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: penicillins / sulfa (sulfonamides) / barium sulfate / prednisone / collagen / iv dye, iodine containing / gantrisin attending: chief complaint: chest pain, doe major surgical or invasive procedure: cardiac cath history of present illness: yof with hypertension, hyperlipidemia, prior admissions for pneumonia here with shortness of breath/doe x1 week. patient was in her usual state of health until 1 week ago when her bp was elevated. she went to see dr. who started her on hydralazine. then, starting a few days ago, she began to notice centrally located chest pain as well as dyspnea with minimal exertion (walking from elevator to her apartment) which would normally not be a problem for her. over the last 2 days her chest pain remained with her at rest and with exertion. she had been taking sl ntgs at home w/o significant change in her cp. she denied sob at rest but had persistent dyspnea w/ minimal exertion. today, as her symptoms persisted, she presented to the ed. in the ed, 97.4, 183/72, 83, 20, 100% nrb. on exam, chest pain reproducible and atypical. cxr was unremarkable. however, ecg with lateral st depressions. given ntgx1 with no effect. aspirin given as well as morphine. ecg repeated w/ second set of ces. st depressions then diffuse w/ 2mm std in precordial leads and some elevation in avr. with ecg changes, patient received plavix 600mg, heparin gtt, and nitro gtt. she also received 1 dose of mucomyst w/ expectation of cath. ces negative x2. she became chest pain free in the ed w/ nitro and heparin gtt. upon arrival to the floor, she continues to be chest pain free. on review of systems, she denies any recent fever or chills. she does note some recent wheezing which she attributes to a rug in her apartment. denies any bowel or bladder symptoms. past medical history: # htn # hyperlipidemia # h/o rheumatic fever # gerd # h/o pna requiring steroid taper # thyroid nodules s/p eval in nodule clinic, no fna performed # urinary incontinence # arthritis social history: lives in independent living facility @ . widowed w/ one son. denies tobacco and etoh use. family history: family history is noncontributory. physical exam: vs: t: 98.5, bp: 131/46, hr: 67, rr: 20, o2: 94% on 2lnc gen: elderly female in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple. cannot appreciate jvp. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2.ii/vi <> sys murmur at lusb and holosys murmur at apex. chest: bibasilar crackles, l>r. diffuse end exp wheezes abd: soft, ntnd. no hsm or tenderness. no organomegaly. groin: 2+ femoral pulses. no bruits ext: wwp. no c/c/e. 2+ dp pulses. skin: no stasis dermatitis, ulcers, scars pertinent results: 4:15 pm urine site: clean catch **final report ** urine culture (final ): klebsiella pneumoniae. >100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ klebsiella pneumoniae | ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- 64 i piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s ecg : nsr @ 70. nl axis and intervals. inferior tw flattening w/ < depressions in ii, avf. 1 mm std w/ twi in v5-6. ecg 17:23: nsr@90. nl axis and intervals. twi in lateral leads c/w strain pattern of lvh. 1-2mm st depressions in v4-6. depression in ii. compared to prior , st changes are new. cxr : the cardiomediastinal silhouette is stable. the left cpa is not included in this study. the upper lungs are clear. impression: no evidence of chf or acute cardiopulmonary process. cardiac cath : 1. coronary angiography of this right dominant system revealed severe three vessel disease. the lmca was normal. the lad had 60-70% tubular diffuse disease. the lcx had 80% tubular diffuse disease. the rca had 80% tubular diffuse disease. 2. resting hemodynamics revealed elevated systemic arterial pressures during the case with an sbp of 139 mm hg. 3. left ventriculography was not performed. 4. after the diagnostic procedure, the patient complained of throat and eye itching. she subsequently developed facial erythema plethora with whole body pruritus and developed angioedema of the tongue and had difficulty speaking and breathing consistent with anaphylaxis. arterial pressure rose to 220 mm hg systolic. the patient was given benadryl, iv solumedrol, nitro gtt and ic nitro, albuterol nebulizers, pepcid, 100 mg iv lasix and epinephrine 0.3 mg sc x 1 with close respiratory monitoring. anesthesia was present but intubation was not necessary and the patient was stabilized and transferred to the ccu for closer monitoring. final diagnosis: 1. three vessel coronary artery disease. 2. anaphylaxis to iv contrast. 