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: nsaids / sulfa (sulfonamide antibiotics) / zosyn attending: chief complaint: sepsis major surgical or invasive procedure: central line a-line bronchoscopy history of present illness: this is a mr is an 85 year old man, recently discharged from the intensive care unit, with history of prior dvt (now s/p ivc filter), intracranial bleeding, htn, ckd on hd, right lower extremity dry gangrene who presents with hypotension, aspiration, fever. patient transfered from after being found aspirating from tf. became hypoxic to 80%, was suctioned with vomintous removed, placed on 100% nrb with improvement of sats. per ed call in, t 101.8, bp 120/70 at which is actually thought to be elevated from baseline of 80/50. per , he is oriented x 2 at baseline with some ams but was more lethargic after the event. . of note, he has had two complicated admissions this year. his first admission, he had dvt, shd heparin gtt, sezures, embolic stroke, poor mental status, inability to swallow, low bp's, tachycardia, demand ischemia and pad with distal ischemia. he was then discharged to . he was readmitted a month later on for ? pna, with cough and sob, initially tx'ed with vanc and zosyn. he was also found to have a vre uti and was treated with 14 days of linezolid, finished . he also developed a rash and eosinophilia which may have been due to zosyn. he was also in the ccu for hypotension, tachycardia, was breifly on vasopression and amiodarone drip. amiodarone was eventually discontinued. . in the ed: the patient arrived in distress, tachpnic. vitals on arrival: temp 99, hr 115, bp 60/40 97% nrb. bp's ranged from sbp's 60's -100's. hr 130's, then to 100's. when his bp's dropped, he was started on fluids, levophed and had a right femoral line placed; bp now 116/64. the patient was also intubated for tachpnea and airway protection with copious vomitous noted in his airways. he was started on fentanyl and versed for sedation. he was also noted to have loose stool in the rectum. the patient was started on zosyn/vanc/flagyl. vitals on transfer: hr 98, bp 116/74, on cmv fio2 100% past medical history: htn thoracic and abdominal aortic aneurysm h/o transitional cell bladder cancer ckd h/o lumbar laminectomy tertiary hyperparathyroidism bph dvt in the past, s/p ivc filter placement bilateral cataracts s/p removal glaucoma s/p l tkr ? unclear per records pvd ? fem/ bipass social history: formerly worked in family business, now retired. was living independently until hospitalization. more recently lived in . family history: non-contributory. physical exam: general: intubated, sedated heent: + cataracts, dry mmm, no lesions noted in op neck: supple, no jvd chest: left ij, right subclavian hd line pulmonary: lungs with diffuse rhonchi cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, subcutaneous hematoma in rlq extremities: 4+ edema, right foot with dry gangrene in toes as well as a 5 cm patch gangrene on shins skin: no rashes or lesions noted. neurologic: intubated and sedated pertinent results: cxr: 1. bibasilar opacification, with bilateral pleural effusion, which could suggest bibasilar atelectasis, volume overload; however, consolidation cannot be excluded. 2. ett, ng and left ij, and right central venous line in appropriate placement. 3. right picc line with tip terminating in the mid subclavian vein. . kub: nonspecific bowel gas pattern with no evidence of obstruction, bowel wall thickening, pneumatosis or free air. . micro: results returned after pt expired - blood: 3/4 bottles gnr - bal: gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 3+ (5-10 per 1000x field): gram negative rod(s). 1+ (<1 per 1000x field): gram positive rod(s). respiratory culture (final ): oropharyngeal flora absent. due to mixed bacterial types ( >= 3 colony types) an abbreviated workup will be performed appropriate to the isolates recovered from this site. gram negative rod #1. 10,000-100,000 organisms/ml.. gram negative rod #2. 10,000-100,000 organisms/ml.. gram negative rod #3. 10,000-100,000 organisms/ml.. gram negative rod #4. 