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: zantac 75 / lipitor attending: chief complaint: fevers major surgical or invasive procedure: ct guided drainage and placement of pigtail catheter history of present illness: ms. is a 49 year old female who presented to -ed on with complaints of fevers and increased output from midline wound, she recently completed a 2 week course of antibiotics. she was hypotensive with a systolic blood pressure in the 80's and febrile to 103 in the ed, she was admitted to the surgical icu for treatment and close monitoring. past medical history: past medical history: --colocutaneous fistula --h/o mrsa aspiration pneumonia --diverticulitis --anxiety --depression --afib, paroxysmal --abdominal abscess with percuteous drain: +mrsa, e.coli, klebsiella --h/o ue dvt (?treated with coumadin 1 month) --- exploratory laparotomy with total colectomy --- takedown ileorectal anastomosis, pouch, ileostomy --- sigmoid colectomy --- cholecystectomy social history: lives w/ husband -- homemaker. former nurse. -- married w/ 4 children (7-19yo) -- eldest daughter recently had son -- 16 pack year smoking hx -- now no etoh, used to enjoy "kahlua" -- no illicit drug use -- feels safe at home. no exposures reported family history: mother died lung ca age 57. father had malignant heent tumor nect in 70's. also had diverticulitis s/p colectomy. fraternal twin sister has bipolar dz. father/mother have depression+anxiety. physical exam: upon admission: 96.7 85 94/53 14 gen: no active distress but mucus membranes dry, pale chest: decreased breath sounds bilaterally at bases cv: regular abd: soft, moderate tenderness along left side, midline incision without tympany, mild fibrinous exudative drainage with pus, no erythema pertinent results: ct guided drainage : impression: status post successful drainage of abscess with catheter left in situ in right iliac fossa with fluid sent for culture and sensitivity. ct : impression: 1. large rim-enhancing fluid collection within the right iliac fossa, in the same location, yet slightly smaller, than that seen on previous ct from . no oral contrast is identified entering into the collection, and there is no identifiable communication with adjacent bowel or other source. 2. no other fluid collection is identified and no free air is present within the abdomen or pelvis. 3. status post total colectomy with hartmann pouch and functional right lower quadrant diverting ileostomy, with no evidence of obstruction. status post cholecystectomy. comment: findings were discussed with the general surgery team, and arrangements were made for ct-guided drainage of this fluid collection by interventional radiology. fistulagram : impression: no evidence of enteric fistula. admission labs: 11:35am blood wbc-11.3*# rbc-5.10# hgb-15.0# hct-42.9# mcv-84 mch-29.4 mchc-35.0 rdw-13.9 plt ct-475*# 11:35am blood neuts-91.7* bands-0 lymphs-4.7* monos-3.3 eos-0.2 baso-0.1 11:35am blood pt-12.3 ptt-20.2* inr(pt)-1.1 11:35am blood glucose-159* urean-23* creat-1.3* na-133 k-5.1 cl-90* hco3-20* angap-28* 11:35am blood alt-7 ast-21 ck(cpk)-34 alkphos-246* amylase-52 totbili-0.5 11:35am blood albumin-4.5 calcium-10.3* mg-2.5 discharge labs: 05:05am blood wbc-3.5* hct-28.7* plt ct-321 05:05am blood plt ct-321 05:05am blood glucose-93 urean-3* creat-0.6 na-139 k-3.3 cl-105 hco3-27 angap-10 8:30 pm abscess gram stain (final ): 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram negative rod(s). 4+ (>10 per 1000x field): gram positive cocci. in pairs, chains, and clusters. 3+ (5-10 per 1000x field): gram positive rod(s). smear reviewed; results confirmed. wound culture (final ): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). beta streptococcus group b. moderate growth. gram negative rod(s). moderate growth. gram negative rod #2. sparse growth. anaerobic culture (preliminary): no anaerobes isolated. brief hospital course: ms. was admitted to the sicu, a central line was placed, she was made npo with intravenous hydration and broad spectrum antibiotics, she was successfully resuscitated with intravenous fluid; a ct scan revealed a large fluid collection within the right iliac fossa, she a ct guided drainage and placement of a pigtail catheter. hd 2, she was transferred to an in-patient nursing unit, was tolerating a regular diet, had good pain control with oral dilaudid, remained afebrile, and normotensive. hd 5, final cultures were reported (see pertinent results), she was placed on oral ciprofloxacin for two weeks; a fistulagram through the abscess drain was negative for communication with the bowel. she was discharged home in good condition on with visiting nurse services for assistance with her drain. she was to follow-up with dr. on . she was provided prescriptions for: dilaudid, ciprofloxacin, and protonix. medications on admission: trazadone mirtazapine clonazepam ms dilaudid discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. trazodone 100 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. 3. mirtazapine 30 mg tablet sig: one (1) tablet po hs (at bedtime). 4. clonazepam 1 mg tablet sig: one (1) tablet po qid (4 times a day). 5. morphine 15 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). 6. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks: take with food. disp:*28 tablet(s)* refills:*0* 7. alprazolam 1 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed for pain: take with food. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: sepsis abdominal abscess anxiety depression discharge condition: good discharge instructions: notify md or return the emergency department if you experience: *increased or persistent pain not relieved by pain medication *fever > 101.5 *nausea, vomiting, abdominal distention, or increased or decreased outputs from ostomy that last longer than 24 hours *if drain pulls out, or if exit site develops redness or leakage *any other symptoms concerning to you please take the antibiotics as directed, do not skip any doses no driving or alcohol use with pain medication you may also take tylenol or motrin every 6 hours as needed for pain you may continue your home medications of: mirtazipine, klonnapin, , ms contin, protonix please maintain dry dressing over exit site of drain at all times be sure to eat small frequent meals and drink fluids throughout the day be sure to slowly increase your daily activities, including walking during the day followup instructions: follow-up with dr. on at 2:30pm, call for questions or concerns. procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage diagnoses: atrial fibrillation depressive disorder, not elsewhere classified sepsis diverticulitis of colon (without mention of hemorrhage) septicemia due to pseudomonas abscess of intestine 

Answer: The patient is high likely exposed to