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: amoxicillin attending: chief complaint: line sepsis major surgical or invasive procedure: none history of present illness: 61 y.o. man underwent cystoprostatectomy for invasive bladder cancer. small bowel neobladder also created at the same time. initial post-op course uncomplicated. returned late with hyponatremia and acute renal failure that promptly resolved. he also reportedly had a cipro-resistant klebsiella in his urine from urology clinic (not in our micro data) and got abx for that (listed in initial consult note). also got abx for yeast and vre in urine, although unclear if these were just colonizers (more likely) or if he was truly infected. imaging at this time showed two pelvic fluid collections. went home early . he returned early with cloudy urine and perineal pain. imaging showed that the previously seen fluid collection to the right of the neo-bladder was unchanged, but the collection in the prostate bed was larger. 150 cc of purulent fluid were drained from the prostate bed. cultures grew two pan-sensitive klebsiella species, two enterococcus (one vre, one pan-sensitive), and viridans strep. linezolid, ctx, and flagyl were started once these culture data were back; the ctx was changed to cipro . multiple imaging studies in early ultimately showed a fistula from the neo-bladder to the small bowel; both of the aforementioned fluid collections were thought to be contiguous with this fistula. the plan was therefore to continue all three abx until some future date when he will undergo surgical repair of the fistula; surgery was delayed pending improved nutritional status. he therefore went home with a picc on tpn in mid-. was doing well at home until when he had fever (102) and rigors during his tpn infusion. same thing . was febrile to 104 with rigors when his picc was flushed. went to osh ed () and reportedly got bld cxs before levoflox was given. he was hypotensive (70s/40s) so got iv fluid and was sent here. picc was pulled here (tip not sent for culture) and he was given vanc, ceftaz, and dexamethasone in the ed before being admitted to the . past medical history: pmhx: back pain, gerd, esophageal stricture, bladder cancer pshx: turbt , esophageal dil, cystoprostatectomy with modified ileal neobladder and appendectomy social history: heavy smoker and drinker family history: n/c physical exam: generally, the patient was well-appearing, alert and oriented, in no apparent distress. examination of the neck revealed no masses or bruits. examination of the chest revealed it was clear to auscultation bilaterally. examination of the heart revealed a regular rate and rhythm. examination of the abdomen revealed no masses, or tenderness. no clubbing, cyanosis, or edema were noted. pertinent results: ct pelvis and cystogram 1. no evidence of bowel leak or fistulous connection from neobladder to the gi tract. 2. residual fluid collection/abscesses within the deep pelvis slightly decreased in size. 08:35pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-mod 11:31pm ld(ldh)-111 06:45pm hypochrom-occasional anisocyt-1+ poikilocy-occasional macrocyt-occasional microcyt-1+ polychrom-normal ovalocyt-occasional brief hospital course: patient was admitted to the on with line sepsis for which he was started on vanc, flagyl, and zosyn. he also received aggressive ivf resusitation and 2u prbc. repeat imaging showed no fistulous connection between the small or large intestines and the neobladder. on hd#3 () pt was transfered onto the urology service. while on service, the patient remained afebrile and had no issues. pt had rij inserted in icu and picc d/c'd. on , pt had new picc placed and rij d/c'd. due to the necessity of tpn and the id recommended regimen of antibiotics, the patient will require a skilled nursing facility. general surgery curbside recommended that the patient follow up with dr. on for further evaluation of his possible fistula. upon discharge the patient was ambulating well, tolerating clear liquids, on tpn, afebrile, and all vital signs stable. medications on admission: percocet 1-2 tabs q4-6 colace 100mg linezolid 600mg po q12 x 3weeks metronidazole 500mg po tid x 3 weeks ciprofloxacin 500mg po q12h x 3 weeks discharge medications: 1. daptomycin 400 mg iv q24h 2. cefepime 2 gm iv q12h 3. metronidazole (flagyl) 500 mg iv q8h 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*20 tablet(s)* refills:*0* 5. colace 100 mg capsule sig: one (1) capsule po twice a day for 3 weeks: please take colace if you are using the narcotic pain meds. hold for loose stool. disp:*42 capsule(s)* refills:*0* 6. linezolid 600 mg tablet sig: one (1) tablet po every twelve (12) hours for 3 weeks: start taking only after you finish your iv antibiotics. starting on . . disp:*42 tablet(s)* refills:*0* 7. metronidazole 500 mg tablet sig: one (1) tablet po three times a day for 3 weeks: start taking only after you finish your iv antibiotics. starting on . . disp:*63 tablet(s)* refills:*0* 8. cipro 500 mg tablet sig: one (1) tablet po every twelve (12) hours for 3 weeks: start taking only after you finish your iv antibiotics. starting on . disp:*42 tablet(s)* refills:*0* discharge disposition: extended care facility: center discharge diagnosis: s/p cystoprostatectomy with neobladder now with questionable enterovesicular fistula. discharge condition: fair discharge instructions: please call your doctor or come to the er if you notice fever greater than 101.5, severe pain not controlled by medication, inability to void, or any other concerns. okay to shower. please resume taking your home meds. follow instructions for your antibiotic treatment. iv antibiotics until and resume oral antibiotics on . also, flush your neobladder twice daily and as needed. followup instructions: please call dr. office for a follow up appointment. you have a general surgery follow up appointment with dr. on that you need to go to. you also have an infectious disease appointment on at 10:30 with dr. in clinic. please go early to the appointment so they can draw blood to run some tests before you see the doctor. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnoses: esophageal reflux unspecified septicemia severe sepsis septic shock personal history of malignant neoplasm of bladder infection and inflammatory reaction due to other vascular device, implant, and graft intestinovesical fistula 

Answer: The patient is high likely exposed to