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: past medical history: 1. cataracts. 2. alzheimer's dementia. 3. tardive dyskinesia secondary to haldol. 4. status post peg. 5. hypertension. 6. dysphagia. 7. esophagitis. 8. history of duodenal ulcer. 9. history of left hip fracture, status post orif. 10. status post tah. 11. history of urinary incontinence. social history: she is a resident. family history: unknown secondary to mental status. allergies: the patient is allergic to haldol. admission medications: 1. colace. 2. duragesic patch. 3. dulcolax p.r. 4. multivitamin with minerals. 5. oyster shell with vitamin d. 6. valproic acid. 7. tylenol. 8. morphine sulfate prior to dressing changes. diet: promod with fiber times 18 hours. physical examination: vital signs: temperature 99 going up to 102.8 in the emergency room, blood pressure 94/66, pulse 122-125, respiratory rate 30, saturations 82% on room air, 100% later on 3 liters. general: the patient was alert, opens eyes to pain and verbal stimuli. heent: normocephalic and atraumatic. the extraocular muscles were grossly intact. neck: supple. cardiovascular: tachycardiac, i/vi systolic ejection murmur. respiratory: diffuse wheezing bilaterally, upper airway sounds bilaterally. abdomen: soft, positive bowel sounds, positive peg. no erythema. normal appearing peg site. no pain around her left hip. extremities: no edema, stage iii decubitus ulcer on the left foot of 5 cm by 7 cm. neurologic: contracted extremities, both arms and legs. laboratory and radiologic data: white count 12.4, 83% neutrophils, 9% lymphs, hematocrit 31.5, platelets 449,000. chem-7 137, potassium 5.7, chloride 99, bicarbonate 27, bun 44, creatinine 0.7, glucose 117, calcium 9.1, magnesium 2.2, phosphorus 0.8. inr 1.0. the u/a on admission revealed a specific gravity of 1.014, hazy, small leukocyte esterase, small blood, positive nitrates, trace protein, negative glucose, negative ketones, greater than 50 white blood cells and a few bacteria. ekg was sinus tachycardia at 119. lactate of 3.0. hospital course: this is a nursing home resident, at baseline nonverbal secondary to dementia, who was initially admitted for hypoxia and uti, initially found to be in sepsis and transferred to the vicu on the day of admission. 1. sepsis: the patient was stable and initially admitted under sepsis protocol to the vicu where she received aggressive hydration, transfused 2 units of blood for a hematocrit less than 30. she was temporarily on levophed and eventually this was weaned off. she also had a subclavian line placed for access for neurosepsis protocol. the patient's cvps were monitored and were otherwise stable. the patient initially had some respiratory distress after her fluid hydration but this improved and was stable with minimal 02 by nasal cannula. under sepsis protocol, the patient was started on broad antibiotics including ceftazidime and levofloxacin. the patient was noted to have gram-negative rods growing from her urine culture and eventually this grew out citrobacter .................... which was sensitive to levofloxacin and ceftazidime and was the likely source of her sepsis. there was also initial concern for pneumonia; however, the patient continued to improve, had follow-up chest x-rays. the chest x-ray on showed just mild chf and no evidence of pneumothorax. the patient had a follow-up chest x-ray on which was also consistent with chf versus pneumonia. however, the patient's oxygenation improved with diuresis and was otherwise stable. the patient was adrenally insufficient on the admission to the vicu and is to complete a five day course of hydrocortisone and fludrocortisone for adrenal insufficiency. the patient's blood pressure remained stable. the patient was weaned off pressors pretty quickly and did not require further fluid boluses to maintain blood pressure. 2. hypoxia: initially came in hypoxic on room air. this improved with 3 liters of 02 and then after aggressive hydration for her blood pressure was in mild respiratory distress, transferred to the vicu but remained respiratory stable on 2 liters and a cool nebulizer face mask. she had a blood gas of 7.40/37/185 and was oxygenating well. she was continued on nebulizers throughout her admission and her wheezing improved. she did continue to have some upper airway sounds, some cough to help mobilize some of her airways. otherwise, she was stable from a respiratory standpoint. she was eventually transferred to the floor and continued to wean down her 02. she was on liters of nasal cannula, continued on albuterol and atrovent nebulizers. she was given three doses of 10 mg of iv lasix throughout her stay on the floor and was weaned off oxygen and was saturating 97% on 1 liter with minimal 02 requirements, very comfortable respiratory rate. however, the plans are to complete a ten day course of levofloxacin for the urinary tract infection, discontinue the ceftazidime. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified nonexcisional debridement of wound, infection or burn transfusion of packed cells diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified septicemia sepsis septic shock alzheimer's disease ulcer of heel and midfoot 

Answer: The patient is high likely exposed to