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: increasing abdominal distension and hyponatremia major surgical or invasive procedure: paracentesis x3 history of present illness: mr. is a 59 year old man with a history of alcoholic cirrhosis who presents one week following hospital discharge with increasing abdominal distension and hyponatremia in the setting of medication noncompliance and active alcohol abuse. of note, he was admitted to from on the liver service for increasing ascites and underwent a 10 l therapeutic paracentesis on that admission; he was discharged with prescriptions for new diuretic doses but never filled these; his sodium was 129 on discharge. also of note, on a prior admission earlier in / his sodium was as low as 110 which responded to fluid restriction. he reports that he hasn??????t been taking any of his medications for the past few days and his abdomen has been growing in girth. he reports compliance with sodium and fluid restriction, and reports that he did drink 2-3 beers with his brother about 24 hours prior to admission. by report, he wouldn??????t let vna into his house on the day of admission and so she alerted ems. in the ed, he was afebrile, bp 100/69, hr 96, sat 99% on room air. he was given 1000 cc of normal saline and admitted to the micu for hyponatremia. past medical history: etoh cirrhosis, h/o sbp, recurrent ascites anemia h/o hepatitis a social history: actively drinking; drank 2-3 beers on day prior to admission. denies ivdu or smoking. from rehab (), no family, originally from family history: non-contributory physical exam: admission pe: general appearance: cachectic, chronically-ill-appearing eyes / conjunctiva: scleral icterus neck: no lymphadenopathy, supple, jvp 7 cm chest: poor lung expansion; no wheezes, rales, or ronchi cv: regular rate/rhythm, nl s1s2, ii/vi systolic murmur abdomen: tensely distended with ascites; (+) caput; nontender; normal bowel sounds; no hsm extremities: 3+ edema, 1+ pt pulses skin: no rash; marked jaundice neurologic: alert, oriented x3, cn 2-12 intact, no asterixis pertinent results: 03:05pm pt-14.8* ptt-25.9 inr(pt)-1.3* 03:05pm wbc-7.0 rbc-3.97* hgb-13.3* hct-38.4* mcv-97 mch-33.5* mchc-34.6 rdw-16.9* 03:05pm asa-neg ethanol-139* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:05pm tot prot-7.6 albumin-3.9 globulin-3.7 calcium-9.3 phosphate-3.9 magnesium-2.4 03:05pm lipase-99* 03:05pm alt(sgpt)-82* ast(sgot)-143* ld(ldh)-670* alk phos-677* tot bili-16.1* 03:05pm glucose-96 urea n-28* creat-1.0 sodium-116* potassium-6.9* chloride-82* total co2-19* anion gap-22* 06:00pm ammonia-97* 06:09pm na+-121* k+-5.1 09:37pm pt-14.7* ptt-25.2 inr(pt)-1.3* 09:37pm plt count-144* 09:37pm wbc-6.8 rbc-4.09* hgb-14.1 hct-40.4 mcv-99* mch-34.4* mchc-34.8 rdw-17.0* 09:37pm calcium-9.1 phosphate-3.9 magnesium-2.3 09:37pm alt(sgpt)-71* ast(sgot)-88* ld(ldh)-296* alk phos-653* tot bili-17.5* dir bili-11.7* indir bil-5.8 09:37pm glucose-83 urea n-26* creat-0.8 sodium-119* potassium-5.7* chloride-86* total co2-18* anion gap-21* 06:35am blood hiv ab-negative 06:30am blood wbc-6.6 rbc-2.35* hgb-8.4* hct-24.9* mcv-106* mch-35.7* mchc-33.6 rdw-20.9* plt ct-46* 06:30am blood pt-19.9* inr(pt)-1.9* 06:30am blood glucose-116* urean-108* creat-5.2* na-138 k-5.7* cl-107 hco3-12* angap-25* 06:55am blood alt-29 ast-33 ld(ldh)-177 alkphos-215* totbili-11.0* 05:40am blood mg-2.6 02:54pm ascites wbc-2133* rbc-533* polys-90* lymphs-3* monos-7* 03:36pm ascites wbc-3445* rbc-3375* polys-96* lymphs-3* monos-0 basos-1* 07:06pm ascites wbc-115* rbc-507* polys-33* lymphs-36* monos-20* mesothe-3* macroph-8* 2:54 pm ascites culture fluid culture in bottles (final ): escherichia coli. final sensitivities. . presumptive identification. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ =>32 r ampicillin/sulbactam-- =>32 r cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 4 s ciprofloxacin--------- =>4 r gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin---------- 64 i piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- =>16 r ascites cx: . presumptive identification preformed on culture # 256-9817c . ascites cx: fluid culture in bottles (final ): no growth. urine culture: enterococcus faecium. >100,000 organisms/ml.. sensitivity testing performed by sensititre. enterococcus sp.. >100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus faecium | enterococcus sp. | | ampicillin------------ =>16 r =>32 r linezolid------------- 1 s 2 s nitrofurantoin-------- 128 r tetracycline---------- s =>16 r vancomycin------------ =>128 r =>32 r blood cx ( x2, x2): negative abdominal u/s (): impression: 1. cirrhotic liver, splenomegaly, and large amount of ascites. 