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: line infection major surgical or invasive procedure: portacath removal in the or picc line insertion history of present illness: 49m with crohn's disease status post bowel resection complicated by short gut syndrome, now with chronic tpn dependence and therefore history of six line infections further complicated by septic pulmonary emboli. patient was in usual state of health until approximately three weeks prior to admission, had nonproductive cough, fatigue. saw primary care physician, to feel ill, similar to previous line infxns. blood cultures drawn in clinic two days prior to admission. on day prior to admission, felt feverish, had rigors at home and came to ed, where he was given vancomycin/gentamicin/levaquin, 2l ns, norepinephrine for sbp 80s. remained hypotensive, and was transferred to . past medical history: crohn's dz s/p proctocolectomy, short gut, tpn dependent; h/o line infxns & septic pulomonary emboli; s/p ccy; s/p parathyroidectomy. social history: lives with wife and 2 children. etoh in past. no tobacco. no ivdu. works in finance dept of . family history: non contributory physical exam: t97.5 bp104/60 p68 rr16 o299% ra pertinent results: ct chest w/o contrast 12:48 am 1) multiple, bilateral, ill defined, peripheral pulmonary nodules, some of which appear to cavitating. findings are most consistent with septic emboli. if the patient is immunocompromised, fungal infection is also considered. the radiographic differential also includes vasculitis. 2) right middle lobe bronchiectasis with patchy opacity present, which may represent atelectasis and/or infection. ------------ echo study date of 1. the left atrium is normal in size. 2.left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3.right ventricular chamber size is normal. right ventricular systolic function is normal. 4.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 5.the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 6.the estimated pulmonary artery systolic pressure is normal. 7.there is no pericardial effusion. ------------ aerobic bottle (final ): reported by phone to dr. @ 0431 on - #. escherichia coli. final sensitivities. . sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ <=2 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 4 s gentamicin------------ 2 s levofloxacin----------<=0.25 s meropenem-------------<=0.25 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s anaerobic bottle (final ): escherichia coli. identification and sensitivities performed from aerobic bottle. . identification performed from aerobic bottle. 4:50 pm catheter tip-iv **final report ** wound culture (final ): enterobacter aerogenes. >15 colonies. this organism may develop resistance to third generation cephalosporins during prolonged therapy. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. for serious infections, repeat culture and sensitivity testing may therefore be warranted if third generation cephalosporins were used. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterobacter aerogenes | cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s gentamicin------------ <=1 s levofloxacin----------<=0.25 s meropenem-------------<=0.25 s piperacillin---------- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s brief hospital course: 49m with crohn's disease/short gut, tpn-dependent here with sepsis likely due to portacath infection. given hypotension on presentation, patient was initially admitted to intensive care unit and pressor support continued. indwelling line (portacath) was removed on hospital day one in the operating room due to high suspicion of line infection. catheter tip culture revealed enterobacter aerogenes in addition to escherichia coli and cultured from blood two days prior to admission. nonetheless, following continued antibiotic therapy and removal of infected line, patient's blood pressure and fevers improved, and patient was weaned of pressors at the end of hospital day one. on hospital day two, patient was felt to be stable for transfer to floor, and tpn was reinitiated through central line. surveillance blood cultures were drawn on hospital day three prior to placement of a new peripheral intravenous central catheter as patient had been afebrile for 48 hours at that point. patient's antibiotic regimen was tailored to levofloxacin alone as both gram negative rods were sensitive to this antibiotic. patient was initiated on fluconazole for treatment of candidemia. patient continued to remain hemodynamically stable and afebrile and was discharged on hospital day four. patient was instructed to continue antibiotics for a full course, and to follow up with primary care physician within two weeks of discharge. medications on admission: 6-mercaptopurine imodium total parenteral nutrition discharge medications: 1. loperamide hcl 2 mg capsule sig: one (1) capsule po tid (3 times a day). 2. opium 10 % tincture sig: ten (10) drop po tid (3 times a day). 3. mercaptopurine 50 mg tablet sig: one (1) tablet po qd (once a day) as needed for crohn's disease. 4. levofloxacin in d5w 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q24h (every 24 hours) for 10 days. disp:*7000 mg* refills:*0* 5. fluconazole in normal saline 400 mg/200 ml piggyback sig: four hundred (400) mg intravenous once a day for 14 days. disp:*5600 mg* refills:*0* 6. tpn electrolytes solution sig: one (1) not applicable intravenous once a day: please see attached sheet for exact instructions. disp:*1 n/a* refills:*2* 7. outpatient lab work serum ast, alt, alkaline phosphatase, albumin, total bilirubin, ldh results to dr. . discharge disposition: home with service facility: discharge diagnosis: -multiorganism bacteremia/sepsis infected portacath (e.coli, , enterobacter) -stable thrombocytopenia discharge condition: good - bp stable, tolerating pos, afebrile discharge instructions: 1. take all your prescribed medications. 2. keep yourself well-hydrated. 3. call your physician or return to the ed for any fevers, chills, redness/swelling around your picc site, increased diarrhea, or anything else that concerns you. followup instructions: 1. provider: , md where: lm phone: date/time: 4:00pm 2. see your primary care physician weeks for routine follow-up 3. blood cultures from are pending and will need to be followed up upon. 4. please have liver function tests checked prior to your appointment with your primary care doctor. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: thrombocytopenia, unspecified intestinal bypass or anastomosis status severe sepsis disseminated candidiasis infection and inflammatory reaction due to other vascular device, implant, and graft septicemia due to escherichia coli [e. coli] other and unspecified postsurgical nonabsorption ileostomy status other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to