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: patient recorded as having no known allergies to drugs attending: chief complaint: hypotension major surgical or invasive procedure: none history of present illness: ms. is an 83f who presents to the ed after being found to be hypotensive (80/palp) at the center. a femoral triple lumen central line was placed and the patient received fluid resuscitation and levophed to maintain her cvp and map goals. a ct abdomen and pelvis showed right sided nephrolithiasis with hyronephrosis/ureter with ?superimposed infectious process. cxr showed a rul pna. she was given a dose of ceftriaxone, zosyn, and flagyl for ? pneumonia and pyelonephritis. ck was elevated to 1076, and bnp was elevatd to 1593 . in the ed vital signs were bp= 100/76, hr= 130 in atrial fibrillation, 95% on a 100% face mask with abg 7.24/44/173 at osh. her ekg showed diffuse t wave inversions, she had a leukocytosis to 24.9, a cxr reportedly showed a rul infiltrate, ua was positive. past medical history: 1. afib, on coumadin 2. tach-brady syndrome s/p pacer 3. psoriasis 4. s/p cva x2 ( & ) with residual l hand deficit. 5. hypercholesteremia 6. htn physical exam: general: pleasant, well appearing ..... in nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp= lungs: ctab, good air movement biaterally. abdomen: nabs. soft, nt, nd. no hsm extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation throughout. 5/5 strength throughout. + reflexes, equal bl. normal coordination. gait assessment deferred psych: listens and responds to questions appropriately, pleasant pertinent results: 06:26pm haptoglob-167 06:26pm pt-93.6* ptt-48.2* inr(pt)-12.3* 06:26pm fdp-10-40 06:26pm fibrinoge-633* 02:17pm type- po2-37* pco2-51* ph-7.12* total co2-18* base xs--14 02:17pm lactate-5.2* 02:01pm glucose-117* urea n-52* creat-3.5* sodium-144 potassium-3.8 chloride-111* total co2-15* anion gap-22* 02:01pm ck(cpk)-960* 02:01pm calcium-6.4* phosphate-5.8* magnesium-1.5* 08:42am urine hours-random creat-95 sodium-32 08:42am urine osmolal-331 08:05am glucose-138* urea n-51* creat-3.3* sodium-143 potassium-3.2* chloride-107 total co2-15* anion gap-24* 08:05am ck(cpk)-1021* 08:05am ck-mb-11* mb indx-1.1 ctropnt-0.02* 08:05am calcium-6.4* phosphate-6.0* magnesium-1.5* 08:05am vanco-15.9 08:05am wbc-30.4* rbc-3.59* hgb-11.0* hct-33.9* mcv-94 mch-30.5 mchc-32.3 rdw-14.9 08:05am neuts-78* bands-2 lymphs-0 monos-7 eos-0 basos-0 atyps-0 metas-6* myelos-7* 08:05am hypochrom-1+ anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 08:05am plt smr-very low plt count-59* 02:54am lactate-5.2* 02:45am glucose-113* urea n-50* creat-3.4*# sodium-143 potassium-3.2* chloride-107 total co2-18* anion gap-21* 02:45am estgfr-using this 02:45am alt(sgpt)-27 ast(sgot)-55* ck(cpk)-1169* alk phos-76 tot bili-0.6 02:45am lipase-8 02:45am ctropnt-0.02* 02:45am ck-mb-10 mb indx-0.9 02:45am albumin-3.1* calcium-7.0* phosphate-6.3*# magnesium-1.6 02:45am wbc-24.9*# rbc-3.67* hgb-11.0* hct-33.6* mcv-92# mch-29.9# mchc-32.6 rdw-14.9 02:45am neuts-57 bands-17* lymphs-4* monos-1* eos-0 basos-0 atyps-0 metas-16* myelos-5* 02:45am hypochrom-occasional anisocyt-normal poikilocy-occasional macrocyt-normal microcyt-normal polychrom-normal burr-occasional teardrop-occasional 02:45am plt count-62*# 02:45am pt-38.6* ptt-40.5* inr(pt)-4.2* 02:45am urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 02:45am urine rbc-21-50* wbc->50 bacteria-mod yeast-none epi-0-2 02:45am urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 02:45am urine rbc-21-50* wbc->50 bacteria-mod yeast-none epi-0-2 . cxr portable chest radiograph: left-sided pacer seen with leads projecting over the right atrium and ventricle. nasogastric tube is seen projecting over the stomach, tip incompletely imaged on the study. there is a new focal opacity in the right upper lobe. increased opacity also seen in left perihilar region. cardiac silhouette again appears slightly enlarged. increased interstitial opacities and lines suggest mild pulmonary edema. no large pleural effusions are identified. impression: new focal consolidation in the right upper lobe concerning for pneumonia. interstitial edema. left upper lobe opacity could represent asymmetric edema or multifocal infection. . ct abd/pelvis bilateral pleural effusions and adjacent passive atelectasis is