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: no known allergies / adverse drug reactions attending: chief complaint: s/p fall major surgical or invasive procedure: central venous line placement history of present illness: 77 presented to ed s/p fall. c/o shoulder pain. states was feeling weak since yesterday. fall unwitnessed. no cp or sob. no abdominal pain. pt states that she fell onto right shoulder and back. no head blow. no loc. found on floor by vna. . initial vitals in ed 100 88 105/68 18 95% ra. . in ed hypotensive to upper 70s. temp 103. +ua. cvl placed. given 3l ns, levophed started, currently at 0.09. cvp 14 svo2 82%. started on vanc and zosyn and tylenol 1g. . admission vitals: 95.5 64 109/62 13 98% 2 l nc past medical history: 1. diabetes type ii 2. h/o stroke (? ischemic stroke approximately 15 years ago, told to take asa afterwards, no further w/ per neuro ) 3. h/o anemia - colonoscopy: adenomas - egd : duodenitis, angioectasia - capsule endoscopy : ileal polyps, consider ileoscopy - seen by , ileocopy/ further w/u deferred as anemia resolved 4. hypothyroidism 5. ? skin cancers 6. venous insufficiency 7. musculoskeletal 8. h/o pneumonia 9. h/o hernia - s/p repair- : exlap for incarcerated hernia 10. psychosocial - ? developmental delay 11. hypertension 12. osteoporosis 13. h/o eosinophilia - resolved s/p tx strongyloides social history: gets home services through at home vna of . fax # originally from . lives on social security. she lives alone with no family near by but has support of friends. . denies etoh/drugs. family history: non-contributory physical exam: afebrile, vss gen: pleasant, comfortable, nad heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. no pass-pointing on finger to nose. 2+dtr's-patellar and biceps. stable gait with use of cane. pertinent results: : ct c-spine: no fx. severe c-sp djd, esp from c4-c6 ct head: no fx or ich. cxr: findings: single supine ap portable view of the chest was obtained. there is interval placement of a right internal jugular central venous catheter, terminating at the cavoatrial junction, without evidence of pneumothorax. there are relatively low lung volumes, which accentuate the bronchovascular markings. mild pulmonary vascular prominence is noted. no focal consolidation or pleural effusion is seen. cardiac and mediastinal silhouettes are unchanged. impression: interval placement of a right internal jugular central venous catheter which terminates at the cavoatrial junction, without evidence of pneumothorax. shoulder xr: three views of the right shoulder were obtained. no evidence of acute fracture or dislocation is seen. the right humeral head is somewhat high riding, which can be seen in rotator cuff disease. the right acromioclavicular joint is intact. the visualized aspect of the upper right hemithorax demonstrates a partially imaged central venous catheter. impression: no evidence of acute fracture or dislocation. high riding right humeral head can be seen in rotator cuff disease blood cultures x2: pending urine culture (final ): escherichia coli. >100,000 organisms/ml.. piperacillin/tazobactam sensitivity testing available on request. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ =>32 r ampicillin/sulbactam-- 16 i cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin--------- =>4 r gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s tobramycin------------ <=1 s trimethoprim/sulfa---- =>16 r admission labs: 05:35pm blood wbc-11.3* rbc-4.70 hgb-13.7 hct-39.5 mcv-84 mch-29.0 mchc-34.5 rdw-14.8 plt ct-231 06:50am blood pt-13.0 ptt-25.1 inr(pt)-1.1 05:35pm blood glucose-131* urean-15 creat-0.8 na-133 k-4.2 cl-99 hco3-24 angap-14 12:04am blood alt-59* ast-94* ld(ldh)-325* ck(cpk)-4864* alkphos-46 totbili-0.6 05:40am blood ck(cpk)-4088* 12:04am blood ck-mb-22* mb indx-0.5 ctropnt-less than 05:40am blood ctropnt-<0.01 12:04am blood albumin-3.5 calcium-7.2* phos-3.5 mg-1.8 05:37pm blood lactate-2.5* 10:19pm blood glucose-178* lactate-1.1 12:18am blood type- ph-7.32* comment-green top 05:45am blood type- ph-7.36 05:40pm urine color-yellow appear-cloudy sp -1.017 05:40pm urine blood-lg nitrite-pos protein-75 glucose-neg ketone-tr bilirub-neg urobiln-neg ph-6.0 leuks-mod 05:40pm urine rbc-0-2 wbc->50 bacteri-many yeast-none epi-0-2 discharge labs: 07:46am blood wbc-4.7 rbc-4.26 hgb-12.4 hct-36.1 mcv-85 mch-29.0 mchc-34.2 rdw-14.8 plt ct-279 07:46am blood glucose-125* urean-8 creat-0.6 na-138 k-4.2 cl-108 hco3-25 angap-9 07:46am blood ck(cpk)-323* 06:50am blood alt-68* ast-55* ck(cpk)-713* 06:50am blood calcium-8.4 phos-3.2 mg-2.2 06:50am blood tsh-8.5* brief hospital course: 77 year old female with pmhx dmii, hypothyroid who presented after a mechanical fall, contributed to by urosepsis (weakness). initially treated in micu with pressors, broad spectrum abx, iv fluids, able to be