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 68-year-old female with a significant past medical history of recurrent uti and cellulitis, paroxysmal atrial fibrillation, hypertension, diabetes type ii, who presents with fever, hypotension. the patient presented to ambulatory surgery for cataract surgery and was noted to be hypotensive with standing (sbp 70s) and was subsequently sent to the ed. the patient reports a temperature of 100.6 degrees and chills yesterday at home. notes urinary frequency, incontinence, urgency 2 days prior to admission, but denies dysuria or foul smell to urine. also reports significant fatigue with feeling of unsteadiness when upright, but denies frank lightheadedness or dizziness. decreased p.o. yesterday and n.p.o. after midnight. she reports decreased urine output. denies headache, nausea, vomiting, abdominal pain, uri symptoms, diarrhea, constipation, hematuria, chest pain or shortness of breath. in the emergency room, initial blood pressure in the 80s, increased to 90 to 100 after 1 liter normal saline, received levofloxacin 250 mg iv x1. past medical history: history of recurrent utis. she had an episodes of urosepsis in . paroxysmal atrial fibrillation. ef 60 to 65 percent with trace mr. hypertension, range 120-140s. history of pyelonephritis and nephrolithiasis. status post appendectomy. hypothyroid. dyslipidemia. diabetes mellitus, type 2, diet controlled. primary biliary cirrhosis. history of cellulitis. recent admit in , for which she received dicloxacillin for 10 days. medications: 1. advicor 500/20 p.o. q.d. 2. atenolol 100 mg q.d. 3. lasix 20 mg q.d. 4. levothyroxine 112 mcg q.d. 5. vitamin b12. 6. vitamin b6. 7. vitamin e. 8. detrol 2 mg q.d. 9. avapro 37.5 mg q.d. 10. warfarin 7 mg q.h.s. allergies: sulfa, question bactrim. social history: the patient is a former nurse . no tobacco and occasional etoh. married and lives with husband. family history: noncontributory. physical examination: blood pressure supine 118/50, heart rate 88, on standing blood pressure 94/48 with heart rate 125, breathing 19, saturating 97 percent on room air. general: the patient appears comfortable and nontoxic. heent: oropharynx clear, anicteric. surgical pupil on right. neck: no lymphadenopathy, supple. cardiovascular: regular rate and rhythm with frequent premature beats. lungs: slight crackles at right base, otherwise clear to auscultation bilaterally. no cva tenderness. abdomen: positive bowel sounds. soft, obese, and nontender. extremities: 1 plus ankle and pedal edema. mild erythema and excoriation on the left lower extremity. neuro: alert and oriented x3. cranial nerves ii through xii are intact. laboratory data: white count 25.2 with 72 percent neutrophils, 16 percent bands, 6 lymphocytes, hematocrit 30.9, platelets not available secondary to clumping, and inr 2.2. chem-7, sodium 136, potassium 5.0, chloride 102, bicarbonate 24, bun 57, and creatinine 2.8. baseline creatinine noted to be 1.0 and lactate 1.9. ua, small blood, positive nitrate, 30 protein, negative glucose, negative ketones, small bilirubin, moderate leukocyte esterase, no rbcs, greater than 50 wbcs, many bacteria, 3 to 5 epithelial cells. radiographic studies: chest x-ray, stable cardiomegaly, no acute cardiopulmonary disease. ekg, atrial fibrillation with normal axes and intervals. no q-waves, no st-t wave changes. telemetry revealed sinus rhythm with frequent pacs. hospital course: the patient is a 68-year-old female with a history of paroxysmal atrial fibrillation, hypertension, diabetes mellitus, type 2, initially admitted with uti, acute renal failure, and hypotension. the patient subsequently underwent laser lithotripsy and left ureteral stent placement secondary to an obstructive ureteral stone. the procedure was complicated by bacteremia/sepsis necessitating a brief micu stay for aggressive iv fluid hydration and a diltiazem drip for her atrial fibrillation with rapid ventricular response. sepsis. the patient had initially urine culture positive for e. coli, which was