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 36-year-old female with past medical history significant for chronic back pain and neck pain requiring chronic pain medication was admitted to outside hospital on for three days of increasing abdominal pain that was initially sudden on onset. the patient also had 8 weeks of green yellowish vaginal discharge. the patient was febrile with temperature of 104 in the emergency room at an outside hospital and tachycardiac and decreased blood pressure with systolic in the 60's. the patient was found to have peritoneal signs and subsequently taken to the operating room. there on open laparotomy the patient was found to have "pus in her abdomen and pelvis, rapid strep test was performed and was positive for group b strep. the patient had initially been treated with broad spectrum antibiotics which was changed to penicillin and clindamycin. on the patient was changed to vancomycin and flagyl to also cover a blood culture positive for coagulase negative staph infection. there was no clear source of infection and abdomen and pelvis on laparotomy. the patient remained intubate with increasing o2 requirement that worsened consistent with adult respiratory distress syndrome. the patient was previously on levophed times 36 hours, now stress dose steroids were subsequently discontinued. the patient had a colonoscopy on , evaluated for c. diff colitis which was negative. past medical history: 1. endometriosis. 2. history of status post appendectomy. 3. history of oophorectomy on the left side. 4. chronic back pain and neck pain. 5. lower extremity reflex sympathetic dystrophy. 6. radiculopathy with epidural fibrosis on chronic narcotics. 7. migraines. allergies: codeine and morphine and sulfa. medications: 1. meperidine upon transfer 50 mg p.o. mg b.i.d. 2. lasix 20 mg intravenous time two. 3. vancomycin 1.5 grams q 12 hours. 4. albuterol mdi. 5. propofol ggt 6. flagyl 250 mg q 6 hours. 7. insulin sliding scale. social history: the patient has one child via invetro fertilization, quit tobacco eight years ago. rare tobacco usage. physical examination: upon presentation temperature 101, heart rate 94, blood pressure 127/54 sating at 97% respiratory rate 34 on vent settings. an assist control 400, tidal volume respiratory rate 24, fio2 100%, peep 12. in general sedated but tachypneic, not responding to commands. head, eyes, ears, nose and throat examination is normocephalic, atraumatic. pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. oropharynx was clear. neck: left ij line in place, no lymphadenopathy appreciated. lungs: clear bilateral crackles. heart: regular rate and rhythm. normal s1 and s2. no murmurs, rubs or gallops. abdominal examination: midline incision with staples at the laparotomy site. no drainage. hypoactive bowel sounds, nontender to palpation, warm and erythematous over abdomen and flanks. extremities: 2+ nonpitting ankle edema, 2+ nonpitting edema of the hands. dp/pt pulses 2+ bilaterally. neurologic exam: sedated, not following commands. labs: upon presentation white count 15,700, hematocrit 26.4, hemoglobin 8.6, platelets 535,000. prothrombin time of 12.8, ptt 30.4. inr 1.1. sodium 141, potassium 3.8, chloride 109, bicarbonate 24, bun 13, creatinine 0.4. glucose of 104. calcium 7.9, magnesium 1.5. chest x-ray: slight increase worsening of her adult respiratory distress syndrome, bilateral infiltrates. assessment/plan: 36-year-old female who has sepsis status post abdominal surgery on possible pelvic source who now with persistent o2 requirement and bilateral infiltrates and fevers suggestive of adult respiratory distress syndrome. hospital course by systems: 1. pulmonary. the patient was admitted to the intensive care unit originally tried on assist control ventilation. however, the patient had persistently high pulmonary pressures in the 50's, a transesophageal balloon was placed which confirmed the patient's pressures. the patient had episodes of acute hypoxemia and hypercarbia. during hospital course initially was difficult to ventilate and oxygenate. the patient was subsequently tried with increased paralytics however, the patient despite large doses of paralytics was not paralyzed. the patient was also placed on increasing doses of sedation requiring fentanyl of 1300 mg per hour and ativan at 20 mg per hour. despite these, the patient was very light on sedation. ultimately the patient was proned with improvement in her oxygenation and ventilation. the patient was subsequently left on pressure control ventilation for prolonged period of time with permissive hypercapnia, ph allowed to fall to 7.2. the patient ultimately was changed over to pressure support. ventilation was adequate ventilation, oxygenation and sedation was subsequently weaned. the patient was ultimately trached on . the patient will require prolonged weaning course for her adult respiratory distress syndrome. 