07:40am blood wbc-10.0 rbc-3.80* hgb-11.6* hct-33.5* mcv-88 mch-30.6 mchc-34.6 rdw-13.3 plt ct-465* 12:20pm blood wbc-11.0 rbc-3.70* hgb-11.1* hct-32.6* mcv-88 mch-30.1 mchc-34.1 rdw-13.1 plt ct-447* 06:52am blood pt-11.9 ptt-24.6 inr(pt)-1.0 07:40am blood glucose-117* urean-48* creat-1.4* na-140 k-4.3 cl-101 hco3-29 angap-14 06:52am blood glucose-110* urean-41* creat-1.2* na-139 k-3.7 cl-99 hco3-30 angap-14 03:34am blood glucose-214* urean-30* creat-1.4* na-139 k-3.7 cl-93* hco3-30 angap-20 10:00pm blood glucose-199* urean-29* creat-1.3* na-138 k-4.0 cl-97 hco3-29 angap-16 06:05am blood glucose-95 urean-27* creat-1.2* na-141 k-4.3 cl-104 hco3-28 angap-13 08:10am blood glucose-95 urean-21* creat-1.0 na-140 k-3.7 cl-101 hco3-26 angap-17 06:40am blood glucose-112* urean-26* creat-1.0 na-141 k-3.9 cl-107 hco3-24 angap-14 12:20pm blood glucose-177* urean-38* creat-1.4* na-143 k-4.3 cl-106 hco3-22 angap-19 06:40am blood ld(ldh)-175 ck(cpk)-36 totbili-0.8 03:34am blood ck-mb-notdone ctropnt-<0.01 06:40am blood ck-mb-notdone ctropnt-<0.01 01:07am blood ck-mb-notdone 07:20pm blood ctropnt-<0.01 12:20pm blood ctropnt-<0.01 07:40am blood mg-2.0 06:52am blood calcium-9.8 phos-3.1# mg-2.3 06:40am blood hapto-241* 03:59pm blood type-art po2-114* pco2-55* ph-7.30* caltco2-28 base xs-0 03:41pm blood glucose-165* lactate-1.3 na-138 k-4.2 brief hospital course: cad: the patient presented with unstable angina, she had st depressions in her l anterior precordial leads which were 2mm depressions and seemed significant. she ruled out for mi. she was started on aspirin, plavix, statin, heparin, and a beta blocker. she underwent a cardiac cathterization which revealed severe calcified 3 vessel disease and no intervention was made. decision was made for medical management. started on toprol 200mg daily, losartan increased to 100mg daily. norvasc 5mg daily continued, asa 325mg daily, plavix 75mg daily, lipitor 80mg daily, hydralazine 25mg po tid. she should continue on these medications as an outpatient. urinary tract infection: pan sensitive klebsiella uti. has had same organism multiple times in the past, simple uti but given elderly and recurrance will treat for 7 days in total with ciprofloxacin. day 1 of treatment was , last day should be . anaphylaxis: the patient had an anaphylactic reaction to contrast dye during her cardiac cath. she began to have pruritis and tongue swelling initially and then shortness of breath as the cathters were pulled out. she was given sc epinephrine, solumedrol, pepcid, benadryl and responded well. she was never intubated and was not hypotensive. symptoms resolved after 12 hours. chronic renal insufficiency: cr. now stable between 1.2 and 1.4, baseline is 1.1. acute on chronic renal insufficiency very likely related to contrast nephropathy. she did receive pre and post cath hydration in addition to mucomyst. medications on admission: inderal 160 mg daily cozaar 50 mg daily aspirin 81 mg daily triamterene/hctz 37.5/25 mg qm/w/f detrol 2 mg daily pravastatin 80 mg daily norvasc 5 mg daily hydralazine 25 mg omeprazole 20 mg daily calcium vit d mvi discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 4. tolterodine 1 mg tablet sig: one (1) tablet po bid (2 times a day). 5. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 6. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 8. hexavitamin tablet sig: one (1) cap po daily (daily). 9. hydralazine 25 mg tablet sig: one (1) tablet po tid (3 times a day). 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days: last dose on for total 7 day course. 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 12. combivent 18-103 mcg/actuation aerosol sig: one (1) inhalation every four (4) hours as needed for shortness of breath or wheezing. 13. losartan 50 mg tablet sig: two (2) tablet po daily (daily). 14. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). discharge disposition: extended care facility: center discharge diagnosis: primary diagnosis: unstable angina urinary tract infection hypertension anaphylaxis to contrast dye discharge condition: stable discharge instructions: you were admitted with chest pain. you were found to have severely narrowed coronary arteries with a decision to medically manage (treat with medications rather than a stent). you should continue to take your medications as prescribed. please call your doctor or return to the emergency room if you have additional chest pain, shortness of breath or any other symptoms that concern you. followup instructions: follow up with dr. ( ( cardiology) within 3 weeks of discharge from the hospital. please follow up with your primary care physician , within 2 weeks of your discharge from the skilled nursing facility. procedure: coronary arteriography using two catheters left heart cardiac catheterization transfusion of packed cells diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases chronic kidney disease, unspecified other and unspecified hyperlipidemia accidents occurring in residential institution diastolic heart failure, unspecified other drugs and medicinal substances causing adverse effects in therapeutic use unspecified pruritic disorder other anaphylactic reaction 

Answer: The patient is high likely exposed to