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: hypokalemia major surgical or invasive procedure: none history of present illness: 34f hx bulemia difficult to treat x several years referred to ed after outpatient workup revealed lab abnormalities. she has noted that she has had increased lethargy, weakness, slight nausea and lightheadedness over the past fews days admitted to floor for electrolyte correction. no complaints of numbness/tingling, muscle pain. she had stopped taking her potassium pills for an unclear amount of time. in addition, she stopped her psychiatric medications a few months ago. . in the ed: ekg: nsr @ rate of 66. axis wnl. intervals wnls. u waves present - hence computer may be misreading the qt interval. no st changes. past medical history: * s/p breast implants () * s/p liposuction () * s/p rhinoplasty * pcp . @ hospital . psychiatric history: * diagnoses: polysubstance abuse, ptsd, depression, bulemia * multiple past psychiatric hospitalizations mostly at hospital. last hospitalization at behavioral in the fall of . * at least one past suicide attempt via significant overdose on tylenol #3, percocet, and alcohol in . hospitalized at at that time and had outpatient followup at as well. * past med trials include zoloft which the patient did find helpful. * psychiatrist dr. at hospital ( * therapist dr. at hospital ( social history: ms. was born in and the youngest of 5 children. her family moved to 24 years ago due to political pressures. she was placed in several homes and there are allegations of sexual abuse. as of , notes indicate that her famliy lives in ca, and that she has no contact with them. she attended high school through the 11th grade, obtained a ged and attended some college. she now lives in a house in in with her boyfriend. she was working as a barrista at starbucks until a couple of weeks ago. substance abuse history: the patient reports daily marijuana use and she also abuses suboxone which she gets from her boyfriend. she also has a history of alcohol abuse though would not state exactly how much she drinks. she smokes cigarettes. family history: noncontributory physical exam: vs: t: 96.8bp 110/80 hr 66 gen: very thin woman in nad, well groomed answering questions appropriately. heent: swelling at base of neck bilaterally. nontender. resp: cta-bl cv: reg nml s1, s2, no m/r/g abd: thin, nd/nt +bs, no rebound/guarding ext: no peripheral edema skin: no lanugo or rashes pertinent results: admission labs: 05:00pm glucose-87 urea n-17 creat-0.7 sodium-135 potassium-3.4 chloride-98 total co2-33* anion gap-7* 05:00pm calcium-8.7 phosphate-2.9 magnesium-2.2 11:32am type-art po2-84* pco2-53* ph-7.41 total co2-35* base xs-6 11:32am na+-134* k+-3.5 11:32am o2 sat-94 11:30am glucose-79 urea n-14 creat-0.7 sodium-135 potassium-3.5 chloride-94* total co2-35* anion gap-10 11:30am calcium-9.0 phosphate-2.7# magnesium-2.2 02:30am urine color-straw appear-clear sp -1.020 02:30am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-9.0* leuk-neg 02:30am urine rbc-0 wbc-0-2 bacteria-occ yeast-rare epi- 02:30am urine hyaline-<1 02:10am glucose-100 urea n-21* creat-1.2* sodium-137 potassium-2.7* chloride-78* total co2-49* anion gap-13 02:10am alt(sgpt)-27 ast(sgot)-39 alk phos-80 amylase-327* tot bili-0.6 02:10am lipase-39 02:10am albumin-5.0* calcium-10.2 phosphate-4.3 magnesium-2.5 02:10am comments-green top 02:10am glucose-92 na+-140 k+-2.3* cl--74* tco2-50* 02:10am wbc-6.7 rbc-5.04 hgb-15.2 hct-42.9 mcv-85 mch-30.1 mchc-35.4* rdw-13.1 02:10am neuts-56.4 lymphs-36.9 monos-4.5 eos-1.6 basos-0.6 02:10am plt count-470* 03:00pm glucose-102 03:00pm urea n-23* creat-1.0 sodium-135 potassium-2.2* chloride-79* total co2-48* anion gap-10 03:00pm estgfr-using this 03:00pm calcium-10.2 phosphate-4.4 magnesium-2.6 03:00pm tsh-1.24 . discharge labs: 05:20am blood wbc-4.7 rbc-4.29 hgb-13.2 hct-36.8 mcv-86 mch-30.7 mchc-35.8* rdw-13.2 plt ct-313 . micro: 2:30 am urine site: clean catch **final report ** urine culture (final ): escherichia coli. 10,000-100,000 organisms/ml.. presumptive identification. trimethoprim/sulfa sensitivity testing confirmed by . sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ 8 s ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 16 i ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s imipenem-------------- <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s . brief hospital course: 34 yo female with hx of bulemia presents after