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: augmentin / biaxin / sulfa (sulfonamides) / naprosyn / motrin attending: chief complaint: obstructed kidney stone major surgical or invasive procedure: nephrostomy history of present illness: hpi: pt is a 44 yo female with pmhx of allergic fungal sinusitis, who presents from osh with obstructed kidney stone. pt, who has no history of stones, says that friday she started to have pain on the right side. she is unable to describe it saying that it was "constant and hurt." the next day, she continued to have the pain which was worse and a . she also had subjective fevers, but did not take her temperature. yesterday, she went to osh ed ( hospital). she was found to have a wbc of 22.7, 89% neutrophils. u/a was wbc >50, +le,. a transabdominal u/s done for ruq pain showed normal kidneys and no hydronephrosis. there was an 8.9 x 6.3 mm gallstone without evidence of pericholecystic fluid and no evidence of choledocholithiasis (free fluid in morrisons pouch). she was discharged home on levaquin. . pt again presented to osh ed ~3 am this am as pain was worse and she was lightheaded. pt noted to be tachycardic to 118, hypotensive to 81/55, and temp to 99.9. ct abd/pelvis showed a 5 mm calculus in the right proximal ureter 5 cm below ureteropelvic junction with mild right hydronephrosis and right renal perinephric stranding. there was also a 1 mm non-obstructing left ureter calculus. pt was transferred to this am for further management and likely ir procedure. . vs on arrival to were: t: 104.6, hr: 127; bp: 138/75; rr: 25. she was given 1 g tylenol, 1 g vancomycin, 500 mg iv levaquin, 2 mg iv morphine, solumedrol 125 mg iv x 1, motrin 600 mg po. she was noted to develop an arm rash and eyelid edema when she got the levaquin and morphine. she was given 25 mg po benadryl. currently pt denies any pain. no dysuria or hematuria per pt. no n/v. . past medical history: past medical history: allergic fungal sinusitis- s/p multiple surgeries since asthma colonoscopy- done for screening showed polyps uterine fibroids s/p surgery social history: owns plumbing and heating company with husband. children. no smoking. social beer. no drugs. family history: f: melanoma; m: cad; kidney stone. no other renal problems in family. physical exam: vs: t: 98.4; bp: 91/53; hr:85; rr: 16; o2: 97 ra gen: laying in bed speaking in full sentences in nad heent: puffy eyelids. perrla; eomi; sclera anicteric; op clear. no pettechiae. neck: no lad. cv: rrr s1s2. no m/r/g lungs: cta b/l with good air entry abd: nabs. +suprapubic tenderness. +ruq pain without rebound. + right cva/flank pain. back: no spinal, paraspinal tenderness. cva/flank as above ext: no edema. dp 2+ neuro: cn ii-cii tested and intact. skin: puffy eyelids slightly erythematous. scattered papules left hand, right leg. . pertinent results: 08:29pm urine color-yellow appear-clear sp -1.033 08:29pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-50 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 08:29pm urine rbc-* wbc-0-2 bacteria-occ yeast-none epi-0 06:30pm glucose-137* urea n-8 creat-0.9 sodium-141 potassium-4.8 chloride-116* total co2-16* anion gap-14 06:30pm calcium-6.4* phosphate-2.3* magnesium-1.8 06:30pm wbc-10.3 rbc-3.45* hgb-10.8* hct-31.2* mcv-91 mch-31.4 mchc-34.7 rdw-13.0 06:30pm plt count-214 11:37am pt-13.5* ptt-32.6 inr(pt)-1.2* 09:02am lactate-1.7 09:00am glucose-102 urea n-9 creat-1.1 sodium-131* potassium-5.7* chloride-103 total co2-20* anion gap-14 09:00am alt(sgpt)-21 ast(sgot)-75* alk phos-53 amylase-66 tot bili-0.3 09:00am lipase-51 09:00am wbc-15.7* rbc-4.27 hgb-12.9 hct-39.1 mcv-92 mch-30.3 mchc-33.1 rdw-13.0 09:00am neuts-80* bands-6* lymphs-9* monos-5 eos-0 basos-0 atyps-0 metas-0 myelos-0 09:00am hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal ovalocyt-1+ 09:00am plt smr-normal plt count-250 brief hospital course: pt is a 44 yo female with chronic sinusitis who presents with an obstructed kidney stone. 1. obstructed kidney stone- with impaction and superimposed infection. u/a, ucx taken at osh, none here. at osh, growing >100,000 pan sensitive e.coli. ucx negative at . -pt is allergic to pcn (augmentin). treated with gentamicin - had nephrostomy with tube placement. kidney abscess improved on repeat ct. evaluated by id consult, sent home on ciprofloxacin 500 q12 for 14days. will need follow up ct scan before seeing urology as outpatient. 2. pain control- ? allergy with morphine. dilaudid iv prn. . 3. rash- scattered papules on arm and swollen eyelids. unclear if from levaquin or morphine. will also need to look and see when she got the motrin. -benadryl prn; famotidine . on steroids (see below) . 4. chronic steroid use- on steroids as outpatient. prednisone 10mg qod . 5. acute renal failure- creatinine was 1.4 at osh now 1.1. likely post renal obstruction. . 6. chronic sinusitis- continue home regimen of once tolerating pos and will continue nasal sprays. . medications on admission: medications: prednisone 10 mg qod fexofenadine albuterol prn- ~1x/day flovent 110 mcg, qday nasonex singulair qday discharge medications: 1. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for rash. 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for dyspnea. 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for dyspnea. 4. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. prednisone 10 mg tablet sig: one (1) tablet po qod (). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 1. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for rash. 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for dyspnea. 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for dyspnea. 4. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. prednisone 10 mg tablet sig: one (1) tablet po qod (). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*20 tablet(s)* refills:*0* 11. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. disp:*28 tablet(s)* refills:*0* 12. k-dur 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 2 weeks: continue until you have blood checked with your primary care physician and are instructed further. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 13. outpatient lab work patient will require once weekly chemistry-7 profile performed until appointment with primary care physician discharge disposition: home discharge diagnosis: primary - kidney abscess - nephrolithiasis . secondary - asthma discharge condition: good. patient is afebrile, hemodynamically stable, o2 sats > 95% on ra discharge instructions: 1. please take all medications as prescribed . 2. please keep all outpatient appointments . 3. please return to the hospital immediately or seek medical attention for symptoms of fevers/chills, dizziness, shortness of breath or any other concerning symptom. followup instructions: 1. you should be seen by your primary care physician within one week for follow up visit and to have potassium levels monitored. please call your pcps office to schedule this appointment. . 2. please call dr. from the division of urology at( to schedule an outpatient appointment. you will need to be seen in approximately three weeks time. at this office visit your nephrostomy tube will be removed. also, a follow-up ct scan has been ordered for you. please call the radiology department at on monday to schedule an appointment for the study. the ct scan should be done in 2 weeks (before you see urology) md procedure: percutaneous nephrostomy without fragmentation diagnoses: long-term (current) use of steroids acute kidney failure, unspecified asthma, unspecified type, unspecified sepsis dermatitis due to drugs and medicines taken internally septicemia due to escherichia coli [e. coli] hydronephrosis calculus of ureter calculus of kidney unspecified sinusitis (chronic) acute pyelonephritis without lesion of renal medullary necrosis antirheumatics [antiphlogistics] causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to