pansensitive. a repeat urine culture, revealed no growth today. blood cultures also revealed no growth today. the patient was initially being treated with levofloxacin, however, this was changed to ceftriaxone as the patient postprocedure became significantly supratherapeutic in her inr. prior to discharge, her ceftriaxone was changed to oral cefpodoxime to complete a 14 course from the time of her gu procedure. acute renal failure. the patient's creatinine improved and she had brisk urine output at the time of her discharge. etiology felt likely to be prerenal from her hypotension. her and lasix were held throughout her stay. coagulopathy. the patient developed a significant coagulopathy with a peak inr of 11, which necessitated correction with vitamin k. the patient had no bleeding complications. etiology of her coagulopathy was likely multifactorial and felt to be related to delayed effect of levofloxacin altering her coumadin metabolism in addition to an inflammatory response/dic related to her postprocedural sepsis. prior to discharge, she was restarted on coumadin and had been maintained on a heparin drip while in the icu, which was continued until the time of her discharge. she received 2 units of packed red blood cells for her anemia. paroxysmal atrial fibrillation. the patient initially was in paroxysmal atrial fibrillation with difficult rate control. she converted back to normal sinus rhythm during her icu stay after aggressive iv fluid resuscitation and diltiazem drip. she had repeat episodes of chest pressure in association with her tachycardia. however, this was not subjectively related to unstable angina or acute coronary syndrome, and therefore, decision was made to pursue outpatient stress test once the patient had a chance to recover from her acute illness. her lopressor was titrated for improved blood pressure control. she had a tte, which revealed a preserved ef, mildly dilated atria, and no significant change from . nephrolithiasis: complicated by hydroureter and hydronephrosis. therefore, the patient underwent laser lithotripsy and stent placement. this procedure was complicated by sepsis as previously noted. the patient was to undergo stent removal in 2 weeks per the gu service. oral lesions. the patient had suspected oral lesions felt to be herpes simplex in the setting of sepsis and resultant immunosuppression. acyclovir was not initiated during her hospital stay, but rather bactroban was used to prevent secondary infection. disposition. the patient was evaluated by physical therapy and felt to be safe for discharge to home. discharge condition: the patient is in stable condition, afebrile, well appearing, ambulating without difficulty. discharge status: the patient was discharged to home. final diagnoses: urinary tract infection. dehydration. acute renal failure. nephrolithiasis. atrial fibrillation. the patient sent home with of hearts. herpes. thrombocytopenia. normocytic anemia. sepsis. coagulopathy. discharge medications: 1. advicor 500/20 mg tablet, 1 p.o. q.d. 2. levothyroxine 112 mcg 1 p.o. q.d. 3. warfarin 5 mg p.o. q.h.s. 4. b12 100 mcg p.o. q.d. 5. vitamin e 400 units p.o. q.d. 6. vitamin b6 100 mg p.o. q.d. 7. folic acid 1 mg p.o. q.d. 8. tolterodine 2 mg p.o. q.d. 9. phenazopyridine 100 mg p.o. t.i.d. for 2 days. 10. metoprolol 100 mg p.o. t.i.d. 11. cefpodoxime 200 mg p.o. q.12 h. for 10 days. 12. avapro 37.5 mg p.o. q.d. 13. aspirin 81 mg p.o. q.d. 14. percocet p.r.n. follow-up: the patient was instructed to call her pcp to schedule appropriate follow up. the patient had a follow up appointment with dr. of cardiology within 3 weeks of discharge. the patient had follow up with urologist dr. , . , procedure: ureteral catheterization transurethral removal of obstruction from ureter and renal pelvis ureteroscopy diagnoses: thrombocytopenia, unspecified anemia, unspecified urinary tract infection, site not specified acute kidney failure, unspecified atrial fibrillation hydronephrosis calculus of ureter 

Answer: The patient is high likely exposed to