findings of hypokalemia and alkalosis on routine lab testing. on admission, pt was started on the eating disorder protocol. she had aggressive repletion of electrolytes. she was given iv fluid 200-250 cc boluses with resolution of arf and alkalosis on hd 2. nutrition followed giving recommendations for repletion of phosphate to avoid refeeding syndrome. pt was evaluated by psychiatry on hd1. they felt that the pt had very poor insight into her illness. she was deemed to be medically incompetent. she failed solid diet on hd2 and was changed to a liquid diet. she failed the liquid diet on hd3 and ngt was place with difficulty. pt was fighting and saying "you can't feed me." she was restrained with soft restraints and given ativan as tolerated- avoiding hypotension, pt was felt to be too much work for a regular medical floor and was transferred to the micu. . in the micu, the patient was originally hypotensive which was attributed to orthostatic hypotension, as she fell when she stood up. she had no evidence for sepsis, bleeding, or cardiogenic causes. the patient's pressure improved with ivf. in terms of her eating disorder she was originally allowed to eat what she wanted, but as she continued to vomit, she was reinstated on the strict eating disorder protocol. she had her electrolytes closely followed and did not develop signs of refeeding. she was closely followed by nutrition and psych, and the patient continued to try to leave but was not deemed to have capacity per psych. she was given haldol prn and ativan prn to keep her calm and had a 1:1 sitter to monitor her behavior. finally, the patient was noted to have a uti (e.coli) sensitive to cipro and she remained afebrile and completed a 3 day course of antibiotics. . the patient was transferred back to the medical floor. she initially continued to vomit her food, including an ensure protocol. her ativan was stopped due to patient agitation. she was continued on haldol with good effect. serial ekgs were taken and her qtc was stable. on she was able to hold down 3 consecutive meals. though her ideal body weight was at about 73% of normal, she was accepted to the in-patient psychiatry unit. on discharge her electrolytes were stable, except for a minimal increase in her calcium for which her calcium carbonate was stopped. . to do: 1. continue nutrition protocol 2. continue psychiatric evaluation 3. continue haldol as needed for agitation. serial ekgs will need to be taken to monitor her qtc 4. continue to monitor her electrolytes periodically medications on admission: 1. citalopram 20 mg daily 2. potassium chloride 40 meq tid 3. quetiapine 25 mg qhs 4. topiramate 25 mg tid * patient was not taking any of these medications due to poor non-adherence discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. hexavitamin tablet sig: one (1) cap po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 5. haloperidol 1 mg tablet sig: 2.5 tablets po bid (2 times a day) as needed for agitation. 6. pramoxine-mineral oil-zinc 1-12.5 % ointment sig: one (1) appl rectal prn (). discharge disposition: extended care discharge diagnosis: eating disorder hypokalemia alkalosis discharge condition: stable discharge instructions: you were admitted with sever electrolyte abnormalities from your eating disorder. this is a serious illness that requires long term treatment. you were put on a strict eating protocol while on the medical floor. moreover, your electrolytes and heart rhythm were monitored. you will be discharged to an in-patient psychiatric facility to further treat your illness. you are unable to leave under your own . . it is very important that you follow up with all of your appointments. . please present to the hospital or call your primary care provider if you have fever/chills, chest pain/shortness of breath, headache/dizzyness. followup instructions: please follow up with dr. within the next week once you are formally discharged. she is an eating disorder specialist. her phone number is (. procedure: enteral infusion of concentrated nutritional substances diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified hyposmolality and/or hyponatremia depressive disorder, not elsewhere classified anxiety state, unspecified alkalosis hypovolemia orthostatic hypotension nutritional marasmus obsessive-compulsive disorders posttraumatic stress disorder suicidal ideation cannabis abuse, continuous bulimia nervosa 

Answer: The patient is high likely exposed to