quickly weaned off pressors, narrowed to ceftriaxone, transferred to floor and transitioned to po cefpodoxime. . # urosepsis - had central venous line placed and was on levophed for one night. fluid resuscitated and blood pressures remained stable off pressors. initially started on vanc/zosyn but tapered down to ceftriaxone once urine culture came back. once on the floor, the patient was transitioned to cefpodoxime and was to complete a 14 day course of antibiotics. . # fall - thought to be secondary to a mechanical fall as the patient remembered slipping while walking to bathroom. urosepsis contributing to the patient feeling weak. imaging was negative for acute fractures and ct head negative for acute bleed. patient walked with pt and was cleared to go home with a cane and home pt. . # elevated ck - secondary to fall and hypotension from urosepsis. trended down during hospitalization. simvastatin held due to elevated ck and to be restarted by dr. . . # hypothyroid - patient was continued on synthroid. a tsh level came back elevated at 8.4. unknown if this is accurate given acute illness. this level should be re-checked in weeks after acute illness is resolved. . # inactive issues - other medical problems were inactive and managed with home regimen. medications on admission: active medication list as of : medications - prescription alendronate - 70 mg tablet - 1 tablet(s) by mouth weekly in the am with 6-8oz of plain water, do not eat, drink or lie down for 30 mins; do not take with iron erythromycin - (not taking as prescribed) - 5 mg/gram (0.5 %) ointment - 1/ 2inch ou at bedtime levothyroxine - 75 mcg tablet - 1 tablet(s) by mouth every day lisinopril - 20 mg tablet - 1 tablet(s) by mouth every day for blood pressure simvastatin - 20 mg tablet - 1 tablet(s) by mouth at bedtime medications - otc acetaminophen - (otc) - dosage uncertain calcium ] - 500 mg tablet - 1 tablet(s) by mouth twice a day cholecalciferol (vitamin d3) - 1,000 unit tablet, chewable - 1 tablet(s) by mouth once a day; replaces vitamin d2 50,000 unit tablet docusate sodium - 100 mg capsule - 1 capsule(s) by mouth twice a day as needed for constipation ferrous sulfate - 325 mg (65 mg elemental iron) tablet - 1 tablet(s) by mouth once a day multivitamin - (prescribed by other provider) - tablet - 1 tablet(s) by mouth once a day sennosides - (prescribed by other provider) (not taking as prescribed) - 8.6 mg tablet - 1 tablet(s) by mouth at bedtime discharge medications: 1. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 2. lisinopril 20 mg tablet sig: one (1) tablet po once a day. 3. alendronate 70 mg tablet sig: one (1) tablet po once a week: in the am with 6-8oz of plain water, do not eat, drink or lie down for 30 mins; do not take with iron . 4. erythromycin topical 5. calcio 500 mg tablet sig: one (1) tablet po twice a day. 6. cholecalciferol (vitamin d3) 1,000 unit tablet, chewable sig: one (1) tablet, chewable po once a day. 7. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 8. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 9. multivitamin tablet sig: one (1) tablet po once a day. 10. senna 8.6 mg tablet sig: one (1) tablet po at bedtime. 11. cefpodoxime 200 mg tablet sig: one (1) tablet po twice a day for 12 days. disp:*24 tablet(s)* refills:*0* discharge disposition: home with service facility: at home vna discharge diagnosis: primary: - urosepsis - status post fall secondary: - transaminitis - type ii diabetes mellitus - hyperlipidemia - hypothyroidism - osteoporosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear ms. , it was a pleasure taking care of you. you were seen in the hospital after a fall at home secondary to urinary tract infection that spread to your bloodstream. you required a brief stay in the intensive care unit, where you received antibiotics and iv fluids. you also had mildly elevated liver enzymes, which were secondary to your low blood pressure. you responded well to the antibiotics and fluid resuscitation. we made the following changes to your medications: please add cefpodoxime 200mg by mouth twice a day for 12 more days (stop date ).this is the antibiotic that will treat your urinary tract infection. we stopped your simvastatin - this medication will be restarted by dr. at another time. followup instructions: please follow-up with your scheduled appointments department: when: thursday at 3:50 pm with: , md building: campus: east best parking: garage procedure: venous catheterization, not elsewhere classified diagnoses: urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia unspecified acquired hypothyroidism unspecified fall sepsis osteoporosis, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits other abnormal blood chemistry other specified hypotension personal history of colonic polyps nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to