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: discharge condition: stable. discharge medication: ciprofloxacin 500 b.i.d. for three weeks. history of present illness: patient is a 40-year-old gravida 6 para 5 0-0-5 at 17-6/7 weeks with an edc of , who presents as a transfer from an outside hospital with an iufd diagnosed the day of transfer. she is also noted to have a temperature of 105, headache, which did not resolve with tylenol, shaking chills. head ct and lp that were performed were within normal limits. white count was 9.7 with 34% bands and 35 hematocrit. she was noted to be a- blood type. she is and portuguese speaking only. having difficulty communicating. initial visualization of the patient revealed difficulty breathing and has been afebrile since 5 p.m. getting rocephin 1 gram x2 iv, clindamycin 900 iv, and gentamicin 150 iv. patient was noted to be feeling contractions and having increased vaginal bleeding. vaginal bleeding began the day of transfer status post lumbar puncture. she received 5 liters iv fluids and was noted to have minimal urine output. she was transferred to for further care. ob history: significant for five normal vaginal deliveries without complications. gyn history: no abnormal pap smears and no sexually transmitted diseases. past medical history: negative. past surgical history: negative. medications: 1. prenatal vitamins. 2. tylenol. allergies: no known drug allergies. social history: she was married, lives in , and visiting cousins in this country. she notably received prenatal care and underwent amniocentesis three days prior to this visit to the ed. vital signs on admission: her blood pressure was notably 87/48, which after an iv fluid bolus, this resulted to 110s/60s. her heart rate was 128. her o2 saturation was 87% on room air, which improved to 98% on 15 liters nasal cannula. physical examination: she was noted to be having difficulty breathing. she had rales bilaterally. she was tachycardic. she had soft and tender abdomen, positive bowel sounds, palpable contractions every 5-10 minutes. extremities were nontender with 2+ edema. vaginal examination was 190 and high. transvaginal ultrasound confirmed iufd. her laboratories were sent off at time of admission. a chest x-ray was performed. she is a 40-year-old gravida 6 para 5 0-0-5 at 17-6/7 weeks with a diagnosis of iufd and sepsis. she was started on zosyn 4.5 q.6h. and taken to the or for a d&e. an a-line and central line were placed. chest x-ray to evaluate for pulmonary edema and ards, and she was transferred to the micu after the operating room. six units of packed red blood cells, 4 units of ffp, and 6 pack of platelets were called for. shortly thereafter initial examination at 9:45 p.m., patient was noted to be having worsening decompensation. she was intubated by the anesthesia team. the vaginal examination was repeated. she was found to be fully dilated. the membranes delivered, a foul odor was noted. delivery of a stillborn fetus was accomplished. twenty units of hit were given, 1,000 mg of cytotec were given rectally. the cord was clamped and cut and placenta was noted to be retained. she was taken immediately to the or for a d&c. she underwent the d&c, and was transferred to the medical intensive care unit after her d&c. hospital course: 1. respiratory failure: she was maintained on ventilation through hospital day one until hospitalization day three and a half at which time she had been modified on the ventilator settings to optimize her pulmonary condition. chest x-rays were repeated with at one point showed worsening, however, there was concern that the chest x-ray was lagging behind her clinical picture. she was extubated on hospitalization day #4 and was without difficulty. she was maintained on nasal cannula for her o2 saturation and maintained with improved respiratory status throughout her hospitalization. she had a chest x-ray two days after extubation on hospital day six, which revealed overall improvement. she was weaned off her nasal cannula, and her respiratory function improved throughout her hospitalization. 2. hypotension: she was noted to be hypotensive on arrival. pressor support was given while in the intensive care unit. on postoperative day four, hospitalization day four, she was weaned off her pressor support and was able to maintain her own blood pressure without difficulty. she improved throughout her hospitalization and was not requiring pressor support at the time of discharge. 3. id: she had notable high bandemia upon arrival. she had multiple cultures sent. urine culture was negative. the placenta was cultured and was found to have gram-negative rods and pmns. she had blood cultures that were positive for e. coli. throughout her hospital course, she came on rocephin, clindamycin, and gentamicin. she was changed to zosyn from to and then began a course of levofloxacin on day six, on . she was transferred out of the micu and was on levofloxacin. at the time of discharge, she was converted to ciprofloxacin, which would cover for e. coli and was discharged home with that on an outpatient basis. she remains afebrile. at the time of discharge, she did have a notably high white count three days prior to discharge, so a ct was performed to evaluate for abscess. she clinically appeared well. the ct was read as negative for fluid collections or abscesses, and she was discharged home on cipro. 4. cardiovascular system: she was noted to be high output failure and a transthoracic echocardiogram was performed initially at the time of admission and cardiac enzymes were sent. at the time she was on pressors. her first transthoracic echocardiogram demonstrated she had severe global left ventricular hypokinesis. no vegetations were seen, but her ejection fraction was approximately 30%. she had a repeat echocardiogram on the 15th, which showed a left ventricular ejection fraction of 55%. overall, as her fluid status improved and sepsis resolved and her cardiac function improved. there was a question of myocarditis related to this, however, no evidence for cardiac infection was found on any of her examinations. her cardiac status improved and at the time of discharge, she had no difficulty and was in normal cardiac function. 5. fluids, electrolytes, and nutrition: initially, patient was maintained npo with iv fluids. electrolytes were checked on a frequent basis and repleted as needed. she was found to be in metabolic acidosis which was resolved as her infection cleared and as her overall general health improved, as needed she was maintained. she, on postoperative day four, after extubation and transfer out of the intensive care unit, she was maintained on a regular diet and advanced as tolerated. she tolerated her diet well and was doing well and was in stable condition. 6. gi: she notably had increased liver function tests thought likely secondary to multisystemic organ injury related to her shock. her liver function tests were monitored throughout her hospitalization and had been decreasing at the time of discharge. 7. psychosocial: patient had met with social worker and interpreters on multiple occasions during her hospitalization to explain the events that had occurred over that period of time. emotional support had been provided to her throughout her hospitalization and continually offered at the time of discharge. condition on discharge: the patient was discharged home in stable condition. follow-up instructions: she was to followup with dr. , and she was discharged on . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube dilation and curettage following delivery or abortion diagnoses: other primary cardiomyopathies acidosis thrombocytopenia, unspecified congestive heart failure, unspecified acute respiratory failure septic shock septicemia due to escherichia coli [e. coli] spontaneous abortion, complicated by shock, incomplete peripartum cardiomyopathy, delivered, with or without mention of antepartum condition 

Answer: The patient is high likely exposed to