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: sepsis/arf major surgical or invasive procedure: portacath removal picc line placement history of present illness: this is a 50 year old man with crohn's disease with short gut syndrome on tpn since with >6 episodes of line infection ( staph epi, acinobacter, entroccoccus c/b septic pulmonary emboli) who was admitted on to with hypotension (bp in 70s/40s), t 102.2. he reports that he developed diffuse myalgias, nasal congestion, non-productive cough 4 days prior to admission. he also developed "aching" left lower back pain. on the day of admission, he accessed his left portocath, and ~ 1 hour later, developed shaking chills. . in ed, he received 4l ns and vancomycin/ceftazidime. he was started on a levophed drip and a right subclavian central line was placed. pt was admitted to the micu, where he was volume resuscitated, covered with vancomycin/levofloxacin/ceftazidime. the levophed gtt was titrated off the morning of . . he denies nausea, vomiting, dysuria, hematuria, increased urinary frequency/urgency, abdominal pain, change in ostomy output, bleeding from ostomy, pain at portacath site. no numbness, tingling, or shooting pain down legs. no urinary incontinence. past medical history: 1.crohn's disease. 2.short gut syndrome on tpn 3.recurrent central line infection with mssa, e.coli, acinobacter 4.septic pulmonary emboli 5.bronchiectasis 6.recent rul infiltrates of unclear etiology (followed by dr.) . psh: 1.)proctocolectomy 2.)parathyroidectomy 3.)cholecystectomy social history: works in finance department at . wife is a nurse manager. he's got 2 kids, 18 and 15. he smoked 1ppd for 15-20 yrs, quit 20 yrs ago. no etoh or ivdu. family history: no fhx of cad, cva, or ca. physical exam: tc 99.3, tm 102 (4 p.m. ), pc 65, pr 60s-90s, bpc 101/63. n-1.023 blood-neg nitrite-neg protein-neg glucose-neg ketone-tr bilirub-neg urobiln-neg ph-6.0 leuks-neg hours-random creat-79 na-80 . . catheter tip-iv wound culture-final {klebsiella pneumoniae} . blood culture aerobic bottle-final {stenotrophomonas (xanthomonas) maltophilia}; anaerobic bottle-final . blood culture aerobic bottle-final; anaerobic bottle-final {klebsiella pneumoniae} emergency . blood culture aerobic bottle-final {klebsiella pneumoniae}; anaerobic bottle-final {klebsiella pneumoniae} . radiology abd ct (prelim): small bilateral pleural effusion with atelectasis, rml scarring. no evidence of abscess in liver. soft tissue stranding at the antrum of stomach and duodenum (could be c/w duodenitis). . ruq u/s: minimal intrahepatic ductal prominence. no evidence of cholecystitis . cta: no pe. stable bronchiectasis in rml/lingula . lue u/s (-) dvt brief hospital course: micu course: blood cx grew 3/6 bottles of gnr(speciation pending). given rigors following portacath access, surgery was consulted with a plan to remove left portocath. given elevated tbili, ruq u/s was obtained, which was negative for cholecystitis, although it did show minimal intrahepatic ductal prominence. abd ct showed soft tissue stranding around antrum of stomach and duodenum. currently, he reports that he continues to have "aching" left lower back pain, improved since admission. . briefly, 51 year old man with crohns, shortgut syndrome on tpn who present with klebsiella sepsis. . #.) gnr sepsis: pt was hemodynamically stable on the floor. given time association of clinical deterioration and accessing left portocath, there was concern that portocath could either be the source or be a site of secondary seeding. the other potential source was duodenitis. urinanalysis was not suggestive of urosepsis, and the patient denied symptoms consistent with a urinary tract infection. there was no evidence of new pulmonary emboli on cta. portocath was removed on by surgery given concern for it being the bacterial source or a secondarily seeded site of infection. per surgery, patient should wait a minimum of 2 weeks while on antibiotics before considering getting another port placed. blood cultures grew klebsiella sensitive to levafloxacin and so ceftazidine was switched to levofloxacin for a 4 week course since last positive blood culture (). sedimentation rate was normal while crp was elevated. transthoracic echo was negative for vegetations and transesophageal echo was deferred given likelihood portacath was source of infection. abdominal ct was negative abscess. of note: since discharge, patient has grown stenotrophomonas maltophilia in bottles from that is sensitive to bactrim. unclear if this strain was sensitive to levofloxacin. per documented anti-microbial susceptibilities for isolates of s. maltophilia (<50% of 75 known isolates total at ), 53% are sensitive to levofloxacin and 90% are sensitive to bactrim. however no subsequent blood cultures after had any growth and only klebsiella was isolated from the cultured porta-catheter tip. patient was discharged with a picc line on iv levaquin to complete a 4 week course. . 