seen. patchy areas of airspace opacity are also identified at the lung bases. this suggests the possibility of aspiration. differential considerations also include infection. clinical correlation is recommended. the adrenal glands, spleen, pancreas, and liver are grossly unremarkable. several gallstones are seen. there is a punctate calcification within the right lobe of the liver suggesting prior granulomatous infection. several left-sided renal stones are again seen, with obstruction of the upper pole collecting system. the stones are slightly more prominent than on the prior study. several right-sided renal calculi are seen. there are several small right ureteral calculi distally measuring up to approximately 3 mm in short axis dimension. there is moderate prominence of the right renal collecting system and ureter. the lack of intravenous contrast precludes the evaluation of pyelonephritis. no gross evidence of a renal abscess identified. there is suggestion of diffuse mild thickening of the colon. this is a nonspecific finding. likely differential considerations include infectious etiologies. clinical correlation is recommended. small fluid is identified within the dependent aspect of the pelvis. the pelvic structures are otherwise grossly unremarkable. no suspicious lytic or blastic bony lesions are identified. impression: 1. bilateral renal calculi. obstruction of the upper pole collecting system on the left and moderate hydronephrosis on the right. right ureteral stones are seen. 2. bilateral pleural effusions and patchy airspace opacities noted at the lung bases. differential considerations do include infectious etiologies and aspiration. 3. cholelithiasis. 4. suggestion of diffuse colonic thickening. brief hospital course: ms. is an 83f presenting with likely septic shock. her hospital course is summarized by problem below. was dnr/dni and then made cmo due to ongoing respiratory distress. her was her hcp. . #. hypotension: patient treated initially with pressors. in the setting of leukocytosis, a positive ua, and bilateral upper lobe infiltrates likely septic shock. possible sources included uti/pyelonephritis and pneumonia. the patient was treated with ceftriaxone, flagyl, zosyn, and vancomycin in the ed. a femoral line was placed for fluid resuscitation and ivf boluses for map >60. patient was treated with neo synephrine given her a.fib. . #. respiratory distress: in the setting of pneumonia and elevated bnp with pulmonary edema on cxr. patient was also in rapid atrial fibrillation. patient was treated with oxygen by nasal canula and face tent. she continued to be in respiratory distress using accessory muscles of respiration and tachypnea. she was made cmo and treated with morphine for respiratory comfort. . #. ?rul infiltrate: treated for hospital acquired pneumonia given patient from rehab. patient passed away from respiratory failure. . #. positive ua: based on past utis, pan sensitive, resistant to cipro. ct performed to r/out obstruction. patient treated with broad spectrum antibiotics. urine culture sent. . #. supra therapeutic inr: hx of atrial fibrillation on coumadin, inr 4.2 on admission. warfarin held. . #. atrial fibrillation with rapid ventricular rate. patient treated for hypotension with fluids and pressors with pure alpha agonism. beta blockers held in setting of sepsis. patient remained in a.fib with rapid rate up to 150s. . #. elevated ck- cardiac isoenzymes negative, no history of trauma. adequately fluid resuscitated. . #. htn. hypotensive in setting of sepsis. beta blockers held. . #. s/p cva. daily asa continued. . patient was dnr/dni then made cmo due to ongoing respiratory distress. patient passed away peacefully. . contact: brother medications on admission: metoprolol 50mg trazodone 25 mg qhs warfarin as directed tacrolimus 0.03% ointment twice weekly under breasts and in groin triamcinolone 0.1% ointment on leg pyrithione zn soap/shampoo clotrimazole 1% cream under breasts and face econazole 1% under breasts and groin hyrocortisone 1% cream to face miralax prn discharge medications: none discharge disposition: expired discharge diagnosis: patient passed away on discharge condition: deceased discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis acute respiratory failure septic shock 

Answer: The patient is high likely exposed to