2. cardiology. tachycardia, the patient was always tachycardiac during hospital course secondary to anxiety. the patient had several episodes of hypotension requiring intravenous fluid boluses and transient chemical pressors which the patient subsequently was able to wean off. recorded stem test which was performed upon admission for her hypertension and subsequently was normal. the patient is currently hemodynamically stable however, remains tachycardiac. electrocardiogram reveals sinus tachycardia. 3. renal. the patient had normal bun and creatinine throughout hospital course and has good urine output. the patient's in's and out's have been relatively even. all her intravenous fluids in were diuresed through her urine. 4. infectious disease. during hospital course upon presentation the patient was febrile. unclear of source. outside blood cultures grew out group a strep. the patient was continued on clindamycin, vancomycin, cefepime and was covered broadly during initially. gynecology was consulted with regards to patient possible vaginal source. vaginal cultures were negative. chlamydia and gc were also negative. vaginal ultrasound was performed upon presentation which originally was questionable hydropyelosalpinx however, ct scan of her abdomen did not confirm this. a ct scan of abdomen did reveal large amounts of pelvic fluid of which intervention radiology was consulted for sampling of the fluid. ultrasound guided sampling of the fluid did not reveal any organisms and cultures have thus been negative thus far. the patient persistently spiked temperatures during hospital course and blood cultures have not grown any organism to date. only one set of cultures have been positive, 1/2 bottles drawn through an arterial line and the arterial line grew out coagulase staph, arterial line subsequently discontinued and the catheter tip grew out coagulase negative staph as well. infectious disease ultimately recommended peeling back on antibiotics after she completed her course of clindamycin for group a strep. cefepime was subsequently discontinued. the patient subsequently defervesced after peeling back of antibiotics. the patient was started on acyclovir intravenously for cutaneous hsv which was positive on tsa staining. the patient was covered empirically for hsv encephalitis as lumbar puncture was attempted to rule out hsv encephalitis however, was unsuccessful given the patient's history of lower back surgery and multiple injections. the patient was covered empirically for c. diff colitis as well with metronidazole given the patient's prolonged course of clindamycin, cefepime. the patient had not had any stool or bowel movements. the patient received a seven day course of flagyl. ultimately vancomycin was restarted on for methicillin resistant staphylococcus aureus in her sputum as for increased secretions. 5. genitourinary: given the fact that the patient had pus in her pelvis and abdomen upon presentation to the hospital gynecology service was consulted "for questionable group a strep", pelvic inflammatory disease. the patient was covered broadly with clindamycin, vancomycin and cefepime originally. vaginal cultures were negative and as mentioned infectious disease the patient's transvaginal ultrasound revealed hydropyelosalpinx however, on ct scan was not confirmed. the patient was treated for a course of group a strep, bacteremia and subsequently antibiotics were peeled back. 6. gastrointestinal. the patient was placed on total parenteral nutrition upon presentation and subsequently tube feeds were started and ultimately a percutaneous endoscopic gastrostomy tube was placed for further nutritional needs. with regards to the patient's adult respiratory distress syndrome infectious disease addendum to this discharge summary will be made at a later date with discharge medications. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy diagnoses: methicillin susceptible pneumonia due to staphylococcus aureus streptococcal septicemia herpes simplex without mention of complication chronic or unspecified parametritis and pelvic cellulitis 

Answer: The patient is high likely exposed to