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: sulfa (sulfonamides) / erythromycin base / lactose intolerance attending: chief complaint: fever, delerium, uti, pneumonia major surgical or invasive procedure: tracheal intubation picc line history of present illness: yo female with frequent utis in the past presents with fever and altered mental status for 3 days. she recently discharged from on after pvd/chronic leg ulcer work-up and was found to have an occluded l popliteal artery which was not revascularized due to medical stability and anesthesia. she has been at center until 3 days prior to re-admission to . her course at was complicated by c.diff colitis and was placed on po vancomycin (unclear if she failed flagyl). per her daughter , the patient's only symptoms were decreased mental status and fevers. she did not notice any cough until in the ed, and pt has not been talking much at all so it has been hard to assess her complaints. her baseline since the admission in has been deteriorating. she used to walk and converse, and follwed basic commands, but is now hardly able to follow the simplest commands. . ed course: initially, in , pt was febrile to 102.2 and hypotensive with a bp of 86/42 and tachypneic to 34 and 93% on 4l via nc. she was given ceftriaxone 1g for her positive ua and and pneumonia, she also received vancomycin 1gm, and levofloxacin 500mg iv was ordered but not yet received. pt also received 2l of ns in the ed for na 152 and hypovolemia. past medical history: pcp: . . 1) diabetes mellitus (hgb a1c 5.8% in ) 2) frequent uti 3) gastroesophageal reflux disease 4) s/p cva w/residual mild r hemiparesis 5) osteoporosis 6) depression/anxiety 7) osteoarthritis 8) hypothyroidism (last tsh 2.8 in ) 9) chronic diarrhea 10) copd, on night o2 at home (fev1 0.88 (73% pred), fvc 1.2, elevated ev1/vc ratio in ), no prior intubations, was placed on steroid taper at last admission in . 11)diastolic chf 12)coronary artery disease with cath , no intervention 13)s/p admission for fall at home discharged on 14)lle 1st mtp ulcer 15) traumatic left parietal sdh. 16) htn 17) anemia of chronic disease . allergies: sulfa (sulfonamides) / erythromycin base food allergies: milk, (pt lactose intolerant) social history: smoked 2ppd until . glass of wine 3-4x/week. worked as a secretary. independent with adls, not iadl. has 24 hour caretaker. (daughter) is the healthcare proxy. family history: non-contributory physical exam: ros (by report): gen: + fevers, - chills, + weight loss eyes: - photophobia heent: - oral/gum bleeding cardiac: - chest pain, - edema gi: - vomitting, - diarhea, - constipation, - hematochezia, - melena pulm: - dyspnea, + cough, - hemoptysis heme: - bleeding, - lymphadenopathy gu: - dysuria, - hematuria, - incontinence skin: - rash endo: - heat/cold intolerance msk: - myalgia, - arthralgia, + back pain neuro: - numbness, - weakness, - vertigo, - headache, + confusion/delerium vss: 96.4, 102/50, 80, 22, 99%3lnc gen: confused, minimally responsive heent: perrl, dry, - op lesions pul: difficult exam, decreased bs in all lung fields cor: rrr, s1/s2, ii/vi sem abd: nt/nd, + cvat ext: - cce, heel ulcer neuro: confused, responds to painful stimuli pertinent results: 07:15am blood wbc-19.6* rbc-3.06* hgb-9.9* hct-31.6* mcv-103* mch-32.4* mchc-31.4 rdw-15.5 plt ct-414 07:15am blood neuts-77.4* lymphs-17.9* monos-4.1 eos-0.4 baso-0.1 07:15am blood pt-12.4 ptt-25.4 inr(pt)-1.0 07:15am blood glucose-112* urean-45* creat-0.8 na-156* k-3.4 cl-119* hco3-29 angap-11 07:15am blood calcium-8.6 phos-3.3 mg-2.3 10:49pm blood lactate-1.9 . discharge labs . micro urine culture klebsiella pneumoniae urine culture (final ): klebsiella pneumoniae. >100,000 organisms/ml.. klebsiella pneumoniae. 10,000-100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ klebsiella pneumoniae | klebsiella pneumoniae | | ampicillin/sulbactam-- 4 s 8 s cefazolin------------- <=4 s <=4 s cefepime-------------- <=1 s <=1 s ceftazidime----------- <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s cefuroxime------------ 4 s 4 s ciprofloxacin--------- =>4 r =>4 r gentamicin------------ <=1 s <=1 s meropenem-------------<=0.25 s <=0.25 s nitrofurantoin-------- 256 r 256 r piperacillin/tazo----- <=4 s <=4 s tobramycin------------ <=1 s <=1 s trimethoprim/sulfa---- <=1 s <=1 s blood cultures negative c difficile toxin assay negative legionella urinary antigen negative blood cultures negative urine culture yeast catheter tip culture negative urine culture negative blood cultures **** pending **** sputum 2+ gpcs in pairs and clusters, 1+ budding yeast; cultures with staph aureus 2 morphologies **** pending **** catheter tip culture negative . ct head w/o contrast 11:29 pm impression: 1. no evidence of acute intracranial pathology including hemorrhage or edema. 