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: iodine; iodine containing / scopolamine attending: chief complaint: hypotension, fever major surgical or invasive procedure: central line placement history of present illness: 77 yo female with dm-ii, asthma, pmr on chronic steroids, and arthritis who presents with decreased po intake, nausea, vomiting, and diarrhea on the morning of admission. in the emergency department she had a low grade fever and was hypotensive with a systolic blood pressure in the 60's. she was entered into the sepsis protocol (must) and was given 4 liters of ns, vancomycin, levaquin, and ceftriaxone. she was started on levophed for blood pressure support. her cxr showed a lll infiltrate and a right leg ultrasound with doppler was negative for dvt. past medical history: polymyalgia rheumatica hypothyroidism non-insulin dependent diabetes obesity asthma s/p right knee fusion s/p left total knee replacement s/p cataract surgery social history: she does not smoke, use alcohol, or other drugs. she is a retired nurse who worked at the old hospital. she lives alone. family history: no early coronary artery disease. physical exam: vitals: t=100.7, bp=85/59, hr=106, r=18, o2 sat=100% on nrb general: pleasant, nad heent: perrla, thrush on buccal mucosa cv: tachycardic, regular, unable to appreciate murmur pulm: crackles on lll with wheezes throughout abd; soft nt/nd ext: r leg swollen, warm c/w left. small 2 inch gash on r anterior leg. r knee greater than l. + effusion. neuro: non-focal pertinent results: 06:00am blood wbc-10.7 rbc-3.14* hgb-9.9* hct-30.5* mcv-97 mch-31.5 mchc-32.4 rdw-17.3* plt ct-233 06:30am blood wbc-18.4* rbc-3.13* hgb-9.8* hct-30.6* mcv-98 mch-31.4 mchc-32.0 rdw-17.1* plt ct-207 04:13am blood wbc-21.3* rbc-3.02* hgb-10.0* hct-29.8* mcv-99* mch-33.0* mchc-33.5 rdw-16.3* plt ct-182 03:43am blood wbc-19.1* rbc-3.63* hgb-11.7* hct-35.9* mcv-99* mch-32.2* mchc-32.6 rdw-15.9* plt ct-231 06:00am blood plt ct-233 03:43am blood pt-14.9* ptt-30.3 inr(pt)-1.5 06:30am blood glucose-124* urean-19 creat-0.6 na-142 k-3.7 cl-111* hco3-21* angap-14 06:30am blood calcium-8.1* phos-1.0*# mg-2.6 08:03pm blood type-art temp-37.8 o2-100 po2-119* pco2-43 ph-7.22* calhco3-19* base xs--9 aado2-548 req o2-91 intubat-not intuba 09:45am blood type-art temp-36.9 po2-107* pco2-32* ph-7.30* calhco3-16* base xs--9 intubat-not intuba 09:45am blood lactate-1.5 01:49pm blood lactate-6.8* 06:00am blood calcium-8.1* phos-1.7* mg-2.3 06:00am blood glucose-146* urean-19 creat-0.6 na-144 k-4.0 cl-112* hco3-20* angap-16 brief hospital course: icu course: the patient was admitted directly to the icu with hypotension secondary to septic shock with a gram negative rod septicemia. the source of her infection was a left lower lobe pneumonia. initially, there was concern over a possible soft tissue infection of her right leg. surgery was consult for possible debridement; however, after consultation it was felt that the patient's leg edema and tenderness was secondary to chronic changes from a healing laceration and was only mildly cellulitic. she was initially started on zosyn, vancomycin, and clindamycin to cover skin flora, typical pulmonic pathogens, and pseudomonas given her diabetes and immune compromised state with chronic prednisone and methotrexate therapy. she was bolused with additional saline upon arrival to the icu and was quickly weaned off of pressors. she was also started on stress dose hydrocortisone given her daily use of prednsione (35mg/day). she continued to improve clinically, and was transfered to the general medicine floor. floor course: her bacteremia grew out as gnr (klebsiella, r to amp, bactrim). she was switched to levaquin (renally dosed) at this point. a cxr shows ? lll infiltrate that may be source of bacteremia. abd ct was obtained that showed: : abd ct: small r pleural effusion, bibasilar atelectasis, consolidation in l lung base- ? atelectasis vs pna, no source of infection in abdomen. she was switched back to her home dose of prednisone (35 mg qd) due to improvement and stable bps. her arf resolved with hydration and she was switched to .l dose of levaquin. her thrush was treated