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: fevers, nausea/vomiting major surgical or invasive procedure: r femoral cvl placement history of present illness: 79 f transfer from for ? cholangitis. pt had intermittent epigastric pain for 2 weeks, nausea/vomiting, fever of 101.8. on presentation, pt had a grossly positive ua, wbc 39, normal lft's. ct abd showed choledochol cyst, b perinephric stranding. the diagnosis of b pyelonephritis, sepsis was entertained. the pt was transiently hypotensive on transfer requiring pressors. past medical history: htn, h/o ulcers, arthritis, asthma, family history: nc physical exam: t 101.8, hr 94, bp 145/45, 98% 6 l nc nad, no jaundice bs at b bases rrr soft, mild distention, + ttp at peri umbilical region no r/g no e/c/c rectal nl tone: guiaic + pertinent results: 05:45pm blood wbc-39.7* rbc-2.86* hgb-8.6* hct-26.0* mcv-91 mch-30.0 mchc-33.0 rdw-14.3 plt ct-313 02:58am blood wbc-33.9* rbc-3.42* hgb-10.3* hct-30.2* mcv-88 mch-30.0 mchc-34.1 rdw-14.8 plt ct-288 02:04pm blood hct-30.6* 05:18am blood wbc-29.7* rbc-3.64* hgb-11.0* hct-31.9* mcv-88 mch-30.2 mchc-34.5 rdw-15.4 plt ct-361 07:40am blood wbc-21.6* rbc-4.00* hgb-12.1 hct-35.3* mcv-88 mch-30.3 mchc-34.4 rdw-15.1 plt ct-474* 07:20am blood wbc-16.1* rbc-4.00* hgb-11.9* hct-34.8* mcv-87 mch-29.8 mchc-34.3 rdw-14.7 plt ct-487* 05:45pm blood neuts-91* bands-0 lymphs-3* monos-6 eos-0 baso-0 atyps-0 metas-0 myelos-0 02:58am blood pt-15.5* ptt-26.6 inr(pt)-1.5 05:18am blood glucose-124* urean-24* creat-1.2* na-137 k-3.4 cl-104 hco3-22 angap-14 04:55pm blood glucose-105 urean-20 creat-1.0 na-137 k-2.7* cl-101 hco3-20* angap-19 04:55pm alt(sgpt)-25 ast(sgot)-34 alk phos-176* amylase-25 tot bili-1.3 04:55pm lipase-18 04:55pm albumin-2.9* 04:57pm lactate-1.4 05:00pm urine color-yellow appear-hazy sp -1.015 05:00pm urine blood-lg nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.5 leuk-neg brief hospital course: on presentation, pt had a grossly positive ua, wbc 39, normal lft's. ct abd showed choledochol cyst, b perinephric stranding. the diagnosis of b pyelonephritis, sepsis was entertained. the pt was transiently hypotensive on transfer requiring dopamine. the pt had a r femoral cvl placed for fluid resusitation. the pt clinically improved over the course of 4 days. she was transferred to the floor the morning of hd 2 in a stable condition on broad coverage antibiotics. antibiotics were narrowed to po levofloxacin. the pt was tolerating a regular diet and ambulating w/ pt. hospital coarse was remarkable for failure to void on hd 3 and foley was repleced for 500cc urine. another voiding trial was made on hd 4. the pt failed to void and had her foley replaced for 550 cc urine. the pt was dc'd with her foley in place. the pt had bp which were labile from 140 systolic to 190's. blood pressure medications were adjusted and to be followed up with her pcp at rehabilitation. the pt's u cx was negative, but she recieved antibiotics at the osh. physical therapy recommended rehab for strengthening. the pt was having diarrhea on hd 4 and cdiff was sent wheich was negative. the pt was dc's to rehab with instructions to follow up with her pcp regarding anti hypertensives. the pt was also instructed to follow up with dr. regarding management of her choledochol cyst. medications on admission: celebrex hctz 12.5' atenolol 100' protonix 40' fosamax lisinopril 5' asa discharge medications: 1. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for t > 101.5. 3. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. citalopram hydrobromide 20 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 7. levofloxacin 500 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 7 days. tablet(s) 8. hydralazine hcl 10 mg iv q6h prn bp > 160 systolic 9. metoclopramide hcl 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 10. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 11. multivitamin capsule sig: one (1) cap po daily (daily). 12. aspirin 81 mg tablet sig: one (1) tablet po once a day. tablet(s) discharge disposition: extended care facility: manor discharge diagnosis: bilateral pyelonephritis discharge condition: stable discharge instructions: please call physician if experiencing fevers/chills, chest pian/shortness of breath, nausea/vomiting. please follow up with pcp regarding hypertension medications. followup instructions: please follow up with pcp in one week. please follow up with dr. ; call the office for an appointment. procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: unspecified essential hypertension unspecified septicemia severe sepsis asthma, unspecified type, unspecified septic shock pyelonephritis, unspecified other anomalies of gallbladder, bile ducts, and liver 

Answer: The patient is high likely exposed to