2. stable changes of age appropriate atrophy and chronic microvascular ischemia. . ap semi-upright chest: a drainage catheter projects over the left upper abdominal quadrant. several right abdominal surgical clips are seen. borderline cardiomegaly is unchanged. the aorta is mildly calcified and folded. increased left retrocardiac peribronchial nodular infiltration may present aspiration or evolving pneumonia. the right lung is grossly clear. there is no pleural effusion or pneumothorax. the osseous structures are stable. impression: increased left retrocardiac peribronchial nodular infiltration, which may represent aspiration or evolving pneumonia. brief hospital course: 1. altered mental status) according to the patient's daughter, she had been less interactive at rehab prior to admission. she underwent a ct of her head which was unremarkable. her mental status changes were thought to be multifactorial, likely related to electrolyte disturbance, infection, recent fall with subdural hematoma -- and subsequent to her pea arrest possibly anoxic injury. 2. pea arrest) ms. had a pea arrest on . she was treated with epinephrine and atropine a right femoral line was placed, and she was intubated. food particles were noted in the airway at intubation, suggestive of an aspiration event. she was subsequently transferred to the icu for further monitoring and evaluation. her troponins were mildly elevated at 0.13 post resuscitation, thought secondary to chest compressions. lenis were done as part of pe workup and were negative. 3. aspiration pneumonia cxr at admission showed possible infiltrate, and she was treated empirically with vancomycin and cefepime. cefepime was changed to meropenem subsequently on after she developed a new fever to 101.6. the patient continued to display symptoms of aspiration pna/hospital-acquired pneumonia during her hospital course for which she was traeted with vancomycin and ceftazadime. 4. dysphagia)given her history of dysphagia she was kept npo and continued tube feeds. her g tube was replaced on as her initial tube was no longer flushing. 5. urinary tract infection) she received ceftriaxone empirically in the ed on but was subsequently changed to cefepime. urine cultures from admission came back positive for quinolone resistant klebsiella pneumoniae. follow up urine cultures were negative. 6. history of c. difficile colitis) she was continued on po vancomycin while receiving broad spectrum antibiotics, with no abdominal tenderness or diarrhea. she should continue flagyl for two weeks following the end of broad spectrum therapy to reduce the risk of recurrent c. difficile colitis. 7. atrial fibrillation with rapid ventricular response) she was administered metoprolol for rate control. she is not an anticoagulation candidate given fall c/b subdural hematoma. 8. chf, diastolic, chronic) required lasix diuresis given increased o2 requirements and pulmonary edema. continued on beta blocker. dispo) multiple discussions held with the patient's two daughters. the daughters have repeatedly stated that they want the patient to be full code. in addition, they want her to be discharged to home and not a , where she could receive nursing care and suctioning if required. per the repeat adamant decisions of the patient's daughters, the patient was discharged home with open hospice. medications on admission: 1. levothyroxine 50 mcg po daily 2. ipratropium bromide 0.02 % solution one (1) neb inhalation every six (6) hours as needed for shortness of breath or wheezing. 3. fluoxetine 20 mg/5 ml (20) mg po daily 4. acetaminophen 160 mg/5 ml solution : ml po q6h (every 6 hours) as needed for pain. 5. lisinopril 5 mg tablet one (1) tablet po daily 6. metoprolol tartrate 25 mg tablet one (1) tablet po twice a day 7. aspirin 81 mg tablet one (1) tablet, chewable po daily (daily). 