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: lactose / sulfa (sulfonamide antibiotics) / codeine / penicillins / prednisone / clindamycin attending: chief complaint: presented to hospital complaining chest pressure, nausea and vomiting. transferred to for percutaneous intervention of nstemi(non-st myocardial infarction). major surgical or invasive procedure: cardiac catheterization(). central line placement on right femoral vein(). history of present illness: this is a 73 year old female with a past medical history notable for nonobstructive coronary artery disease, prior history of atrial fibrillation (not on coumadin), hyperlipidemia, and cutaneous lupus who was transferred from hospital for catheterization following an nstemi. . patient initially presented to hospital on with several hours of indigestion, nausea, and chest pressure with ecg demonstrating 1mm st depressions in v3-v6. troponin i has trended as follows: 0.06.> 1.99 -> 0.94. ck: 128-> 137. ckmb: 3.4-> 11.1. she was transferred to for further workup and catheterization. . here at , she underwent bms(bare metal stent) deployment in the mid-distal lcx but with no reflow following stenting. she was given ic nicardipine bolus 400 mcg and intracoronary nitroglycerine 700 mcg x 1 with improved distal flow. following stent deployment, she developed transient hypotension with sbps in the 60s and she was subsequently given 700cc ns and 600cc d5 1/2 ns. she was also started on peripheral dopamine, titrated to max doses (20). a stat echo was performed and reported to be without tamonade or perforation. dopamine was successfully weaned and her hypotension resolved prior to transfer to ccu. she is being admitted to the ccu for hemodynamic monitoring. she was reported to be in sinus rhythm with rates in the 70s and most recent sbp of 103/63 prior to transfer. . of note, during the case, she also received bivalirudin bolus (45mg iv x 1) and gtt, 100mcg iv fentanyl, integrillin gtt, prasugrel 60mg po x 1, versed 1mg iv x 1, and zofran 4mg iv x 1. . on the floor, patient is without acute complaints. she reports that she has had a "bad reaction" to statins in the past but cannot recall the exact reaction. . on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of current chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: hyperlipidemia questionable prior history of afib, not on coumadin cutaneous lupus gastroesophageal reflux disease anxiety social history: sparing tobacco use, stopped 38 years prior. denies etoh. denies current use of illicits. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: on admission: vs: 95.5, 150/68, 72, 19, 100%ra. general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. groin: mild oozing at cath access sites. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ on discharge: vs: tmax: 96.8; hr: 114/79; bp: 95; rr:22 general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with no jvp. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. groin: no signs of hematomas. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: from hospital: troponin i: 0.06.> 1.99 -> 0.94. ck: 128-> 137. ckmb: 3.4-> 11.1. wbc: 6.9, hct: 39.6, plt: 198 na: 130, k: 3.1, cl: 92, co2: 28, bun: 20, creatinine: 1.06, glucose: 99, calcium: 9.5 . cholesterol: 192, tg: 29, hdl: 87, esr: 12, crp: < 0.5, tsh: 2.85. . chest radiograph () hospital: no acute process. . ecg: osh : incomplete right bundle branch block, rate of 100, normal axis. left atrial abnormality. 1mm st depressions in v3-v6. . on admission to admission labs: 05:45pm blood wbc-6.5 rbc-4.14* hgb-12.3 hct-35.1* mcv-85 mch-29.7 mchc-35.0 rdw-12.8 plt ct-190 05:45pm blood neuts-76.5* lymphs-17.0* monos-4.7 eos-1.3 baso-0.4 05:45pm blood pt-15.4* ptt-80.1* inr(pt)-1.4* 05:45pm blood glucose-120* urean-12 creat-0.9 na-134 k-3.8 cl-103 hco3-21* angap-14 05:45pm blood ck(cpk)-101 05:45pm blood ck-mb-9 09:39pm blood ck-mb-14* mb indx-9.7* . labs throughout hospital course: hct trend: 31() <-- 30.4() <-- 35.1() ck trend: 262() <-- 101() ckmb trend: 15() <-- 9() labs on discharge day : wbc: 6.1 hgb: 10.8 hct: 31 na: 139 k: 4.2 cl:105 hco:29 glu: 94 bun: 18 creatinine: 1.1 . studies: . admission ecg: at 4:30pm: incomplete right bundle branch block, rate of 75, normal axis, normal intervals. left atrial abnormality. no twi or st changes concerning for active ischemia. . echos: ()there is an anterior space which most likely represents a prominent fat pad. however, a small anterior effusion cannot be excluded with certainty. there are no echocardiographic signs of tamponade. no right ventricular diastolic collapse is seen. ()the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal-mid anterior septum. the remaining segments contract normally (lvef = 55 %). 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 stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is borderline pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. . cath report: () 1. one vessel coronary artery disease. 