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: ms. is a 65-year-old female with a history of chronic low back pain, status post laminectomy, spinal cord stimulator placement, and intrathecal catheter placement with subsequent relief of pain, who was admitted to the chronic pain service on for removal of both her spinal cord stimulator and intrathecal catheter, and replacement of intrathecal catheter. after the surgery, it was noted on that she was febrile to 102.8 f, and hypoxic. at this point, she was originally seen by the medicine consult team, who recommended ceftriaxone for coverage of pneumonia, given the evidence of a left lower lobe infiltrate on chest x-ray. it was also recommended that this would cover meningitis and possibly a urinary tract infection. there was also initially some concern for chf, and she was diuresed with lasix with some resolution of symptoms. her ceftriaxone was subsequently changed to levofloxacin, however, she persistently was spiking fevers and was with negative blood cultures and urine cultures. on , she spiked to 101.3 f, the medicine consult team recommended transfer of the patient from the pain service to the medicine team for further management. at the time of transfer, she was denying cough, was complaining of incisional pain at the sites of her incisions in her abdomen. she denied any pleuritic chest pain. she reported that her shortness of breath had been stable since friday, and that she was not requiring oxygen prior to that point, yet now she was on 4 liters. she denied any dysuria, rashes, photophobia, neck stiffness, headache, abdominal pain, oral ulcers, runny nose, or sputum production. she did report that she had been having night sweats, chills, and loose stools, which was chronic from her multiple gi surgeries in the past, yet increased in amount. past medical history: 1. chronic low back pain with details in hpi. 2. gastroesophageal reflux disease. 3. status post billroth ii secondary to mesenteric ischemia. 4. status post hemicolectomy. 5. laminectomy. 6. status post spinal cord stimulator implant in . 7. status post intrathecal pump placement in . social history: ms. was present in the hospital with her partner of 30 years. they are unmarried. she is a smoker. he used to smoke one to two packs per day for 40 years, but quit in . she denies any alcohol or other drug use. family history: noncontributory. allergies: she has no known drug allergies. medications on transfer: 1. cefazolin 1 g iv q 8 hours. 2. levofloxacin 500 mg p.o. q.d. 3. lasix 40 mg p.o. b.i.d. 4. subcu heparin. 5. morphine sulfate ir 90 mg q. 3 hours. 6. tylenol p.r.n. 7. neurontin 1,200 mg q. am, 800 mg at lunch, and 1,600 mg q. h.s. 8. methadone 10 mg p.o. q 4 hours p.r.n. physical exam: vitals revealed blood pressure of 132/70, pulse of 88, respirations at 16, temperature of 101.3 f, and oxygen saturation of 95% on 4 liters. in general, ms. was resting comfortably, in no acute distress. she was alert and oriented times three and appearing her stated age. she was obviously diaphoretic, and was speaking in choppy sentences. heent exam revealed pupils are equally round and reactive to light, and her extraocular muscles were intact. she had some lid lag, and no icterus. her oropharynx is moist, and there were no lesions or exudates. her neck was supple, without lymphadenopathy or thyromegaly. she had no jvd at 90 degrees, and she had no meningismus. her heart was regular, and there were no murmurs, rubs, or gallops. her lungs revealed fine, bibasilar crackles, greater on the left than the right. she had no audible wheezes. abdomen was soft, obese, and she had good bowel sounds. abdominal binder was in place, and her incision looks clean, dry and intact. her abdomen was nontender and nondistended. her extremities were without cyanosis, clubbing or edema. she had 2+ pulses, no palpable cords. varicosities were noted on her extremities peripherally. laboratories on transfer: cbc revealed a white count of 8.8, hematocrit of 32.3, with mcv of 99, and platelets of 170. her chemistries were normal. chest x-ray revealed left lower lobe infiltrate on the chest x-ray from . she had an ekg which revealed a sinus rate of 100, normal axis, q wave in lead iii, and 0. depressions in leads v5-v6. she had a blood culture with no growth to date, and urine culture that was negative as the final report. hospital course: 1. infectious disease: as mentioned above in the hpi, ms. was having persistent postop fevers despite antibiotics. on , she was transferred to the medicine service for further work up and evaluation. she was then switched to vancomycin 1 g iv b.i.d., and zosyn 4.5 mg iv q. 6 hours. she had some issues with iv access, and