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: mental status change; hypotension major surgical or invasive procedure: none history of present illness: ms. is an 80 year-old woman with a history of cad and neurogenic bladder requiring suprapubic catheter who presents with change in mental status and hypotension. in speaking with nurse , patient was in her usual state of health yesterdy though constipated requiring a suppository (reportedly with good effect). on the morning of admission, noted by staff to be altered, "throwing her arms all over" and saying "help, help, help" with some complaints of back/abdominal pain. the md was notified and the patient was sent to the ed for evaluation. ems vitals included rr of 28 with sbp>110. . in the ed, initial t 98.1, bp 153/129, hr 100, rr 24, unable to get o2 sat. bp trended down to as low as 85/43 with hr in the 90s. t as high as 100.6. rr increased to 30s with o2 sat in 90s on nrb. was given ~5 liters. also given vanco 1g iv, zosyn 4.5mg iv and was started on levofed. . of note, suprabupic catheter was last changed on . was supposed to be changed on but didn't go because of weather. past medical history: 1. coronary artery disease - s/p inferior mi in with pci with bms to rca - s/p pci () for instent restosis 2. multiple sclerosis - wheelchair bound - neurogenic bladder with suprapubic catheter - changed qmonth 3. diastolic dysfunction 4. peripheral vascular disease with history of rle ulcers 5. osteoporosis 6. depression 7. history of left tib/fib fracture s/p external fixation () 8. history of right hip fracture, status post open reduction and internal fixation () 9. history of multiple falls 10. history of sacral decub ulcer, complicated by osteomyelitis in social history: previously smoked 2ppd tobacco x several years; quit >15 years ago. history of alcohol abuse, but no alcohol for > 50 years. currently lives at of . family history: non contributory physical exam: vitals: t 95.6, bp 91/25, hr 97, o2 98% on nrb gen: lying on left side, in mild distress complaining of back pain. bear-hugger on. heent: pupils 4mm->3mm and sluggish. cv: borderline tachycardic; no obvious murmur. pulm: diffiult to hear breath sounds though no obvious crackles. abd: distended and tympanic; mildly ttp ext: warm in ue and cool in le. no edema. back: no spinal tenderness or cva; sacrum skin intact. neuro: alert but not oriented (won't answer when asked her name). moving upper extremeties but no lower. pertinent results: 11:00am wbc-40.2*# rbc-3.77* hgb-10.7* hct-35.2* mcv-94 mch-28.4 mchc-30.4* rdw-15.6* 11:00am neuts-71* bands-8* lymphs-7* monos-12* eos-0 basos-1 atyps-0 metas-1* myelos-0 11:00am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 11:00am ctropnt-0.04* 11:00am lipase-25 11:00am alt(sgpt)-12 ast(sgot)-31 ck(cpk)-40 alk phos-77 amylase-276* tot bili-1.3 11:00am glucose-144* urea n-60* creat-1.7*# sodium-138 potassium-5.4* chloride-105 total co2-13* anion gap-25* 11:06am lactate-8.0* 04:32pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-neg urobilngn-1 ph-9.0* leuk-mod 04:32pm urine rbc-0-2 wbc-21-50* bacteria-many yeast-none epi- 08:12pm lactate-8.9* 08:12pm type-central ve temp-38.9 po2-49* pco2-39 ph-6.98* total co2-10* base xs--24 intubated-not intuba comments-100.1 axil 11:00pm lactate-10.6* 11:00pm type-central ve po2-37* pco2-66* ph-6.87* total co2-13* base xs--25 brief hospital course: medical icu course: the patient was admitted with septic shock, likely due to urosepsis or perforated abdominal viscus. she received early-goal directed therapy with 6l ivf and was placed on pressors for a few hours. abdominal ct showed significant fecal overload, and manual disimpaction was attempted. initially her lactate responded well to ivf, however she became increasingly acidotic with hypotension and bradycardia. per her advanced directive, she was not intubated, and she expired. medications on admission: 1. furosemide - 20 mg three times weekly 2. lisinopril - 5 mg daily 3. nitroglycerin - 0.3 mg sl prn 4. simvastatin - 80 mg daily 5. baclofen - 15 mg qid 6. mirtazapine - 30 mg qhs 7. quetiapine - 50 mg qhs 8. risedronate - 35 mg weekly 9. tramadol - 25 mg q6h prn 10. zolpidem - 5 mg qhs 11. omeprazole - 20 mg 12. acetaminophen - prn 13. ascorbic acid 14. calcium carbonate-vitamin d3 - 600 mg (1,500 mg)-200 unit 15. docusate - 100 mg 16. milk of magnesia prn 17. juven - 1 packet daily 18. sennosides - 8.6 mg qhs 19. fleet enema - weekly discharge medications: none discharge disposition: expired discharge diagnosis: septic shock secondary to probable perforated viscus complicated by severe constipation discharge condition: expired discharge instructions: none followup instructions: noen procedure: venous catheterization, not elsewhere classified diagnoses: acidosis anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified unspecified septicemia severe sepsis peripheral vascular disease, unspecified depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status osteoporosis, unspecified septic shock old myocardial infarction multiple sclerosis volume depletion, unspecified history of fall other artificial opening of urinary tract status personal history, urinary (tract) infection neurogenic bladder nos other impaction of intestine 

Answer: The patient is high likely exposed to