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: shortness of breath major surgical or invasive procedure: percutaneous nephrostomy tube placement history of present illness: 80 yo russian-speaking only female presenting with sob with history of severe diastolic heart failure (ef 55%), untreated osa (refuses tx at home), htn, afib, pulmonary hypertension, copd (baseline 5l nc at home), cri baseline 2-2.5. . in the ed, initial vitals were t 97.6 hr 65 bp 140/76 rr 22 oxygen sat 92. she had a chest xray, ct abdomen and was given zofran and vancomycin and zosyn for a uti/pyelonephritis. received 500cc bolus ns. . currently, patient sommnolent but arousable. endorses current sob, denies cp, no abd pain. triggered on the floor for hypoxia. abg showed 7.22/88/51. cxr with pulmonary edema. given lasix and placed on bipap. repeat abg was 7.25/83/54. transferred to the icu for further monitoring. past medical history: #hypertension #diastolic congestive heart failure -estimated dry weight of 94kg -last tte ; lvef >55%; 3+ tricuspid regurg #atrial fibrillation -s/p cardioversion x 2 -previously on amiodarone, discontinued due to paced rhythm during hospitalization in -not anticoagulated due to history of hemorrhagic cva #pulmonary hypertension -rsvp 75 in -thought secondary to longstanding asd #copd -home o2 (5l nc) -baseline saturation high 80's-low 90's on 5l o2 #osa, -nonadherent to cpap therapy microcytic anemia #chronic renal insufficiency -baseline cr 2-2.5 #gerd #atrial septal defect - s/p repair - complicated by sinus arrest - with ppm placement. #hypothyroidism #hx of hemorrhagic cva on coumadin #hx of gallstone pancreatitis s/p ercp, sphincterotomy #frequent hospitalizations -admitted almost monthly since #surgeries -s/p appy -s/p chole () -s/p tah/bso ( for fibroids) social history: lives alone. daughter-in-law visits frequently and helps out around house and c groceries. vna comes once a week to set medications out in a pill box. no tob, etoh, ivdu. family history: non-contributory physical exam: general: nad, sommnolent but arousable heent: no op lesions, mmm eomi neck: supple chest/cv: irregularly irregular, no mrg, unable to assess jvp body habitus lungs: crackles all the way up to top lung fields back/cva,flank: + cva tenderness abd: obese, +bs, soft, ntnd ext: chronic venous stasis changes, erythema bilaterally, 1+ distal pulses neuro: alert, oriented to person skin: chronic venous stasis changes on le pertinent results: admission labs: 08:45pm type-art po2-66* pco2-82* ph-7.26* total co2-39* base xs-6 06:00pm type-art po2-54* pco2-83* ph-7.25* total co2-38* base xs-5 intubated-not intuba comments-bipap 06:00pm lactate-0.9 04:58pm type-art po2-51* pco2-88* ph-7.22* total co2-38* base xs-4 12:45pm urine hours-random 12:45pm urine gr hold-hold 12:45pm urine color-straw appear-clear sp -1.006 12:45pm urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-mod 12:45pm urine rbc-0-2 wbc-* bacteria-mod yeast-none epi-0-2 10:16am comments-green top 10:16am glucose-133* lactate-1.5 na+-141 k+-4.9 cl--91* 10:00am urea n-56* creat-2.1* 10:00am estgfr-using this 10:00am alt(sgpt)-11 ast(sgot)-25 ck(cpk)-51 alk phos-137* tot bili-0.6 dir bili-0.2 indir bil-0.4 10:00am lipase-40 10:00am ctropnt-0.02* 10:00am ck-mb-notdone 10:00am tot prot-7.5 calcium-9.0 phosphate-4.3 magnesium-2.9* 10:00am digoxin-0.2* 10:00am wbc-10.1# rbc-3.97* hgb-11.2* hct-34.4* mcv-87 mch-28.3 mchc-32.7 rdw-15.8* 10:00am neuts-85.2* lymphs-10.0* monos-3.6 eos-0.8 basos-0.4 10:00am plt count-211 10:00am pt-14.3* ptt-28.4 inr(pt)-1.2* . labs at expiration: 03:55am blood wbc-7.9 rbc-3.38* hgb-9.7* hct-29.7* mcv-88 mch-28.8 mchc-32.8 rdw-15.9* plt ct-183 03:58am blood glucose-106* urean-91* creat-2.1* na-143 k-4.8 cl-101 hco3-31 angap-16 08:45pm blood ck-mb-5 ctropnt-0.06* 03:55am blood calcium-8.7 phos-4.4 mg-3.1* . micro data: urine site: not specified top hold # 69086k 6:03pm. **final report ** urine culture (final ): proteus mirabilis. >100,000 organisms/ml.. presumptive identification. sensitivities: mic expressed in mcg/ml _________________________________________________________ proteus mirabilis | ampicillin------------ <=2 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s . imaging: ct abd/pelvis: impression: 1. obstructing 5 x 4 x 10 mm stone within the mid to upper right ureter, with associated hydroureter and hydronephrosis. 2. unchanged appearance of numerous cystic lesions within bilaterally atrophic kidneys. 3. unchanged appearance of 2.4 x 2.6 cm right adrenal nodule, most likely an adenoma given stability, despite intermediate attenuation on current study. 