several doses were held while she was awaiting picc line placement. a pic line was subsequently placed and despite multiple doses of both the antibiotics, she was persistently spiking fevers and hypoxic as well. she had a cta of the chest done, which revealed no evidence of pulmonary embolism, and was actually noted to not have a left lower lobe pneumonia on chest ct scan. at this point, an abdominal ct scan was obtained due to her persistent fevers and concern for a possible intra-abdominal process given her multiple past gi surgeries. this ct scan revealed multiple fluid-filled collections inferior to the liver and extending to the cecum, at least one was an air fluid level. there was also a questionable fluid-filled collection in the head of the pancreas. at this point, she was continued on antibiotics. however, surgery was consulted and after much discussion felt that an ultrasound guided needle aspiration of the largest fluid collection was appropriate, and then transfer to surgery pending results of the aspiration for likely surgery. she was transferred to surgery on , and was still febrile at this time. 2. cardiovascular: when the medicine consult team originally saw ms. , there was some concern for chf given some vascular prominence on her chest x-ray. she was given extra doses of lasix and diuresed with some resolution of symptoms, however, she was persistently on 4 liters of oxygen. she had an echo while admitted, which showed normal ejection fraction and no evidence of any ventricular wall motion defects. it was also noted when seen by the medicine consult team that she had some st depressions in leads v5-v6, and ck mb and troponin were checked and she had a small troponin leak, but no evidence of acute ischemia. 3. pulmonary: as mentioned above, ms. was hypoxic throughout her course of the medicine team. it was originally felt that this was secondary to her left lower lobe pneumonia, however, after fur analyzation of the chest x-ray and a chest ct scan with no evidence of left lower lobe pneumonia, it was unclear of the etiology of her hypoxia. she had a cta, which was negative for a pulmonary embolism. at the time of transfer to surgery, she is still hypoxic and sating 96% on 4 liters. at this point, there is no evidence of congestive heart failure. 4. gastrointestinal: as mentioned above, eventually intra-abdominal fluid-filled collections were found on abdominal ct scan. prior to this, ms. had minimal right upper quadrant tenderness to palpation on exam, and lfts were checked for possible hepatitis or possible biliary tract disease contributing to fever. her lfts were all within normal limits. 5. hematologic: ms. had a normocytic anemia with a crit of 32.3, and mcv of 99. she had iron studies checked, which revealed a low iron, borderline high ferritin, and borderline low tibc. it was felt that these labs were most consistent with developing anemia of chronic disease. her hematocrit was continually checked, and she required no blood transfusions. 6. musculoskeletal: as mentioned above, ms. has multiple issues with chronic pain, and was originally admitted to the chronic pain service. her pain control throughout her admission was dictated by the pain service, with the above regimen. she was frequently noted to be in pain and very persistent about getting her pain medicines on schedule. there were no changes in her regimen, other than the addition the day prior to discharge of mg of iv morphine q. 4-6 hours p.r.n. it was felt by the pain team that this is appropriate in the setting of her acute infection. discharge condition: ms. was transferred to surgery on and at that time she was still hypoxic with oxygen saturations of 96% on 4 liters. she was also continually febrile with temperatures ranging from 99 f to 102.0 f. she had no worsening of abdominal pain or any chest pain at this time. discharge status: she was transferred to the general surgery service on and the remainder of her course will be dictated upon her discharge from surgery. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances percutaneous abdominal drainage incision with removal of foreign body or device from skin and subcutaneous tissue insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of totally implantable infusion pump removal of spinal neurostimulator lead(s) diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified other convulsions abscess of liver other specified complications of procedures not elsewhere classified mechanical complication of nervous system device, implant, and graft infection and inflammatory reaction due to nervous system device, implant, and graft infected postoperative seroma 

Answer: The patient is high likely exposed to