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: prochlorperazine / levaquin attending: chief complaint: fevers and nausea and vomiting major surgical or invasive procedure: picc line placement history of present illness: 62 yo f dnr/dni w/pmhx sx for alcoholic cirrhosis and breast cancer who presented to the ed with nausea, vomiting, diarrhea and malaise as well as continued shoulder pain from prior fall. she was given a prescription for a uti recently, but did not fill this. patient was febrile to 102 in the ed, and was hypertensive and tachycardic concerning for alcohol withdrawal, and was given valium 40 mg iv in the ed. patient was admitted to the for alcohol withdrawal and was found to have bacteremia (2/2 bottles gnr) and was started on vancomycin and ceftriaxone, with a positive ua. past medical history: # htn - per omr #recent pansens ecoli uti # long from compazine/cipro combo # cirrhosis etoh and hcv # hypokalemia # h/o rheumatic fever # h/o acute hepatitis a after trip to in # h/o salmonella - while in in # depression - was on prozac and nortriptyline in past # multiple bcc and ak, s/p cryosurgery # s/p excision of r breast nodule : atypical ductal hyperplasia # migraines # childhood illnesses - measles, mumps, chickenpox. # etoh abuse - active currently social history: pt lives alone. never married, no children. retired editor. most of her family is deceased, with the exception of a sister who lives in . she has not spoken to her sister in 5 years. former heavy etoh (until ) and continues to use alcohol. no tobacco family history: lung cancer, rectal cancer. physical exam: vs: 102.8 hr 146 -> 100, 128/75 28 98% 5l gen: asleep but arousable. slightly tremulous, ill appearing. neuro: aao to person, , day, month, but not year. displays repetition and perseveration in questioning. - cn: perrla, eomi, face symmetric, face intact, tongue midline, shoulder nl. toes down bilat, upper strength intact bilat. - pos tremor bilat. neg asterixis - feels "anxious" and displays agitation intermittently. heent: anicteric, mm dry. jvp flat. cards: tachy, reg resp: clear bilat without consolidation or effusion gi: bs+ nt nd soft, no masses, no guarding, no hsm rectal: ob neg, brown stool ext: no edema. has right shoulder tenderness on passive and active abduction pertinent results: lactate 2.1 -> 1.8 141 98 10 ---------------< 160 3.2 29 0.7 mag 1.1 . wbc: 6.4 hct: 34.9 plt: 181 n:76.7 l:20.4 m:2.2 e:0.3 bas:0.4 . cxr: pa and lateral chest compared to : linear opacification in the right lower lung is probably subsegmental atelectasis, more extensive irregular opacification in the left mid lung is new since and could represent bronchopneumonia. the region of more dense consolidation in the infrahilar left lower lobe has cleared and depression of the left hilus has resolved indicating that this was atelectasis. heart size is normal. there is no pleural effusion. the study and the report were reviewed by the staff radiologist. . ua positive . ekg: nsr, na 450. twi iii, avf c/w prior . blood cultures positive for pansensitive e. coli. urine culture growing gram negative rods. brief hospital course: for patient's sepsis, she grew 2 bottles of gram negative rods, one of which speciated to e. coli, which was pansensitive. she had associated leukocytosis, fever, and tachycardia, consistent with sepsis. her ua was positive, and eventually urine culture grew gram negative rods as well. she was treated initially with vancomycin and ceftriaxone. this was narrowed to ceftriaxone alone for which she needs a day course. a picc was placed for antibiotics to be completed at her rehab. serial blood cultures were negative. a renal ultrasound was performed to evaluate for perinephric abscess and this was negative. she was noted to have an infiltrate on cxr consistent with a community acquired pneumonia. she was placed on azithromycin as well for a total five day course to be completed at rehab. patient also had a headache, which improved with motrin and tylenol. she complained of ear pain. her heent and neurological exam was unremarkable. her headache was felt to be secondary to neck spasms, and she was given warm packs. physical therapy evaluated her and felt that she should have physical therapy as an outpatient. patient was felt to be in acute alcohol withdrawal as well. she was given valium, and then switched to lorazepam given her history of liver diseases. she was given a mvi/thiamine/folate, and was evaluated by social work. her ciwa was discontinued one day before discharge. she was pancytopenic, thought to be from marrow suppression from alcohol use. she did not require any blood transfusions. for her alcoholic cirrhosis, she was not encephalopathic during her admission. she was given lactulose. her breast cancer was stable, and will need to be followed up as an outpatient. her code status was made dnr/dni. medications on admission: asa 325 folic acid daily thiamine 100 daily mvi b12 daily potassium daily discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin tablet sig: one (1) cap po daily (daily). 4. cyanocobalamin 500 mcg tablet sig: four (4) tablet po daily (daily). 5. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q6h (every 6 hours) as needed. 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. azithromycin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 days. 10. ceftriaxone-dextrose (iso-osm) 1 gram/50 ml piggyback sig: one (1) gm intravenous q24h (every 24 hours) for 8 days. discharge disposition: extended care facility: - discharge diagnosis: 1. e. coli sepsis 2. pyelonephritis 3. pancytopenia 4. tension headache 5. alcohol withdrawal 6. alcohol use 7. community acquired pneumonia discharge condition: improved from admission. discharge instructions: you were admitted with sepsis from a urine infection as well as a pneumonia. you were treated with iv antibiotics. followup instructions: please follow up with dr. 7-10 days after discharge from your skilled nursing facility. the number to call to make the appointment is . provider: , md phone: date/time: 1:00 provider: , m.d. phone: date/time: 1:15 procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified unspecified essential hypertension chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver septicemia due to escherichia coli [e. coli] alcohol withdrawal acute pyelonephritis without lesion of renal medullary necrosis malignant neoplasm of other specified sites of female breast 

Answer: The patient is high likely exposed to