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: history of present illness: the patient is a 63 year old white female with a history of bipolar disorder, sexual abuse, borderline hypertension, atypical chest pain and hypercholesterolemia, who was admitted to the hospital on , with complaints by sister of mental status changes and confusion. the patient had recently undergone medications changes; topamax was increased to 200 and trazodone was started. her symptoms were initially attributed to her medicines. three days prior to admission, she was noticed to have increased somnolence, fatigue, incoherent speech, disorientation, unsteady gait, as well as decreased appetite. due to her symptoms, she had fallen three days ago but without apparent ill-effect. the patient denied nausea, vomiting, diarrhea, cough, dysuria. upon surgical consultation, the patient revealed a three day history of nausea, vomiting, and cramping abdominal pain. physical examination: temperature was 102.0 f., blood pressure 145/90; heart rate was 120; respiratory rate 20, o2 saturation was 94% on room air. the patient was ill appearing, lethargic but arousable. regular rate and rhythm; no murmurs, rubs or gallops. lungs showed decreased breath sounds at bilateral bases. abdomen was soft, nontender, nondistended, no edema. no focal deficits on neurological examination. laboratory: white blood cell count 22,900, bands 5, neucleocytes 79, lymphocytes 8, hematocrit 38.8. sodium 134, potassium 3.7, bun 19, creatinine 0.9. urinalysis is 6 to 10 white blood cells, few bacteria, zero to 2 epithelial cells. serum toxicology was negative. chest x-ray was normal. ekg sinus rhythm wave inversion in v1 through v6. hospital course: the patient was put on levaquin prophylactically for possible urinary tract infection. the same day, the patient was re-evaluated and was found to have mild to moderate diffuse abdominal tenderness which later localized to her right lower quadrant. her antibiotic coverage changed to ceftriaxone and flagyl. a lumbar puncture was performed at that time which was negative. the patient underwent a ct scan of the abdomen and pelvis on day one which demonstrated circumferential thickening with surrounding inflammatory changes of the terminal ileum suggesting acute ileitis and partial small bowel obstruction. the appendix was unremarkable at the time. gi was consulted and felt that terminal ileitis was more likely due to infection than ibd or ischemia. the patient was put on levofloxacin and flagyl. ng tube was placed and surgical consult was made. the patient refused the ng tube. her white blood cell count fluctuated between 13 and 20. abdominal pain, nausea and vomiting resolved, however the diarrhea was persistent. all stool cultures were negative. on hospital day five, the patient complained of increasing shortness of breath, wheezing, with crackles on examination. wheezes were unresponsive to nebulizer treatment. chest x-ray revealed no evidence of congestive heart failure. it revealed a distended thoracic esophagus, marked gastric distention with pleural effusions, right greater than left which are new. a ct angiogram was performed to rule out pulmonary embolism. a kub was obtained which again showed an unresolved small bowel obstruction. an ng tube was later passed that day which resolved her wheezing, probably due to esophagus distention and compression of her trachea. she became hypotensive in the 80s. she responded to fluids, but her respiratory status was tenuous. she was transferred to the medical intensive care unit for concern of respiratory fatigue and more intensive management. a gte demonstrated hyperdynamic ejection fraction of 75%. a thoracentesis removed 500 cc of fluid in the right lung, which was not infected. cytology later demonstrated no malignancy. a repeat ct scan on , showed multiple small loculated collections in the pelvis, not amenable to ct guided drainage. there was a small air fluid collection in the right hemipelvis. there were multiple distended small bowel loops, bilateral basilar atelectasis and pleural effusions. on hospital day seven, she was sent back to the floor. on hospital day 12, a repeat ct scan was done which showed ruptured appendicitis. the patient was hypotensive overnight requiring two liters of intravenous fluids. surgery was consulted on hospital day 12. on , the patient was taken to the operating room by the surgical team, dr. and dr. . please see operative note for further details. an appendectomy and fecaliths were sent to pathology. they found right lower quadrant phlegmon, abscessed cavities, and the perforated appendix. the procedure went without complications. postoperatively, the hospital stay was unremarkable. the patient was put on zosyn, however, due to a rash the patient was switched to levofloxacin and flagyl. on , the ng tube was removed. she was started on sips and tolerated well on . she experienced flatus and was kept on sips and on , she was started on clears, a pureed regular diet. tpn was no longer needed. she had used tpn throughout most of her hospital stay. physical therapy was consulted due to limited mobility and patient's family requesting rehabilitation. the patient was discharged to rehabilitation on: discharge medications: 1. depakote for mood stabilizer, 250 mg p.o. q. h.s. 2. zantac 150 mg p.o. twice a day. 3. miconazole powder to perineum p.r.n. 4. levofloxacin 500 mg p.o. q. day. 5. flagyl 500 mg p.o. q. eight. 6. atenolol 25 mg p.o. q. day. 7. benadryl 25 to 50 mg p.o. q. h.s. p.r.n. 8. percocet one to two tablets p.o. q. four to six p.r.n. for pain. discharge diagnoses: the patient is status post appendectomy for perforated appendicitis, initially hospitalized for a terminal ileitis. she has a history of bipolar disorder. allergies: her allergies include lithium, seroquel, mao inhibitors, sulfa drugs. condition on discharge: she is in stable condition. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances thoracentesis other appendectomy diagnoses: acidosis pure hypercholesterolemia unspecified pleural effusion other and unspecified coagulation defects bipolar i disorder, most recent episode (or current) unspecified unspecified intestinal obstruction regional enteritis of small intestine acute appendicitis with generalized peritonitis 

Answer: The patient is high likely exposed to