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: the patient is a 53 year old female with a history of multi-system neurological atrophy, neurogenic bladder plus shy- syndrome who was visiting when she was admitted to the hospital with sepsis secondary to urinary tract infection with subsequent complicated hospital course requiring intubation. she is now transferred to to be closer to home. she presented in , on , with hypotension, sepsis and urinary tract infection. urine cultures and blood cultures were positive for proteus which was later on found to be sensitive to levofloxacin. the patient initially was treated with zosyn there prior to the culture results and was given stress dosed steroids, thought to be an adrenal insufficiency at the same time. the hypotension had resolved. the patient's antibiotics were changed to unasyn but failure to wean from ventilator with failed extubation times one and at that point was re-intubated there. she had a tracheostomy performed. tube feeds were also started via an ng tube. at that point, the patient's family requested the patient to be transferred from to to be closer to home. she denies any pain or discomfort. her husband says that the patient was walking with a walker, swimming with physical therapy prior to this acute illness. past medical history: 1. questionable shy-. 2. multi-system atrophy. 3. cesarean section times two. 4. obstructive sleep apnea on bipap. 5. autonomic dystrophy. allergies: no known drug allergies. medications at home: 1. mysoline. 2. zoloft. 3. sinemet. 4. ritalin. 5. ditropan. 6. florinef. medications on transfer: 1. prednisone 5 mg twice a day. 2. regular insulin sliding scale. 3. ferrous sulfate. 4. prozac 20 q. day. 5. albuterol and atrovent. 6. lovenox 40 q. day. 7. unasyn 3 q. day. 8. tube feed. 9. protonix. 10. morphine p.r.n. 11. nystatin. 12. clotrimazole. social history: she has had a history of cocaine and marijuana use in college years. she is a social drinker. she has two children; husband is very supportive. family history: father with myocardial infarction. mother with cancer at age 80. her ventilation settings on admission were ac-502, 0.3, 14 x 550, peep of 5. physical examination: temperature of 99.0 f.; blood pressure of 116/61; heart rate 88; respiratory rate 14; o2 saturation 93%. heent: moist mucous membranes, anicteric. flattened neck veins. generally a middle aged woman in no acute distress, responds by shaking head and blinking appropriately. chest clear to auscultation bilaterally. heart is regular rate and rhythm with no murmurs, rubs or gallops. abdomen is soft, obese, nontender. bowel sounds were present in four quadrants. extremities with no cyanosis, clubbing or edema; no ulcers. one plus dorsalis pedis pulses bilaterally. back with no skin breakdown. neurologic: myoclonus, alert, unable to talk secondary to tracheostomy but appropriately responding; moving all four extremities. laboratory: at outside hospital a urine culture showed greater than 100,000 proteus mirabilis which was sensitive to ampicillin, cefixime, bactrim, ciprofloxacin and levofloxacin. on , blood cultures also showed proteus mirabilis which was sensitive to levofloxacin, bactrim, imipenem, two out of three bottles. on , blood cultures negative times two sets. tsh 0.74. on her labs were sodium of 140, potassium 4.6, chloride 103, bicarbonate 29, bun 12, creatinine 0.6. glucose 187, calcium 8.8, white blood cell count 10.3, hematocrit 32.5, platelets 274. hospital course: being admitted is a 53 year old female with multisystem neurological atrophy status post sepsis secondary to urinary tract infection, now resolved; failure to wean from ventilator status post tracheostomy. 1. respiratory failure: the patient was initially ventilated with ac and while here was switched over to pressure support and tolerating well. on pressure support, the patient is tolerating brief periods of tracheostomy collar at outside hospital; likely secondary to weakness. her nif was measured at -14cmh20. she has no secretions. electrolytes specifically phosphate checked and repleted as needed to expedite the extubation. chest x-ray at showed proper positioning of the ng tube and her tracheostomy tube and on obvious infiltrate. her urinary tract infection sepsis was relatively resolved and leukocytosis resolved. no acute febrile episode. her proteus infection sepsis was treated with a 14 day course. she received her 13th day course while at . she would require two more days including today. 2. multi-system neurological atrophy: restarting her sinemet for her tremors, midodrine for autonomic dysfunction. 3. depression: for her depression, she was continued on her prozac. 4. fluids, electrolytes and nutrition: she was continued on tube feeds and electrolytes were repleted while here and regular insulin sliding scale. prophylaxis: on proton pump inhibitor, pneumoboots and subcutaneous heparin. she is a full code. communication was discussed with the husband. disposition: she was pending to be transferred to . will appreciate transfer. discharge diagnoses: 1. respiratory distress. 2. tracheostomy. condition at discharge: stable. discharge status: she is transferring to hospital for further care and extubation. discharge medications from : 1. levofloxacin which would have one more day of dose of 500 p.o. q. 24 hours. 2. carbidopa / levodopa 2500, one tablet p.o. times five more days. 3. insulin regular sliding scale. 4. fluoxetine 20 mg p.o. q. day. 5. albuterol, ipratropium 6 puffs inhaled q. six hours. 6. heparin 5000 units subcutaneously q. eight hours. 7. ferrous sulfate 325 mg p.o. q. day. 8. lansoprazole 30 mg ng q. day. 9. docusate 100 mg p.o. twice a day. 10. methylphenidate 5 mg p.o. times five days. 11. fludrocortisone 0.1 mg p.o. q. day. 12. midodrine 7.5 mg p.o. three times a day. 13. primidone 25 mg p.o. q. h.s. the patient is discharged in stable condition. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances diagnoses: urinary tract infection, site not specified unspecified septicemia depressive disorder, not elsewhere classified acute respiratory failure unspecified sleep apnea neurogenic bladder nos 

Answer: The patient is high likely exposed to