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: patient recorded as having no known allergies to drugs attending: chief complaint: fever, lethargy and hypotension major surgical or invasive procedure: suprpubic catheter changed history of present illness: 61 year-old male with a history of obstructing left renal stone, suprapubic catheter (neurogenic bladder s/p cva), numerous utis who presents from day care center with fever, lethargy and hypotension. . in the ed, t 104.8, bp 74/44 hr 110 97%/2l. he recd 2 l of ivf and the sbp came up to 110s but dropped again to 80s. total he recd 8 l of ivf and after placement of rij, was started on neosynephrine. he also recd vanc/ctx/levoflox initially. after noting that his last ucx grew psudomonas which was not susceptible to ctx/levoflox, he recd zosyn x 1. . currently, pt alert but not oriented. follows commands. denies pain, headache, cp/sob/dizzy, abd pain/n/v. past medical history: s/p cva neurogenic bladder s/p suprapubic cath recurrent utis with klebsiella/pseudomonas non-hodgkins marginal zone lymphoma of the left orbit dx in 03 (s/p r-chop x 6 cycles) bells palsy bph hypertension partial bowel obstruction s/p colostomy hepatitis c cryoglobulinemia sle with transverse myelitis, anti-dsdna ab+ insulin dependant diabetic fungal esophagitis stage iv? urinary tract infections-pseudomonas & enterococcus social history: lives in a nursing home since . denies smoking, etoh, drug use. has sister close by () who he is close to. is a jehova's witness and does not agree to blood transfusions. family history: non-contributory physical exam: general appearance: well nourished, no acute distress eyes / conjunctiva: perrl cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: diminished), (left dp pulse: diminished) respiratory / chest: (breath sounds: crackles : ) abdominal: soft, non-tender, bowel sounds present extremities: right: absent, left: absent skin: cool neurologic: attentive, follows simple commands, responds to: verbal stimuli, movement: not assessed, tone: not assessed pertinent results: microbiology: from last admit: ucx negative x2 on ucx : psudomonas and providencia stuartii ucx pseudomonas and non-fermenter, not pseudomonas aeruginosa. suprapubic ucx wth 3,000-5,000 gnr (suggestive of pseudomonas) . studies: cxr: rij in place. l pl effusion unchanged form previous on . ekg: sinus tach. no sig st-t changes. no sg changes from previous 09:33am urine blood-lg nitrite-neg protein->300 glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-7.0 leuk-lg 10:53am lactate-1.3 05:16pm ck-mb-5 ctropnt-0.06* 05:16pm glucose-238* urea n-22* creat-2.3*# sodium-140 potassium-5.0 chloride-110* total co2-20* anion gap-15 05:37pm lactate-1.4 09:24am albumin-3.4 calcium-8.6 09:24am wbc-27.0*# rbc-4.58* hgb-11.8* hct-36.2* mcv-79* mch-25.8* mchc-32.7 rdw-15.5 brief hospital course: 61 y.o. m with h/o obstructing left renal stone, suprapubic cathether neurogenic bladder after cva, and numerous utis (klebsiella and pseudomonas) and hospitalizations for urosepsis, presents from health care center for lethargy, fever, and hypotension, likely secondary to urosepsis. . urosepsis: likely source thought to be uti. he had 2 l ivf on admission that led to resolution of hypotension. pressors were discontinued on hd1. he was initially on vanc and zosyn. has been hemodynamically stable and off pressors since discharge from micu on . ua grossly positive in ed, but ucx with contaminant. however, given his history and no other source, uti is likely source. wbc has been improving and he remains afebrile. he should continue meropenem for 10 days, started . a picc was placed. - picc needs to be removed following antibiotic course. . neurogenic bladder: patient has a nephrostomy tube. replaced by after found to be in ureter. - patient will need follow up in 2 weeks with . they will change tube and request that it not be changed except by them. . acute renal failure: cr 3.6 on admission, 1.3 on transfer and back to normal range prior to discharge. elevation likely secondary to nephrostomy tube in uritor causeing hydronephrosis vs. hydrouretonephrosis or prerenal. no stones seen on ct scan. . diabetes type i: he will continue home dose lantus, lispro. lispro sliding scale for added coverage with qidachs fs. . hyperlipidemia: continue outpatient simvastatin . depression: continue celexa . pain: continue outpatient oxycodone prn . fen: no ivfs / replete lytes prn / diabetic diet . ppx: hsq, ppi, bowel regimen . access: piv . code: full medications on admission: -senna 8.6 -docusate -citalopram 20 mg qd -folic acid 1 mg qd - simvastatin 10 mg qd -multivitamin qd -omeprazole 20 mg qd -gabapentin 300 mg tid -simethicone 80 mg tablet -nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day): for oral thrush. -zolpidem 5 mg qhs -acetaminophen 325 mg -oxycodone 5 mg tablet q4h prn -lantus 18 units subcutaneous at bedtime. -insulin lispro four (4) units subcutaneous tid before meals: also sliding scale. -miconazole nitrate 2 % topical tid -calcium 500+d 500 (1,250)-200 mg-unit tablet sig: one (1) tablet po at bedtime. -iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day): if not ambulating. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. insulin glargine 100 unit/ml solution sig: eighteen (18) u subcutaneous at bedtime. u 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. gabapentin 300 mg capsule sig: one (1) capsule po q24h (every 24 hours). 10. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po q8h (every 8 hours). 12. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 13. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 14. oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for bladder spasm. 15. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 16. meropenem 500 mg recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 6 days: 10 day course from to . 17. zolpidem 5 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 18. insulin lispro 100 unit/ml solution sig: four (4) u subcutaneous three times a day: prior to meals. 19. calcarb 600 with vitamin d 600-400 mg-unit tablet sig: one (1) tablet po at bedtime. discharge disposition: extended care facility: discharge diagnosis: primary: - uti with sepsis - acute renal failure - post-obstructive diuresis secondary: - prior stroke - neurogenic bladder s/p suprapubic cath - recurrent mdr urinary tract infection - upj stone s/p perc. drain c/b perinephric bleed - nhl-marginal zone lymphoma of the left orbit(r-chop x 6 cycles) - bells palsy - hypertension - sigmoid volvulus s/p sigmoid colectomy - bleeding rectal ulcer s/p resection - colostomy - gastric ulcer with partial gastrectomy - hepatitis c - cryoglobulinemia - sle with transverse myelitis - dm i - jehovah's witness, no transfusions discharge condition: stable vital signs discharge instructions: you were admitted with a severe infection likely from your bladder. you were in the intensive care unit for two days. you should continue antibiotics for a total of 10 days to treat this infection. the picc line should be removed once the antibiotics are done. changed your suprapubic catheter. you should follow up with them as an outpatient. they request that they be the ones to change your catherter next. take all of your medications as prescribed. please call your pcp or go to the ed if you have fevers over 102, chills, extensive nausea, vomiting, chest pain, trouble breathing or any other symptoms which are concerning to you. followup instructions: provider: unit phone: date/time: 10:00 provider: ,two date/time: 9:00 provider: west outpatient radiology phone: date/time: 10:30 please follow up with your primary care physician . at . procedure: venous catheterization, not elsewhere classified replacement of cystostomy tube diagnoses: systemic lupus erythematosus urinary tract infection, site not specified chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified unspecified septicemia severe sepsis diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled neurogenic bladder nos marginal zone lymphoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to