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: penicillins / sulfa (sulfonamide antibiotics) / tetracycline hcl attending: chief complaint: postmenopausal bleeding, fever major surgical or invasive procedure: dilation & curettage exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic lymph node dissection history of present illness: 55 yo g0 initially presented to care in the emergency department with pmb. she had a pelvic us and ct abdomen and pelvis which demonstrated a thickened heterogeneous endometrium. her hct was 36. she was felt to be hemodynamically stable and was discharged with close gyn f/u. she returned shortly thereafter with heavier vaginal bleeding, a low grade fever, and low abdominal discomfort. past medical history: ob/gyn: no paps/ pelvic exams, never sexually active, last regular menses ~ age 40-42, pmb started in , heavy since , + pmh: pulmonic stenosis, likely htn psh: sternotomy with repair of pulmonic stenosis social history: no tobacco, alcohol, or illicit substance use. lives alone, has never been sexually active, works at the radiology department at as a transcription coordinator although does not have regular patient contact. family history: f - htn, cad, cll, carcinoid tumor, died 9/02 m - mitral valve regurgitation, s/p valve replacement; chf; ?vaginal cancer mgf, mgm - coronary artery disease physical exam: on admission: physical exam: vitals - t:100.7 bp:153/73 hr:115 rr:16 o2sat:100% r/a general: nad, resting comfortably cv: tachycardic, regular rhythm lungs: ctab abdomen: soft, non-distended, mild lower abdominal ttp, no rebound/guarding pelvic: attempted exam, with one finger had significant discomfort, was unable to palpate cervix/uterus, introitus quite narrow, no active bleeding, moderate amount of blood on exam glove pertinent results: wbc 15.7-> 18.8-> 12.7-> 19.1-> 17.9 hct 36--> 25--> 1units prbc's preop + 3units intraop--> 28-> 32 bcx , , , , , negative ucx , , , negative sputum cx negative culture from endometrial curretings- group b strep c diff : emc pathology: clear cell adenocarcinoma mri 10/ 17: abnormal mucosal enhancement of the vagina, concerning for focal infection. normal appearance of the cervical stroma with no focal mass identified. no large uterine mass evident and no definitive evidence of parametrial extension identified on these limited views of the uterus. bilateral enhancing distended fallopian tubes concerning for pyosalpingitis. indeterminate mesenteric and retroperitoneal lymph nodes. cxr : apparent mild pulmonary congestion, which may be explained by low lung volumes. cxr : new et tube is in standard position. the tip is 3 cm above the carina. right ij catheter tip is at the cavoatrial junction. ng tube tip is in the stomach. there are low lung volumes. left lower lung opacity has increased consistent with worsening atelectasis and/or aspiration. new right upper lobe opacity also is consistent with aspiration pneumonia. there is no evident pneumothorax or enlarging pleural effusions. cxr : bilateral lung volumes are low. bilateral lower lung atelectasis are unchanged. suspicious opacity for pneumonia in the right upper lung on is due to summation of the rib and soft tissue shadows and rotation of patient. heart size, mediastinal and hilar contours are normal. cxr : there is no pulmonary edema. large areas of opacification in the lung bases are almost certainly atelectasis, not pneumonia. lung volumes remain exceedingly low. small bilateral pleural effusions are demonstrated on the lateral view. ct abd/pelvis : small hyperdense nodule in vagina, no apparent fluid collections, small amount of fluid around small bowel beneath incision but no abscess. some stranding/ fluid collection under incision. b/l pleural effusions, sm-mod, +atelectasis brief hospital course: ms. was initially admitted to the gyn service where she was started on gent/clinda for treatment of presumed endometritis. she went to the or for an exam under anesthesia and d&c, please see the operative report for full details. following the procedure she continued to have fevers and thus vancomycin was started after id consultation. the culture taken from the purulent material noted at the time of her d&c was + for group b strep. the pathology was consistent with clear cell adenocarcinoma. her fever curve continued to worsen despite broad spectrum abx and her wbc rose as well and thus the decision was made to proceed to the or for surgical management. shortly following this decision she became tachypnic and was desaturating to the 80's. she was transferred to the icu for close monitoring. there was no evid of pe on cta. her echo was felt to be normal with an lvef of 55% and no valvular lesions identified. her antibiotic coverage was broadened. on she was taken to the operating room for an ex lap, tah, bso, and lnd. please see the operative report for full details. following the surgery, she returned to the icu intubated and on pressors. she was on broad spectrum antibiotics including meropenem, vancomycin, and cipro. she remained on pressors until the following morning when they were successfully weaned. she had to remain intubated for an additional 24 hours due to tachypnea and inability to tolerate sbts. she was successfully extubated the day prior to transfer to the floor. she remained afebrile following her surgery. on pod 3, she developed leukocytosis and bandemia though remained afebrile and asymptomatic. id was reconsulted and suggested po flagyl for empiric coverage of c diff while the ag study was pending. we also obtained a ct of her abdomen and pelvis which did not reveal any evid of intraabdominal abscess. her leukocytosis improved, her antibiotics were narrowed and she was subsequently treated with levo/flagyl. the remainder of her postop course was routine. she was discharged on pod 8 in stable condition. she was ambulating, voiding, tolerating a regular diet. medications on admission: tylenol discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain: do not exceed 4000 mg acetaminophen daily. disp:*50 tablet(s)* refills:*0* 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: inhalation q6h (every 6 hours) as needed for wheezing. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 5. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 6. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 5 days. disp:*16 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: endometrial cancer sepsis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions: * take your medications as prescribed. you will be on antibiotics for 5 more days. * do not drive while taking narcotics. * do not combine narcotic and sedative medications or alcohol * do not take more than 4000mg acetaminophen (apap) in 24 hrs * no strenuous activity until your post-op appointment * nothing in the vagina (no tampons, no douching, no sex), no heavy lifting of objects >10lbs for 6 weeks. * you may eat a regular diet. call your doctor for: * fever > 100.4 * severe abdominal pain * difficulty urinating * vaginal bleeding requiring >1 pad/hr * abnormal vaginal discharge * redness or drainage from incision * nausea/vomiting where you are unable to keep down fluids/food or your medication incision care: * you may shower and allow soapy water to run over incision; no scrubbing of incision. no bath tubs for 6 weeks. * if you have staples, they will be removed at your follow-up visit. to reach medical records to get the records from this hospitalization sent to your doctor at home, call . followup instructions: - provider: / , phone: date/time: 10:30- staple removal - provider: , md phone: date/time: 10:30 md procedure: other removal of both ovaries and tubes at same operative episode excision or destruction of peritoneal tissue biopsy of lymphatic structure removal of impacted feces other dilation and curettage other and unspecified total abdominal hysterectomy microscopic examination of specimen from female genital tract, cell block and papanicolaou smear diagnoses: unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia sepsis pulmonary collapse intestinal infection due to clostridium difficile paralytic ileus obesity, unspecified hypovolemia malignant neoplasm of corpus uteri, except isthmus postmenopausal bleeding acute salpingitis and oophoritis streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group g hematometra acute inflammatory diseases of uterus, except cervix body mass index 27.0-27.9, adult diethylstilbestrol [des] affecting fetus or newborn via placenta or breast milk 

Answer: The patient is high likely exposed to