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: ms. is a 75-year-old female who presented to the emergency department complaining of passing feces in her urine for the past two and a half weeks. the patient had previously seen a physician concerning this problem and had received a ct scan on that showed air in the bladder with thickening of the right wall and fat stranding. the patient had been further studied with a colonoscopy notable for extensive diverticulosis. the patient had been initiated on antibiotics in an attempt to treat her colovesical fistula. she currently complained of intermittent diarrhea. she denied any nausea, vomiting, pain, fevers, chills, chest pain or shortness of breath. past medical history: 1. hypertension. 2. peptic ulcer disease times ten years. 3. breast cancer, status post radiation therapy. 4. primary biliary cirrhosis. 5. colonic polyps ten years ago. past surgical history: 1. status post cesarean section times three. 2. status post breast needle localization in spring of . 3. status post lumpectomy for breast cancer in . 4. status post repeat lumpectomy in . 5. status post right shoulder arthroscopic surgery. medications on admission: 1. allopurinol 100 mg p.o. q.d. 2. hydrochlorothiazide 25 mg p.o. q.d. 3. atenolol 25 mg p.o. q.d. 4. lipitor 20 mg p.o. q.d. 5. actigall 300 mg p.o. q.i.d. 6. levaquin p.o. 7. pyridium 200 mg p.o. q.i.d. allergies: the patient was allergic to erythromycin, aspirin and colchicine. physical examination: on physical examination, the patient was noted to be a well nourished female in no acute distress. her temperature was 98.4??????f. she had a pulse of 68, a blood pressure of 122/52, a respiratory rate of 18 and an oxygen saturation that was noted to be 90%. on heent examination, the head was normocephalic and atraumatic. the heart had a regular rate and rhythm. the lungs were clear to auscultation bilaterally. the abdomen was soft. upon rectal examination, the patient was noted to be guaiac negative. she did have stool in the vault. she was noted to be tender in her perineum. the extremities had 2+ dorsalis pedis pulses bilaterally. laboratory data: the patient had a white blood cell count of 12,300, hematocrit of 29.5 and platelet count of 436,000. there was a sodium of 140, potassium of 3.0, chloride of 98, bicarbonate of 25, bun of 24, creatinine of 1.0 and glucose of 89. calcium was 9.2. magnesium was 1.3. phosphate was 2.8. albumin was 3.5. urinalysis revealed a specific gravity of 1.019 with a ph of 5.0. the dipstick was notable for large amounts of blood and was positive for nitrates, moderate bilirubin and 4.0 urobilinogen. on microscopic examination, the urine revealed 31 red blood cells, 580 white blood cells, many bacteria, no yeast and less than 1 epithelial cell. a urine culture of this was found to grow out mixed bacterial flora of greater than three colonies. hospital course: the patient was admitted to the general surgery service. intravenous antibiotic therapy was initiated with ceftriaxone and flagyl. the patient's electrolyte abnormalities were repleted. on hospital day #2, the patient started developing profuse diarrhea and was screened for a bacterial infection with clostridium difficile. these assays turned out to be negative. over the ensuing six days of hospitalization, the patient was continued on intravenous antibiotic therapy. during this time, she also developed a rash of her perineum, consisting with cutaneous fungal infection. this was worsened by the patient's self-administration of hydrocortisone, which was brought to her by a friend from the outside. the patient was advised to discontinue the hydrocortisone and was instead started on miconazole powder with instructions to the nurses for good perineal care. on , day #6 of the patient's hospitalization, she was bowel prepped for surgery with a neomycin base, flagyl by mouth, fleet's phospho-soda, dulcolax and a fleet's enema until cleared. on , the patient was taken to the operating room for repair of her colovesical fistula. she received a sigmoid colectomy with a hartmann's , end-colostomy and a bladder repair. the primary surgeon for this case was dr. ; however, the bladder repair was performed by dr. of the urology service. intraoperatively, it was noted that the patient did have some runs of sinus tachycardia of unknown origin. on the evening of postoperative day #0, the house staff was called to the patient's bedside for tachycardia and