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 and rigors. major surgical or invasive procedure: none. history of present illness: this is a 66yo m h/o recently diagnosed prostate cancer who presents with intermittent fever, chills and burning on urination over the past 19 days. . mr. had a prostate biopsy performed on revealing prostatatic adenocarcinoma (maximum 7). the same day, he developed painful urination, burning on urination, nocturia (6x per night up from baseline of 3x per night), fever to 101.1 and shaking chills. he went to his urologist's office (dr. on , complaining of continued rigors and fevers to 101.1 degrees. he was started on flomax and ciproflaxacin, and in the subsequent days experienced a reduction in pain/burning on urination and decreased urination at night. however, this morning he developed fevers to 104.3 degrees together with violent shaking chills, prompting him to go to the ed. . ros is additionally remarkable for increased fatigue since the biopsy and shortness of breath unchanged from baseline. there is no chest pain, nausea, vomiting, diarrhea, and no current complaint of pain anywhere in the body. past medical history: prostate cancer, dx , patient anticipating prostatectomy in asthma, no acute attacks since young man gout total hip replacement, rt side, multiple right knee surgeries, most recent depression, not currently symptomatic or undergoing treatment social history: the patient is a former football player with a distinguished football career. he spends ?????? the year in and ?????? the year in . currently married to supportive wife; has 3 daughters age 43, 40 and 37 from a previous marriage. denies tob and illicit drugs. does report previous drinking history max 8 drinks per night. currently has 3 drinks per night, says that both he and his wife enjoy drinking recreationally. no guilt associated with drinking; says he is able to stop drinking when he wants to. pcp feels that his drinking is under control. family history: non-contributory. physical exam: vitals: t 102.8 bp 110/64 hr 92 rr 18 o2 sat 98% ra appearance: comfortable, in supine in bed, well-kept, nad, talkative heent: nc/at. anicteric. oropharynx clear and without exudates/erythema. neck: negative lad. supple neck. no carotid bruis. pulm: cta bl. no r/w/c. cardio: distant s1, s2. no m/t/r. abd: s/nt. no distention. + bs. ext: warm, well-perfused. no calf-tenderness. intact pedal, radial pulses. trace non-pitting edema bl. neuro: ms: gen: appropriate, pleasant. orientation: aox3 speech/: fluent w/o paraphasic errors memory: deferred. cn: i: not tested. ii: perrl. iii,iv,vi eomi. no ptosis. v: sensation intact to lt. vii: face symmetric without weakness. viii: no gross deficits. ix,x: voice normal. : scm and trapezii . xii: tongue protrudes midline without atrophy or fasciculations. motor: normal bulk and tone; no tremor, rigidity, or bradykinesia. : lt intact. joint position deferred. pertinent results: 02:43pm lactate-2.1* 02:00pm urine color-yellow appear-clear sp -1.015 02:00pm urine blood-mod nitrite-pos protein-neg glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-sm 02:00pm urine rbc-0-2 wbc-* bacteria-mod yeast-none epi-0 11:30am glucose-127* urea n-30* creat-2.1* sodium-138 potassium-4.5 chloride-103 total co2-23 anion gap-17 11:30am wbc-18.1*# rbc-3.94* hgb-11.8* hct-33.9* mcv-86 mch-30.0 mchc-34.9 rdw-15.0 11:30am neuts-93.3* bands-0 lymphs-5.6* monos-0.9* eos-0.1 basos-0.1 11:30am plt smr-normal plt count-432 brief hospital course: this is a 66 yo male with a recent diagnosis of prostatic adenocarcinoma who presented with likely prostatitis and subsequently developed sepsis and septic shock with blood cultures positive for e. coli. . 1.prostatitis, sepsis on arrival to ed, patient was t 98.9, bp 99/60, hr 78. he recieved tylenol, demerol, ceftriaxone for empiric coverage and ativan in the emergency department, as well as 2-3 l of fluids. white count at that time was 18.1, and cr was 2.1. . on the day after admission, the patient was sent to the intensive care unit following desaturations to 84% and fever to 104 degrees. at the time, he was exhibiting hypotension despite fluids, lactic acidosis (serum lactate = 4), mental status changes, and gram negative rods in blood cultures, thus meeting the definition for septic shock (sirs + infection). he was started on vancomycin, ceftriaxone and levofloxacin, later tapered to ceftriaxone only. he quickly stabalized and was called-back to the floor, where id was consulted. a picc was placed on . lft's were found to be elevated, likely secondary to ceftriaxone. the patient was started on iv aztreonan (vanco, ctx and levo were discontinued). a rectal ultra-sound was obtained to rule out abscess as source of infection. . the patient remained afebrile on aztreonam throughout the remainder of his stay. however, on the night before discharge he experienced night sweats and gouty pain in the hands. the latter was treated with indomethacin. the patient recieved his first dose of erdepenam prior to leaving the hospital, and was discharged on a 10 day course of erdepenam scheduled to end on . additionally, he was proveded with a script for bactrim ds 1 tablet (to be taken at the conclusion of the erdepenam course) for 7 days. 2. acute renal failure: patient's creatinine reached maximum value of 2.1. u/s was negative for hydronephrosis so renal failure and bun:cr ration no markedly elevated so the spike in creatinine was presumed due to multiple organ dysfunction syndrome secondary to septic shock. creatinine normalized as antibiotic therapy took effect and had fully returned to baseline by . 2. h/o asthma: patient was stable and rarely used ipratropium or albuterol during his stay. 3. h/o depression: patient remaiend in excellent spirits throughout his stay, often noting "i still have a lot that i want to do with my life" and speaking with a spirit of excited anticipation about travels scheduled for the next 12 months. medications on admission: ambien xanax discharge medications: 1. ertapenem 1 g recon soln sig: one (1) injection once a day for 8 doses. disp:*qs qs* refills:*0* 2. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily) as needed for 8 days. disp:*qs ml(s)* refills:*0* 3. bactrim ds 160-800 mg tablet sig: one (1) tablet po twice a day for 7 days: start on and continue for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: 1. prostatitis 2. sepsis, septic shock 3. acute renal failure discharge condition: good discharge instructions: please contact your pcp and return to the for fever greater than 101 degrees, rigors, night sweats, dizziness, decreased urine output, new pain on urination, or any other concerning symptom. please follow-up with your health care providors as outlined below. followup instructions: please follow-up with your pcp, . , on friday at 2:30. you will have blood work done by a visiting nurse prior to the appointment so that the results (wbc, cr, lft's) may be reviewed by dr. on friday. this is very important in order to make sure that you infection and elevated liver enzymes have resolved, and to confirm good kidney function. for your information, dr. office phone numbers are:( or (. his fax number is . . as you know, follow-up is also required with dr. for your diagnosis of prostate adenocarcinoma. dr. office has requested that you phone him sometime this week do discuss follow-up plans. md, procedure: venous catheterization, not elsewhere classified diagnoses: acidosis other postoperative infection acute kidney failure, unspecified severe sepsis gout, unspecified septic shock malignant neoplasm of prostate other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic obstructive asthma, unspecified septicemia due to escherichia coli [e. coli] hip joint replacement acute prostatitis 

Answer: The patient is high likely exposed to