10,000-100,000 organisms/ml.. . labs: cbc 09:55am blood wbc-37.5*# rbc-2.76* hgb-8.2* hct-27.3* mcv-99* mch-29.6 mchc-29.9*# rdw-21.0* plt ct-315# 01:29pm blood wbc-4.2# rbc-2.76* hgb-8.8* hct-28.7* mcv-104* mch-31.7 mchc-30.6* rdw-22.0* plt ct-272 03:23pm blood wbc-8.4# rbc-2.57* hgb-7.9* hct-26.0* mcv-101* mch-30.6 mchc-30.3* rdw-21.0* plt ct-206 . coags 09:55am blood pt-14.9* ptt-33.5 inr(pt)-1.3* 01:33pm blood pt-14.4* ptt-42.2* inr(pt)-1.3* 03:23pm blood fibrino-320# . chem 10 09:55am blood glucose-113* urean-65* creat-2.5* na-136 k-4.5 cl-95* hco3-26 angap-20 01:29pm blood glucose-115* urean-64* creat-2.4* na-137 k-4.2 cl-98 hco3-24 angap-19 01:29pm blood calcium-8.5 phos-2.9 mg-1.9 03:23pm blood calcium-7.4* phos-2.9 . abg 01:54pm blood type-art po2-70* pco2-79* ph-7.04* caltco2-23 base xs--11 02:40pm blood type-art temp-37.6 rates-30/ tidal v-380 peep-10 fio2-100 po2-65* pco2-68* ph-7.09* caltco2-22 base xs--10 aado2-599 req o2-95 intubat-intubated vent-controlled 05:03pm blood type-art po2-44* pco2-51* ph-7.26* caltco2-24 base xs--4 misc: 09:55am blood alt-15 ast-28 ck(cpk)-77 alkphos-110 totbili-0.2 09:55am blood ck-mb-notdone probnp-* 09:55am blood ctropnt-0.57* 10:00am blood lactate-2.8* 01:46pm blood lactate-4.0* 03:29pm blood lactate-4.8* 05:03pm blood lactate-5.7* 01:46pm blood o2 sat-68 03:29pm blood o2 sat-80 03:29pm blood freeca-1.06* brief hospital course: the patient was admitted with aspiration pneumonia, sepsis and respiratory failure. he was admitted on a ventilator and on levophed. initially, his bp was 90's/40's - not markedly off his baseline. however, soon after admission to the icu, his blood pressures dropped precipitously to 60's/ 40's. lactate started rising. ph fell to low 7.0's. an a-line was placed. bicarbonate drip started. vassopressin and then subsequently phenylephrine were added to levophed. the patient was also given benadryl and famotidine given the question of anaphlyaxis in the setting of possible zosyn allergy. however, the patient was not bronchospastic and did not have hives. he was intially given vancomycin and cefepime. vanc changed to linezolid as prior vre. po vanc added empirically for possible c.diff as pt was having diarrhea and has been on abx recently. . an emergent bronchoscopy was performed, bal obtained and secretions suctioned out. the patient's abdomen was noted to slightly firm but not rigid. a kub showed mildly dilated transverse colon. given the concern for c.diff, rising lactate, ? dilated colon, surgery was consulted for evaluation of megacolon. however, prior to the arrival of surgical consult, the patient's condition deteriorated. the patient required maximum doses of three pressors. was receiving frequent ivf bolusus. albumin was given in an attempt to salvage his blood pressure. sedation was withheld to maximize pt's bp. in addition, peep was decreased. however, with peep the patient's oxygenation deteriorated despite fio2 100%. . the patient's son was at the patient's bedside the entire time. the son indicated that the patient should be dnr, no defibrillation or cpr. it was also decided with the patient's family that surgery was not indicated as the source of sepsis was most likely pulmonary and as surgery would most likely be fatal. per family request, the chaplain came to the patient's bedside to perform last rites. ultimately, the family chose to withdraw care, stop pressors and give morphine for dyspnea. the patient passed away quickly at 9:12pm. after the patient passed away, sputum cx's returne with gnr's and blood cx's returned with 3/4 bottles gnr's, making gnr sepsis from pna the final diagnosis. medications on admission: home medications: latanoprost 0.005 % drops : one (1) drop ophthalmic hs levetiracetam 500 mg aspirin 325 mg tablet : one (1) tablet po daily (daily). timolol maleate 0.5 % drops : one (1) drop ophthalmic simvastatin 80 mg daily folic acid 1 mg tablet : one (1) tablet po daily (daily). omeprazole 20mg daily xenaderm ointment q 12hrs to gangrene heparin (porcine) 5,000 tid oxycodone 5 mg/5 ml solution : five (5) mg po q4h acetaminophen 325 mg tablet : 1-2 tablets po every eight hrs calcium 500 mg tablet tid folic acid 1 mg tablet : one (1) tablet po once a day. fentanyl 75 mcg/hr patch 72 hr one (1) patch transdermal every seventy-two (72) hours. bacitracin ointment citalopram 10mg daily collagenase q 12hr sto sacral sound darbepoetine alfa 200mg q wednesday midodrine 15mg prior to hd sodium bicarbonate 10cc with omperazole discharge disposition: expired discharge diagnosis: sepsis discharge condition: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified acute respiratory failure hypotension, unspecified personal history of venous thrombosis and embolism gangrene gastrostomy status pneumonitis due to other solids and liquids 

Answer: The patient is high likely exposed to