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 attending: chief complaint: somnolence x 1 day major surgical or invasive procedure: picc line placement, central line placement, endotracheal intubation history of present illness: 62 year old male with history of spinal cord injury with resultant quadraplegia and indewlling foley catheter presents with somnolence x 1 day from his nursing home. per nursing home, patient developed a uti with urine culture growing klebsiella sensitive only to ampicillin, imipenem, and gentamicin. he was given 4 doses of gentamicin () but subsequently developed rising creatinine (1.1 -> 2.3). 2 days later, his ua was noted to still be positive and staff found him to be increasingly somnolent with reported fever. bp 80/60. his foley was changed and revealed "pus-like yellowish thick urine." in the ed, sbp 60s-70s with hr 160s. peripheral dopamine was started and switched to levophed once central access established. in the ed, he received 6 l ns, vanc, levo, and flagyl, in addition to iv dexamethasone. the patient was admitted to the icu for continued care. there, he rapidly improved and was transferred to the general medical floor on . past medical history: 1) central cord syndrome following spinal cord injury s/p mechanical fall at home w/ c3-4fx, s/p laminectomy with resulting quadriplegia 2) h/o klebsiella in sputum tx w/ course of levo 3) s/p trach and peg , since discontinued social history: formerly employed as a delivey peson, moved in with parents to care for his ailing father. denies tobacco, etoh, ivda. family history: noncontributory physical exam: admission physical exam: t 97.4 bp 124/67 hr 72 rr 14 o2 100% on ac 600/14/5/100% genrl: intubated, able to respond appropriately to commands, mouthing words heent: perrla, eomi, mmm cv: rrr, normal s1/s2 pulm: cta bilaterally abd: nabs, soft, nt/nd, no masses/hsm extr: no c/c, hands doughy in appearance, 1+ bilaterally neuro: 3-4/5 strength in upper and lower extremities pertinent results: laboratory studies on admission: wbc-36.0 rbc-3.15 hgb-9.9 hct-28.3 mcv-90 mch-31.4 mchc-34.9 rdw-14.2 neuts-90 bands-5 lymphs-3 monos-2 plt count-352 albumin-2.9 calcium-8.9 phosphate-3.3 magnesium-2.0 glucose-122 urea n-47 creat-2.4 sodium-130 potassium-6.5 chloride-92 total co2-25 alt(sgpt)-30 ast(sgot)-33 alk phos-119* amylase-60 tot bili-0.4 lipase-15 u/a: blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-mod lactate-4.2 radiology: renal ultrasound : the right kidney measures 12.0 cm. the left kidney measures 10.5 cm. there are no stones or hydronephrosis bilaterally. there are no perinephric fluid collections. air is seen within the bladder, likely secondary to the visualized foley catheter. impression: no stones or hydronephrosis. micro: blood cultures: with 2 species of e. coli escherichia coli | escherichia coli | | ampicillin------------ =>32 r =>32 r ampicillin/sulbactam-- 16 i 8 s cefazolin------------- <=4 s <=4 s cefepime-------------- <=1 s <=1 s ceftazidime----------- <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s cefuroxime------------ 2 s <=1 s ciprofloxacin---------<=0.25 s <=0.25 s gentamicin------------ <=1 s <=1 s imipenem-------------- <=1 s <=1 s levofloxacin----------<=0.25 s <=0.25 s meropenem-------------<=0.25 s <=0.25 s piperacillin/tazo----- <=4 s <=4 s tobramycin------------ <=1 s <=1 s trimethoprim/sulfa---- <=1 s <=1 s brief hospital course: 67 year old quadriplegic male with indwelling foley presents with urosepsis (e. coli bacteremia) brief hospital course: 1) urosepsis: the patient had blood culture bottles growing 2 species of e. coli on (both sensitive to levofloxacin). the most likely source of infection is urinary (given indwelling catheter), given positive urinalysis. cxr was without infiltrate. he was rapidly weaned of pressors in the intensive care unit and volume resuscitated, allowing for transfer to the general medical floor on . he was initially covered broadly with vanco/levo/gentamicin while in the icu, which, following transfer to the general floor, was changed to levofloxacin and gentamicin. he will continue levofloxacin to complete a 14 day course from the first negative blood culture. by the time of discharge, he had completed a 7 day course of gentamicin (given incompletely treated initial klebsiella uti from ). 2) respiratory failure: the patient was intubated in the emergency for airway protection (given somnelence) and hypoxia. cxr showed only mild pulmonary edema, and, following treatment with antibiotics, the patient's mental and respiratory status improved to the point where he was able to be extubated without difficulty . at time of discharge, his respiratory status is stable on room air. 3) anemia: given drop in hematocrit to 23 on (thought to be secondary to hemodilution in the setting of volume resuscitation superimposed on anemia of chronic disease), the patient received 2 units of prbc. at time of discharge, hematocrit stable in the mid 30s. his stool was occult blood negative, and iron studies were consistent with anemia of chronic disease. vitamin b12 and folate were normal/high 4) bilateral gluteal decubitus ulcers: the patient was maintained on air manage with aggressive wound care. 5) quadriplegia: the patient was continued on home dose of baclofen, along with physical therapy. 6) full code medications on admission: lovenox 40 mg sq qd baclofen peridex ultram dulcolax prilosec discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. baclofen 10 mg tablet sig: 0.5 tablet po tid (3 times a day). 4. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 5. lovenox 40 mg/0.4 ml syringe sig: one (1) injection subcutaneous once a day. 6. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day): to scrotal area until resolved. 7. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 8. levofloxacin 250 mg tablet sig: one (1) tablet po once a day for 9 days. discharge disposition: extended care facility: healthcare discharge diagnosis: urosepsis bilateral gluteal sacral decubitus ulcers discharge condition: good, afebrile, vss discharge instructions: please call your doctor or go to the emergency room for temperature > 101, worsening mental status, or other concerning symptoms. followup instructions: 1) primary care: as you do not have a primary care physician, appointment has been made for you at () tuesday with dr. 2 p.m. 2) orthopedics provider: , md phone: date/time: 11:30 a.m. provider: xray (scc 2) phone: date/time: 11:10 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube infusion of vasopressor agent diagnoses: hyperpotassemia anemia of other chronic disease urinary tract infection, site not specified severe sepsis acute respiratory failure septic shock pressure ulcer, lower back septicemia due to escherichia coli [e. coli] quadriplegia, unspecified infection and inflammatory reaction due to indwelling urinary catheter late effect of spinal cord injury late effects of accidental fall 

Answer: The patient is high likely exposed to