity as tolerated. followup instructions: please follow up with dr. in 1 week. call for appointment. please follow up with your primary care physician at community center in 1 week. cal for appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances cholecystectomy other gastroenterostomy without gastrectomy transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: acidosis thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis unspecified septicemia severe sepsis cocaine abuse, unspecified calculus of gallbladder with other cholecystitis, without mention of obstruction septic shock intestinal infection due to clostridium difficile dehydration other and unspecified coagulation defects other and unspecified alcohol dependence, unspecified 

Answer: The patient is high likely exposed to