4. unchanged anterolisthesis of l4 on l5. brief hospital course: 80 yo f with hypercarbic respiratory failure fluid overload, copd, osa, acute on chronic dchf, admitted with respiratory failure and acute renal failure secondary to an obstructive renal calculus. her hospital course is as follows: . # hypercarbic respiratory acidosis: her admission abg was 7.22/88/51 on 6l nasal cannula which improved to 7.25/83/54 after 30 minutes of bipap. her symptoms were likely related to her end stage copd as well as her chf, osa, and pulmonary hypertension with cor pulmonale. attempted diuresis was unsuccessful due to her bp and renal failure. she was initially on vanco/zosyn which was changed to cipro for her uti. there was no obvious pulmonary infection. she stabilized with intermittent bipap and 2-6 liters nc. her mentation fluctuated as did her oxygenation, ranging low 80s to low 90s. we continued her bronchodilators. for the rest of her admission she remained cyanotic. upon admission she was lucid and competent to make the decision to be dnr/dni. therefore, we did not intubate her. she finally expired from her hypercarbic and hypoxic respiratory failure, leading to cardiac arrest, on at 12:10 pm. . # acute on chronic diastolic chf: she appeared fluid overload on admission with signs of increased pulmonary congestion. diuresis was attempted with a lasix gtt with no effect. we continued her asa, beta blocker, and statin. however, she may have been intravscular volume dry, though she did not respond to gentle ivf boluses. her repsiratory status eventually deteriorated die to her co-morbidities. there were no signs of cardiac ischemia during her admission. . # hypotension: the patient was 94 systolic on admission, which increase to 120's after 500ml bolus in ed. her bp stabilized thereafter. we held her anti-hypertensives in house. . # obstructing renal calculus: the patient was found to be in arf. ct scan demonstrated an obstructing renal calculus. urine studies were also consistent with a uti. urology and ir were consulted. a nephrostomy tube was placed. her cr cont to rise to 3.5 despite gentle fluid boluses. however, the day before expiration her cr began to improve to baseline. . # uti: with her renal calculus she was found to have a proteus uti. though she was on vanco/zosyn initially, this was changed to cipro to complete a 14 day course before she expired. . # chronic renal failure: baseline 2-2.5. please see above. . # atrial fibrillation: was rate controlled during admission. we continued her digoxin at therapeutic doses, as well as her beta blocker and asa. . # hypothyroidism: continued levothyroxine . # fen: replete lytes prn, npo for now, no ivf given fluid overload status, though will intubate if hypotensive and need boluses . # death: in discussion with the patient, she was made dnr/dni on admission. we spoke regularly with her daughter who agreed with the goals of care and her management plan. on at noon. she was brought back to bed after sitting in a chair. her vital signs were at her baseline at that time. shortly thereafter, she became unresponsive and hypoxemic. she was noted to take 2 gasps. she did not respond to aggressive verbal/painful stimuli, or cranial nerve reflexes. her rhythm became atrial paced. she lost her bp. after 5 minutes no respiratory function, she was pronounced dead at 12:10 pm on . cause of death: respiratory arrest leading to cardiopulmonary arrest. family and pcp were notified. medications on admission: 1. paroxetine hcl 10 mg tablet sig: one (1) tablet po daily 2. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals 3. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: caps inhalation daily 7. gabapentin 300 mg capsule sig: one (1) capsule po q24h 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h as needed. 9. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation 10. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid as needed. 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h as needed. 12. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily 13. metoprolol tartrate 12.5 mg po bid 14. levothyroxine 112 mcg tablet sig: one (1) tablet po daily 15. digoxin 125 mcg tablet sig: one (1) tablet po every other day 16. furosemide 80 mg tablet sig: one (1) tablet po daily discharge medications: expired discharge disposition: expired discharge diagnosis: end stage copd respiratory failure nephrolithiasis cardiopulmonary arrest discharge condition: expired discharge instructions: expired followup instructions: expired procedure: non-invasive mechanical ventilation diagnoses: acidosis urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure chronic kidney disease, unspecified hypoxemia calculus of ureter other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to