2. moderate systemic arterial hypertension at the start of the case. 3. successful pci of om3 long tapering lesion. 70-80% stenosis treated using a 3.0 x 26 mm integrity bare metal stent. complicated by no-reflow, but eventual improvement with administration of ic nitroglycerin and nicardipine. 4. negative emergent echocardiogram to outrule pericardial effusion/tamponade. 5. successful closure of lfa 8 fr access using angioseal. rfa and rfv sheaths sutured in place and to be removed in ccu. ct abd & pelvis w/o contrast: () moderate left retroperitoneal hematoma with extension into the rectus sheath. a filling defect within the left external iliac vein is concerning for an external iliac thrombosis. an ultrasound may be obtained to determine changes in phasicity between the left and right common femoral vein to confirm these findings. femoral vascular us left () no deep vein thrombosis identified within the distal portion of the left external iliac vein and no dvt seen in the left common femoral vein. unilat lower ext veins left () no evidence of dvt in the left lower extremity. microbiology: ()no mrsa isolated () escherichia coli. >100,000 organisms/ml.. sensitive to all antibiotics tested. 10:17 am urine source: catheter. urine culture (preliminary): escherichia coli. >100,000 organisms/ml.. presumptive identification. cefazolin interpretative criteria are based on a dosage regimen of 2g every 8h. piperacillin/tazobactam sensitivity testing available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ <=2 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- 32 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s brief hospital course: 73 year old female with a pmh notable for nonobstructive coronary artery disease, prior history of atrial fibrillation (not on coumadin), hyperlipidemia, and lupus who was transferred from hospital for catheterization following an nstemi. s/p des to lcx and admitted to the ccu for hemodynamic monitoring after an episode of hypotension in the cath lab requiring dopamine. . # hypotension: broad differential, but clinical presentation initially was most likely consistent with vagal episode. patient found to have >1l cc of urine output once foley placed. patient briefly required peripheral dopamine in cath lab in response to bp with systolics in the 60s but dopamine was quickly weaned without problems and pt was transported to ccu. at that time, tte without evidence of tamponade, depressed lvef, or perforation. repeat tte showed very mild focal left ventricular dysfunction c/w cad and borderline pulmonary artery systolic hypertension. patient did not complain of abdominal or back pain following the procedure which argued against rp bleed. pt did state she felt extremely thirsty and had not had anything to eat or drink since 9pm the evening prior. her bps responded to gentle hydration and remained stable in the 90s-low100s systolic overnight following the procedure. home beta blocker was held. hct remained relatively stable overnight so less concern for bleed, although on am pt was noted to have had a 3 point hct drop from midnight labs, see abdominal wall hematoma below. in the setting of acute bleed bp dropped to as low as 40s systolic. pt was started on dopamine and levophed and transfused with good effect on bp (up as high as 150s systolic) and quickly weaned from these medications. patient is being discharged with stable blood pressure. #abdominal wall hematoma - the morning after admission it was noted that the pt had a hct drop from 33.7 at midnight to 30.5. pt had been on an integrillin drip since cardiac cath and intervention midday. overnight pt had remained stable with bp in the low 90s-100s, received gentle hydration with ivf, and denied significant pain anywhere in the abdominal, back, or groin regions. pt had bilateral femoral catheterizations as she had become hypotensive following the initial catheterization and there was anticipation of possible need for intra-aortic balloon pump, although her pressures reponded quickly to dopamine and pump was never placed. the night following the procedure, frequent groin checks performed which showed present pulses, no hematoma, masses, evidence of bleeding, or audible bruits. early morning after admission pt was noted to have some minor bleeding through the dressing of the left femoral catheter site but remained hds and without complaints. shortly after discovering this she suddenly developed large swelling over the area of the left groin catheter site and somewhat more proximally partially over the left pelvic and lower abdominal region. she became very pale and was crying out in pain with bps down to the 40s systolic. deep pressure was held over the site, pt had right wrist a-line and right femoral central line placed. with dopamine and levophed her bp responded with systolics as high as 150s, and pressors were quickly weaned. pt recieved a total of 3 units prbcs. pt was alert and oriented throughout this