2. while color doppler flow was demonstrated within the main portal vein, wall-to-wall color flow is not seen, suggestive of partial occlusion of the main portal vein. 3. sludge-filled gallbladder. cxr (): there are marked low lung volumes unchanged from prior study. multifocal subsegmental atelectasis in the left lung are also unchanged. there is no pneumothorax or pleural effusion. cardiomediastinal contours are normal. there is no evidence of chf. ct abd/pelvis (): impression: small amount of layering hemoperitoneum within the abdomen and pelvis, left greater than right. renal u/s (): impression: 1. no hydronephrosis on limited views of the kidneys. 2. ascites. tte (): impression: no vegetation or abscess seen. the study was limited by patient deciding to prematurely end the study. brief hospital course: 1) sbp: patient presented with medication noncompliance, active alcohol abuse, and increasing abdominal girth. large volume (10l) paracentesis was performed on with albumin given, and showed e coli and . he was clinically stable, with chronically low bp, so diuretics and nadolol were held. he was given a 13d course of ceftriaxone and 11d course of caspofungin (see arf). subsequent abdominal ct with small amount of blood, but hematocrit stable. repeat paracentesis on showed increased polys, no bacteria, yeast still present. his blood pressure dropped to 64/42, but improved with fluid bolus, albumin, midodrine, and octreotide. paracentesis with 4 liters removed showed improved cell count and negative culture. all blood cultures were negative. urine showed vre, but was not treated as he was asymptomatic and ua was unremarkable. 2) arf: his creatinine has gradually increased from 1.2 to 5.2, with low urine na, no hydronephrosis. due to this, his caspofungin for sbp was stopped at day 11. he was given ivf and albumin on multiple occasions and titrated up on midodrine and octreotide with no improvement in renal function. this clinical course is consistent with hepatorenal syndrome. as he will be unable to receive octreotide at hospice, and his medications are not improving his kidneys, his octreotide and midodrine were held at discharge, as were his lasix and spironolactone. 3) cirrhosis: seceondary to alcohol abuse. he is not a transplant candidate given his continued drinking. his cirrhosis has been complicated by refractory ascites, coagulopathy, and hyperbilirubinemia. he was continued on lactulose, and his other medications were managed as discusssed above. 4) hyponatremia: most likely hypervolemic hyponatremia due to fluid retention from his cirrhosis and diuretic noncompliance. he was 116 on admission, and as been as low as 110 on prior admissions. he was fluid restricted to 1.5l/day and his sodium gradually returned to without complications. 5) dispo: his other medical conditions were managed per his outpatient regimen. due to his poor prognosis and inability to be considered for transplant, he will be discharged to hospice for further care. the patient understands this plan and is agreeable. medications on admission: (not taking any prescribed meds) prescribed meds: nadolol 20 mg daily ciprofloxacin 250 mg daily furosemide 40 mg daily spironolactone 75 mg tid lactulose 30 cc omeprazole 20 mg daily multivitamin zinc sulfate 220 mg daily ascorbic acid 500 mg discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 4. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): titrate to 3 bms daily. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stool. 6. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed for dry itchy skin. 7. lidocaine hcl 2 % gel sig: one (1) appl mucous membrane prn (as needed). 8. oxycodone 5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 9. cipro 250 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: lights discharge diagnosis: primary: spontaneous bacterial peritonitis, hyponatremia secondary: end-stage liver disease, refractory ascites, anemia discharge condition: alert and mentating well, hemodynamically stable. discharge instructions: you presented to with increased size of your belly and low blood sodium levels. we found an infection in the fluid in your belly and started you on antibiotics. your sodium and infection seem to have improved, but your kidney function has been worsening even with medical treatment, and is unlikely to improve. as we have discussed, you are being discharged to a hospice facility that will handle your care and medications. please take your medications as prescribed. we have stopped your nadolol, furosemide, and spironolactone since your blood pressures have been too low. if you experience any fevers, chills, abdominal pain, confusion, or any other concerning symptoms, please seek medical attention or come to the er immediately. followup instructions: please call your primary care doctor, dr. , at ( for any concerns. md, msc, mph procedure: percutaneous abdominal drainage diagnoses: anemia, unspecified alcoholic cirrhosis of liver acute kidney failure, unspecified hyposmolality and/or hyponatremia cachexia other ascites other and unspecified alcohol dependence, continuous spontaneous bacterial peritonitis 

Answer: The patient is high likely exposed to