effectively with nystatin s+s. her metformin was initially held due to lactic acidosis and she was treated with minimal amounts of ssi. her metformin was then slowly restarted in the hospital. her accuchecks have been stable and acceptable. due to aspiration worries, she had a video swallowing study which showed adequate ability to swallow without aspiration. she does take pills better in pudding, etc. her central line was removed after several days of stability and she was given mild diuresis with iv lasix here to help resolve le edema. upon discharge, her vitals have been stable and she continues to have le edema, but this is improving with diuresis. her asthma was treated with standing nebs of albuterol and atrovent. will send her out with mdi for this with prn nebs as backup. lastly, her mtx was held while in the hospital. she will follow up with rheumatology to determine when to restart this. accordingly, her bactrim and folate were held. given patient's decreased level of functioning, rehab was recommended by pt. she was seen by surgery about her leg wound and they recommended not closing the wound. it would be better to allow it to heal by secondary intention. it is currently draining serosang. fluid, but there is no evidence of infection. will have her pcp/rehab hospital monitor this and change bandages as needed. her atenolol was held during admission and restarted at 1/2 dose upon discharge. medications on admission: prednisone 35 qd premarin .3 qd kcl synthroid 112 mcg qd atenolol 25 mg qd protonix 40 qd genfibrozil lasix 20 qd celexa 20 qd glucophage 500 mtx 2.5 ?? bactrim 1 3x/wk folic acid tylenol 3 senekot colace calcium prenisolone discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. levothyroxine sodium 112 mcg tablet sig: one (1) tablet po qd (once a day). 3. citalopram hydrobromide 20 mg tablet sig: one (1) tablet po qd (once a day). 4. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 5. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po qd (once a day). 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 8. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 15 days. disp:*15 tablet(s)* refills:*0* 9. metformin hcl 500 mg tablet sig: one (1) tablet po twice a day. 10. combivent 103-18 mcg/actuation aerosol sig: two (2) puffs inhalation four times a day. disp:*1 mdi* refills:*2* 11. albuterol 90 mcg/actuation aerosol sig: two (2) puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*1 mdi* refills:*2* 12. atrovent 0.02 % solution sig: one (1) neb inhalation every four (4) hours as needed for shortness of breath or wheezing. 13. lasix 20 mg tablet sig: two (2) tablet po once a day. 14. insulin regular human 100 unit/ml solution sig: as directed units injection asdir (as directed): 0-150: none 151-200:2 units 201-250:4 units 251-300:6 units 301-350:8 units 351-400: 10 units >400: md. 15. prednisone 10 mg tablet sig: 3.5 tablets po qd (once a day). 16. atenolol 25 mg tablet sig: 0.5 tablet po once a day. 17. gemfibrozil 600 mg tablet sig: one (1) tablet po once a day. 18. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation. 19. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. discharge disposition: extended care facility: & rehab center - discharge diagnosis: klebsiella pneumonia with associated sepsis discharge condition: patient was discharged after several days of a stable bp and resolving le edema with no evidence of cellulitis.acute renal failure resolved.tolerating soft mechanical diet.lower extremities currently pain free. discharge instructions: if you experience chest pain, shortness of breath, or increased redness/pain of your legs, please call your doctor or return to the hospital. followup instructions: your pcp will call you with an appointment in the next days. procedure: venous catheterization, not elsewhere classified central venous pressure monitoring arthrocentesis diagnoses: acidosis acute kidney failure, unspecified severe sepsis candidiasis of mouth pulmonary collapse cellulitis and abscess of leg, except foot septic shock other septicemia due to gram-negative organisms pneumonia due to klebsiella pneumoniae 

Answer: The patient is high likely exposed to