8. cholecalciferol (vitamin d3) 1,000 unit tablet : one (1) tablet po once a day. 9. multivitamin liquid : five (5) ml po once a day. 10. calcium carbonate 650 (1,625) mg tablet : one (1) tablet po twice a day. 11. heparin (porcine) 5,000 unit/ml syringe : 5000 (5000) units injection twice a day. 12. ferrous sulfate 325 mg (65 mg iron) tablet : one (1) tablet po once a day. 14. omeprazole oral 15. humulin r 100 unit/ml solution : as directed units injection per sliding scale: please continue sliding scale insulin according to patient's regimen during her previous stay at rehab. 16. vancomycin po unknown dose and frequency, daughter will bring med list which she was discharged with from rehab. 17. nebulizer treatment tid discharge medications: 1. fluoxetine 20 mg/5 ml solution : one (1) po daily (daily). 2. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 3. cholecalciferol (vitamin d3) 400 unit tablet : 2.5 tablets po daily (daily). 4. therapeutic multivitamin liquid : one (1) cap po daily (daily). 5. calcium carbonate 500 mg tablet, chewable : one (1) tablet, chewable po tid (3 times a day). 6. ferrous sulfate 300 mg/5 ml liquid : one (1) po daily (daily). 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 8. acetaminophen 325 mg tablet : one (1) tablet po q6h (every 6 hours) as needed. 9. heparin (porcine) 5,000 unit/ml solution : one (1) injection (2 times a day). 10. insulin lispro 100 unit/ml solution : see below subcutaneous asdir (as directed). 11. miconazole nitrate 2 % powder : one (1) appl topical tid (3 times a day) as needed. 12. nitroglycerin 2 % ointment : one (1) tp transdermal q8h (every 8 hours) as needed. 13. levothyroxine 50 mcg tablet : one (1) tablet po daily (daily). 14. metronidazole 500 mg tablet : one (1) tablet po tid (3 times a day): continue for 7 days after discontinuation of other antibiotics. disp:*14 tablet(s)* refills:*0* 15. albuterol sulfate 2.5 mg/3 ml solution for nebulization : one (1) neb inhalation q4h (every 4 hours). 16. ipratropium bromide 0.02 % solution : one (1) neb inhalation q6h (every 6 hours). 17. albuterol sulfate 2.5 mg/3 ml solution for nebulization : one (1) neb inhalation q2h (every 2 hours) as needed for wheezing or shortness of breath. 18. metoprolol tartrate 25 mg tablet : 1.5 tablets po q 8h (every 8 hours). 19. heparin lock flush (porcine) 100 unit/ml syringe : one (1) ml intravenous daily (daily) as needed. discharge disposition: home with service facility: hospice of the good discharge diagnosis: primary 1. pea arrest 2. clostridium difficile colitis 3. urinary tract infection 4. aspiration pneumonia secondary 1. atrial fibrillation with rapid ventricular response 2. congestive heart failure, diastolic, chronic 3. diabetes mellitus 4. coronary artery disease discharge condition: poor, afebrile discharge instructions: you were admitted to the hospital because of fevers at your rehab facility. you were being treated for c. difficile diarrhea. you were also found to have a urinary tract infection. while hospitalized, you had an episode of unresponsiveness where your heart had stopped. you also had a pneumonia that was treated with antibiotics. followup instructions: patient's daughters to call and make f/u appt in weeks with the patient's pcp. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube percutaneous [endoscopic] gastrojejunostomy transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified diagnoses: anemia of other chronic disease congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site unspecified septicemia unspecified acquired hypothyroidism candidiasis of other urogenital sites infection with microorganisms resistant to penicillins obstructive chronic bronchitis with (acute) exacerbation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status sepsis other persistent mental disorders due to conditions classified elsewhere pulmonary collapse ulcer of other part of foot dysthymic disorder acute respiratory failure pneumonitis due to inhalation of food or vomitus cardiac arrest pressure ulcer, other site methicillin susceptible pneumonia due to staphylococcus aureus pressure ulcer, lower back hypoxemia pressure ulcer, heel glucocorticoid deficiency hyperosmolality and/or hypernatremia chronic diastolic heart failure atherosclerosis of native arteries of the extremities with ulceration diabetes with peripheral circulatory disorders, type ii or unspecified type, not stated as uncontrolled acute pyelonephritis without lesion of renal medullary necrosis dysphagia, unspecified 

Answer: The patient is high likely exposed to