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: history of present illness: this is an 87-year-old female, who was a resident at the rehab. she was sent to the emergency department on for evaluation of fevers. in the morning of , the patient was noted to have fevers and also that she was tachypneic. it was felt that she might have pneumonia and was started on levofloxacin. in the evening, she was noted to have abdominal tenderness and altered mental status. vitals at this time showed a temperature of 100.8, respiratory rate in the 30s, systolic blood pressure in the 70s-90s, and she was therefore sent to the emergency department for further evaluation. in the emergency department, she was found to be modeled and in moderate respiratory distress. she was not communicating verbally. her vital signs showed a systolic blood pressure in the 50s-60s, heart rate in 130s, and respiratory rate in the 40s. an abg was performed, which showed a ph of 7.31, pco2 of 25, and a po2 of 146 on 100% nonrebreather mask. a lactate was 11.6. a femoral cordis was placed, and 4 liters of normal saline were given over two hours. her blood pressure remained in the 80s, so a dopamine drip was started with increase in her blood pressure to the 120s. chest x-ray showed a left lower lobe infiltrate and her urinalysis indicated a urinary tract infection. she was given ceftriaxone, levofloxacin, vancomycin, and flagyl. she was also given a dose of kayexalate for a potassium of 6.3. she was transferred to the fenard icu for further care. past medical history: 1. right mca stroke with residual left hemiplegia in . 2. swallowing disorder status post g tube placement. 3. status post left total hip replacement in . 4. femur fracture in . 5. hypertension. 6. breast cancer status post right mastectomy in and status post left lumpectomy and radiation in . 7. osteoporosis. 8. spinal stenosis. 9. macular degeneration. 10. cataracts. 11. hyperlipidemia. 12. depression. medications on admission: 1. tylenol. 2. aspirin. 3. calcium carbonate. 4. clonidine patch. 5. fentanyl patch. 6. remeron. 7. zyprexa. 8. vioxx. 9. ambien. 10. calcitonin. 11. dulcolax. 12. robitussin. 13. loperamide. 14. milk of magnesia. 15. percocet. 16. compazine. 17. dermagran. 18. miconazole. 19. nystatin. 20. selenium. 21. triamcinolone. allergies: 1. nsaids. 2. nitrofurantoin. 3. propanolol. social history: nursing home resident for the past three years. family history: father with parkinson's disease. physical exam: vitals: temperature 91.4 axillary, heart rate 122, blood pressure 138/40, respiratory rate 29, and oxygen saturation of 95% on nonrebreather mask. in general, the patient was moaning, attempting to speak with labored breathing, and accessory muscle use. heent: mucous membranes were dry. pupils were equal and minimally reactive. neck: supple. cardiovascular: tachycardic, no murmurs appreciated. lungs: coarse breath sounds bilaterally with a few crackles at the bases. abdomen: firm especially in the midline, unclear if there was tenderness, but no bowel sounds were appreciated. extremities were cool without edema. back showed purpuric discoloration over the bilateral buttocks, flanks, and lateral thigh. laboratories: initial laboratories were significant for a white count of 39.2, hematocrit of 38.5, and platelets of 136. the differential showed 25% bands. pt was 16.5, ptt 32.8, inr of 1.8. chem-7: sodium 142, potassium 6.0, chloride 106, bicarb 10, bun 60, creatinine 2.1, glucose 110 with an anion gap of 26, calcium 11.6, phosphate 5.7, magnesium 3.8. ast 289, alt 258, alkaline phosphatase 105, total bilirubin 0.9, amylase 93, lipase 18, albumin 3. urinalysis showed large blood, nitrite positive, 100 of protein, moderate leukocyte esterase, rbc, greater than 50 wbc, and many bacteria. ekg showed sinus tachycardia at 110, normal axis, and normal intervals. t-wave flattening in inferior leads and st depressions in v3 without any prior to compare to. chest x-ray showed a left base infiltrate. kub showed a large amount of retained stool with nonspecific bowel gas pattern. hospital course: patient was admitted to the icu with sepsis with the most likely source being urosepsis versus pneumonia. she has a ............ and leukocytosis, an anion gap acidosis, electrolyte abnormalities, and lft abnormalities as well as a coagulopathy. after a brief time off the dopamine, the patient's blood pressure again fell. pressor support was resumed at this time with levoephedrine, but there was a continued difficulty with maintaining a mean arterial pressure greater than 60. the patient's code status was discussed by doctor in the emergency room with the daughter, who was the patient's proxy. it was confirmed that the patient was dnr/dni. on review of the patient's overall clinical status on the following day, the family agreed to comfort measures only. they understood the patient's poor prognosis and felt this would be the patient's wishes. once all family members were informed of this plan and agreed upon it, antibiotics and pressor support were removed, and the patient passed away on at 1:15 a.m. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified acidosis urinary tract infection, site not specified acute kidney failure, unspecified acquired coagulation factor deficiency unspecified septicemia other shock without mention of trauma 

Answer: The patient is high likely exposed to