2) duodenitis: soft tissue stranding on abd ct around antrum and duodenum. could suggest infectious duodenitis vs crohn's flare. patient had a benign abdominal exam and no diarrhea/abdominal pain. gi was consulted and felt there was a low suspicion for flare. patient resumed his outpatient bowel medications and was advised to follow-up with his outpatient gastroenterologist as needed. . 3) tbili elevation: associated with a mild , have been caused by mild shock liver in the setting of hypotension. no evidence of liver abscess on abd ct. indirect bilirubin and haptoglobin were wnl not suggestive of hemolysis. there was no evidence of significant biliary disease on ct. resolved to tuberculosis 1.4 (wnl) by day of discharge. . 4) thrombocytopenia: plt ct 68k. likely related to sepsis. no evidence of dic by coags. thrombocytopenia preceded the initiation of heparin sc. heparin products were discontinued and hit ab was negative. no evidence of bleeding during hospital cours. . 5) right hand swelling: left leni (-) for dvt. review of cta chest with radiology reveals svc is patent. hand was kept elevated. right ue u/s was negative for dvt (given right sc line). . 6) arf: now resolved (cr 1 from 1.8 on admission). likely pre-renal vs mild atn in the setting of sepsis. . 7) f/e/n: low residue diet, tpn, monitor electrolytes and replete as needed in tpn . 8) ppx: pneumoboots, ppi, picc line was placed prior to discharge . 9) dispo: discharged home with picc line iv levaquin . 10) full code medications on admission: coumadin 2 mg 3 x a week - for portocath imodium 2 mg 3 a day dto 10-15 drops x 3 per day b-12 injection once monthly tpn . meds (on transfer) morphine sulfate 2 mg iv q4h:prn acetaminophen 1000 mg po q6h:prn ceftazidime 2 gm iv q12h heparin 5000 unit sc bid vancomycin hcl 1000 mg iv q 12h levofloxacin 500 mg iv q24h order date: @ 0933 discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. loperamide 2 mg capsule sig: one (1) capsule po tid (3 times a day). 4. opium tincture 10 mg/ml tincture sig: 10-15 drops po tid (3 times a day). disp:*1 month* refills:*0* 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*20 tablet(s)* refills:*0* 6. levofloxacin in d5w 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q24h (every 24 hours) for 25 days: until . disp:* mg* refills:*0* 7. heparin lock flush (porcine) 100 unit/ml syringe sig: five (5) ml intravenous sash and prn as needed. disp:*1 month* refills:*5* 8. saline flush 0.9 % syringe sig: five (5) ml injection sash and prn. disp:*1 month* refills:*5* 9. picc line care picc line care per protocol discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: klebsiella sepsis/line infection . secondary diagnosis: crohn's disease. short gut syndrome on tpn discharge condition: good discharge instructions: please take your medications as prescribed. please keep your follow-up appointments. if you have any fevers/chills, abdominal pain, worsening followup instructions: please schedule an appointment to see your primary care physician ( , md) within one week of discharge. please schedule an appointment to see dr. 2-3 weeks from discharge. phone: please schedule an appointment to see your gastroenterologist in months. procedure: venous catheterization, not elsewhere classified incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: thrombocytopenia, unspecified acute kidney failure, unspecified severe sepsis regional enteritis of unspecified site septic shock other septicemia due to gram-negative organisms personal history of venous thrombosis and embolism hypoxemia infection and inflammatory reaction due to other vascular device, implant, and graft dehydration other and unspecified postsurgical nonabsorption 

Answer: The patient is high likely exposed to