hypotension. the patient was noted to have a pulse in the 130 to 140 range. on 12 lead electrocardiogram, it was unclear whether or not this was atrial fibrillation or sinus tachycardia, as there were no p wave but the rhythm was extremely regular. in addition, the patient's blood pressure was approximately 94/60. the patient was given multiple fluid boluses of normal saline, after which her blood pressure diminished to 78/40. at this time, it was suspicious that the patient might be having a cardiac event and she was transferred to the surgical intensive care unit for further management. further workup revealed that she had been under-resuscitated and was also experiencing a major electrolyte abnormality. her magnesium upon arrival in the surgical intensive care unit was 0.6 and her potassium was 3.5. it was presumed that she had these major electrolyte losses during the diarrheal illness that she had leading up to surgery. this was despite the repletion that she had received during those days. in the surgical intensive care unit, the patient was ruled out for a myocardial infarction with serial enzyme studies. her electrolytes were repleted. on , she was transfused with two units of packed red blood cells for a hematocrit of 26.9. her post transfusion hematocrit was 31.9. her inr was also noted to be 1.6 to 1.8, for which she received multiple subcutaneous doses of vitamin k 10 mg. on a repeat urinalysis and urine culture, the patient was noted to have moderate yeast on microscopic examination and her urine culture grew in excess of 100,000 units of yeast colonies. the patient was initiated on intravenous diflucan therapy after it was felt that amphotericin bladder washes would be harmful in site of her recent bladder repair. she was also continued on the ceftriaxone and flagyl that she had received preoperatively. after three days in the surgical intensive care unit, the patient was transferred back to the floor for further management. the remainder of her hospital stay was relatively uneventful. by postoperative day #5, the patient's ostomy started to put out gas. she was started on sips and advanced in a normal fashion. in addition, her home medications were restarted without incident. her foley catheter remained in place until postoperative day #7, at which time she had a cystogram that demonstrated no leak. after this, the patient's foley catheter was discontinued without incident. a urinalysis on spontaneous void following discontinuation of her foley catheter revealed clear urine with a specific gravity of 1.006 and a ph of 7.5 that was positive only for trace amounts of blood. it was negative for nitrates and, on microscopic examination, she had 11 red blood cells, 38 white blood cells, no bacteria, no yeast and 12 epithelial cells. disposition: on hospital day #8, , the patient was discharged from the hospital. she was to receive full time nursing care at home that was paid for on behalf of her family. the patient was discharged in good condition in the care of her private nurse and was instructed to follow up with dr. in approximately two weeks. discharge medications: allopurinol 100 mg p.o. q.d. hydrochlorothiazide 25 mg p.o. q.d. atenolol 25 mg p.o. q.d. lipitor 10 mg p.o. q.d. 60 mg p.o. b.i.d. actigall 600 mg p.o. b.i.d. multivitamin p.o. q.d. diflucan 100 mg p.o. q.d. times three more days. colace 100 mg p.o. b.i.d. percocet one to two tablets every four to six hours p.r.n. discharge instructions: the patient's nurses were instructed to give her good ostomy care and good perineal care, get her up out of bed, ambulate her and assist her in resuming her activities of daily living. the patient was advised that, if she has questions or further problems, to please contact for assistance. discharge diagnoses: colovesical fistula, now status post sigmoid colectomy, hartmann's , end colostomy and bladder repair. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances arterial catheterization colostomy, not otherwise specified open and other sigmoidectomy repair of fistula involving bladder and intestine suture of laceration of bladder diagnoses: congestive heart failure, unspecified unspecified essential hypertension candidiasis of other urogenital sites personal history of malignant neoplasm of breast paralytic ileus diverticulosis of colon (without mention of hemorrhage) electrolyte and fluid disorders not elsewhere classified intestinovesical fistula 

Answer: The patient is high likely exposed to