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 37-year-old female postop pancreas transplant , and living unrelated renal transplant . she presents with 36 hours of history of increasing fever and chills, nausea and vomiting. the patient reported shakes at home. temperature was 101.7. the patient noted that she had foul smelling urine. upon admission the patient was very agitated and tachycardic with a heart rate of 120. her vital signs were normal. past medical history: iddm, status post living unrelated renal transplant . medications at home: 1. prograf 3 mg po b.i.d. 2. cellcept 1 gram b.i.d. 3. valcyte 900 mg once a day. 4. prednisone 4 mg once daily. 5. bactrim single strength 1 once daily. 6. nystatin 5 ml po qid. 7. protonix 40 mg po b.i.d. 8. os-cal b.i.d 9. fosamax q week. physical examination: temperature 102.8, heart rate 108, blood pressure 136/80, respiratory rate 18, 98% on room air. the patient was alert and oriented, very agitated. cranial nerves ii through xii are intact. pupils are equal, round and reactive to light. lungs are clear bilaterally. incision was clean dry and intact. abdomen was tender approximately around the incision. positive bowel sounds. legs - no edema. history of brief hospital course: the patient is a 37-year- old female presenting with severe nausea and vomiting, fever and foul smelling urine. this lady's likely diagnosis was pyelonephritis versus uti with superimposed anxiety attacks. the patient was admitted to the transplant unit and started on iv fluid and empiric zosyn. chest x-ray was done and demonstrated no pleural effusions. no infiltrates. lung fields were clear. a nasogastric tube was inserted. correct position was noted in the stomach. the patient underwent supine film of the abdomen. gas was noted in the loops of the colon. the patient underwent ct of the abdomen and pelvis without contrast. this demonstrated evidence of an abscess with benign appearing fluid collection along the course of the right iliac vessels, likely representing lymphocele. the patient was admitted to the sicu for monitoring. white blood cell count on admission 21.1, hematocrit 31.5, creatinine 1.2, up from day 1 of 0.9, amylase 22, lipase 14, and glucose 91. ekg revealed sinus tachycardia. no st-t wave changes. urine was positive for nitrates. wbc 30, large amount of blood. as previously stated the patient was started on zosyn. urine and blood cultures were sent. blood cultures were subsequently negative. urine culture demonstrated e. coli with 100,000 colonies, resistant to ampicillin and bactrim, sensitive to the cephalosporins, imipenem, levo, and meropenem. on hospital 2, the patient had a temperature of 104.5. she was given tylenol and aggressive iv hydration. she continued on zosyn and linezolid. white blood cell count increased to 30.3. she complained of some back pain as well. temperature defervesced. the patient was transferred to the medical- surgical unit on hospital day 3. temperature was 99. abdomen was soft. she was slowly advanced to house diet. iv therapy was decreased. urine output was approximately 500 cc per day of clear yellow urine. the patient continued to feel anxious. glucoses were normal. foley catheter was removed. the patient was followed by nephrology throughout this hospital course. prograf level was 7.1. prograf was adjusted accordingly. creatinine was 1.2, bun 13, amylase 23, and lipase 17 with a glucose of 112. of note, the patient complained of right hip pain on hospital day 3. she was medicated with iv dilaudid with fair relief. the patient felt there was muscle spasm in right hip, erythematous with some swelling. physical therapy was consulted. localized inflammation was noted. concern was for trochanteric bursitis. the patient was independent with mobility. she was independent with transfer, stairs, and hallway ambulation. outpatient pca was recommended. the patient's antibiotic was switched to ceftriaxone iv. the patient was discharged home on hospital day 5. she was given a prescription for keflex for 1 week and macrobid. urine output was approximately 1.5 liters per day. glucose has remained within normal range. she was afebrile. discharge medications: 1. prednisone 4 mg po once daily. 2. valcyte 900 mg po once daily. 3. nystatin 5 mg po qid. 4. bactrim single strength 1 po once daily. 5. cellcept 1 gram po b.i.d. 6. prograf 3 mg po b.i.d. 7. protonix 40 mg po once daily. 8. aspirin 81 mg, enteric coated, one po once daily. 9. hydrocodone/ acetaminophen 5/325 mg 1 tab po p.r.n. q4 hours. 10. keflex 500 mg po qid x 10 days. 11. macrodantin 100 mg cap 1 po once daily. discharge diagnoses: 1. status post pancreas transplant on . 2. status post living unrelated renal transplant . 3. urinary tract infection. 4. urosepsis. the patient was instructed to follow up with dr. on . she was also to follow up with from social service as well as dr. on . , md, phd dictated by: medquist36 d: 16:00:13 t: 02:12:59 job#: procedure: injection or infusion of oxazolidinone class of antibiotics diagnoses: urinary tract infection, site not specified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled complications of transplanted kidney pancreas replaced by transplant 

Answer: The patient is high likely exposed to