episode. patient was stable during the rest of the hospital stay. . # nstemi: troponin elevation at osh in the setting of precordial st depressions. now asymptomatic. s/p bms to the lcx, initially with no reflow with response to ic vasodilatory medications. now asymptomatic. will continue at home with medical management as below. - aspirin 325mg po daily - prasugrel 10mg po daily - metoprolol 12.5mg po bid - atorvastatin 10mg po daily patient should follow up with pcp and cardiologist. . #uti: patient had uti symptoms and had a culture positive for escherichia coli pan-sensitive. should complete a course of 7 days of ciprofloxacin 500mg po q12h(last day is ). . #atrial fibrillation - pt not on coumadin, question of whether or not it was paroxysmal, history unclear. pt was not started on coumadin for afib during this hospitalization. . # hld: patient was started on atorvastatin 10 mg po/ng hs and should continue it at home . # sle: patient was continued on home plaquenil. on pt did complain of facial flushing and appeared to have erythematous facial rash in malar distribution, esr and crp were sent which were within normal limits. medications on admission: home medications: per discharge paperwork. - aspirin 81mg po daily - klonopin 0.5mg po daily prn qhs - plaquenil 200mg po bid - mvi - vitamin d 400mg po daily - calcium, magnesium, and fish oil supplementation - lutein eye drops . medications at time of discharge from osh and transfer to : - aspirin 325mg po daily - klonopin 0.5mg po qhs - plavix 75mg po daily - lovenox 60mg sq - metoprolol 12.5mg po bid - plaquinal 200mg po bid - sl ntg - restasis eye drops discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. prasugrel 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*15 tablet(s)* refills:*0* 4. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 6 days. disp:*12 tablet(s)* refills:*0* 5. atorvastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. fish oil 1,000 mg capsule sig: one (1) capsule po once a day. 8. probiotic 10 billion cell capsule sig: one (1) capsule po once a day. 9. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*0* 10. hydroxychloroquine 200 mg tablet sig: one (1) tablet po twice a day. 11. multivitamin capsule sig: one (1) capsule po once a day. 12. cholecalciferol (vitamin d3) 400 unit capsule sig: one (1) capsule po once a day. 13. cyclosporine 0.05 % dropperette sig: one (1) ophthalmic twice a day. 14. clonazepam 0.5 mg tablet sig: one (1) tablet po once a day as needed for insomnia. discharge disposition: home discharge diagnosis: primary: non-st elevation myocardial infarction secondary: retroperitoneal hematoma, urinary tract infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was pleasure taking care of you at the . you were admitted for a heart attack (non-st elevation mi). we performed a procedure called cardiac catheterization, during which we found that you had blockage in the blood supply to your heart. your blood pressure dropped slightly during the procedure, and you were transferred to our cardiac intesive care unit for further monitoring. during your second day in the ccu you developed a collection of blood in your abdomen and groin, and your blood pressure dropped. we placed a special line in your groin to give you medications, blood and fluids. your blood pressure subsequently improved and you were transferred to the general cardiology floor. you also developed an urinary tract infection during your hospital stay and were started on antibiotics, which you will need to continue taking twice a day for 6 more days (last date ). we made the following changes to your medications: changed: aspirin from 81mg to 325mg daily started: atorvastatin once daily before bedtime ciprofloxacin twice daily (continue until ) metoprolol once daily oxycodone-acetaminophen 1 tab if you have pain. you can take it up to 4 times a day prasugrel once daily pantoprazole once daily please continue taking your other medications as usual. please followup with your primary care practitioner and cardiologist, see below. followup instructions: please followup with your primary care practioner. please call their office on monday and make an appointment to see them with 3 days to followup after your hospital stay. please followup with your cardiologist. please call their office on monday and make an appointment to see them with 4 weeks to followup after your hospital stay. procedure: venous catheterization, not elsewhere classified insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor arterial catheterization cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: systemic lupus erythematosus other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified atrial fibrillation hematoma complicating a procedure other and unspecified hyperlipidemia cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure do not resuscitate status other and unspecified escherichia coli [e. coli] 

Answer: The patient is high likely exposed to