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 24-year-old white female with complicated past medical history, significant for gi vasculitis and dysmotility requiring chronic tpn at home which she was receiving via a left hospital with a temperature of 107 and hypotension to a systolic blood pressure in the 90's which responded to iv fluids. the patient was started on levaquin and vancomycin. the patient was transferred to micu for presumed line infection. micu course: the patient became tachycardic to the 150's 90's which was refractory to iv fluids. the patient was started on neo-synephrine. outside hospital urine cultures were positive for pseudomonas and outside hospital blood cultures were positive for gram negative rods. the patient started on fluconazole, levaquin and vancomycin. cultures at were growing enterococcus in the urine (likely a contaminant) and the blood cultures were growing klebsiella. the patient's antibiotics were then switched to tobramycin and piperacillin. the patient's left femoral line was pulled and replaced with a right ij line. other micu events included acute renal failure secondary to ischemic atn which eventually stabilized with good urine output, however, patient was positive 7 liters of fluid. dic type picture with decreased platelets but no sources of active bleeding. anemia with hematocrit of 24.1 on admission. the patient transfused two units of packed red blood cells. the patient's hematocrit increased to 25.9. the patient was gradually weaned off of pressors and then transferred to the floor for further care. past medical history: gi dysmotility status post colectomy and subsequent short bowel syndrome. gi vasculitis on chronic tpn secondary to above. chronic pain syndrome on dilaudid pca at home. multiple line infections requiring hospitalization. prior organisms included staph epidermis and . patient is wheelchair bound. the patient has suprapubic catheter. patient has a g tube used for drainage only. questionable diagnosis of reflex sympathetic dystrophy, questionable diagnosis of lebers hereditary optic neuritis. question of munchausens or factitious depression. allergies: kefzol and compazine. social history: the patient lives at home with her family. physical examination: temperature 98.8, pulse 93-101, blood pressure 114-128/71-78, respirations 18-24, 92-97% on room air. in general, the patient is alert and in no acute distress. right ij line site, no tenderness noted, erythema. cardiovascular, regular rate and rhythm, normal s1 and s2, no murmurs. lungs, rales at bilateral bases. abdomen, diffuse tenderness especially in right upper quadrant, no guarding, no rebound. g tube site, no erythema. suprapubic tube site, no tenderness, no erythema. extremities, no edema. hospital course: after being transferred out of the micu onto the floor, the patient remained afebrile. repeat blood cultures were drawn which were negative for 48 hours. the patient then received a permanent left femoral hickman catheter. the procedure was performed under general anesthesia by interventional radiologist, dr. . the patient continued to remain afebrile and her iv levaquin course was continued. post procedure pt c/o left eye pain. ophthalmology was called and evaluated pt and felt she may have a mild corneal abrasion. condition on discharge: stable. discharge status: discharged patient to home. f/u with dr. in . discharge medications: erythromycin ointment to the left eye qid for three days, zofran 10 mg iv five times a day, klonopin 2 mg sublingual five times per day, lovenox 30 mg subcutaneously q day, benadryl 100 mg q 3 hours, reglan 10 mg iv bid, pepcid 40 mg iv q day, ativan 3 mg iv qid, epogen 5,000 units subcutaneously q tuesday and thursday, dilaudid pca, basal rate of 5 mg/hour, pca dose 3 mg every 15 minutes with a lock out at maximum 17 mg/hour, estradiol patch 0.1 mg every monday and every thursday, buspar sublingual, levaquin 500 mg iv times 10 days, home tpn 5 days a week she receives a three liter bag every day of 80 gm amino acids, 320 gm of dextrose, 0 lipids, 110 meq of nacl, 40 meq of kcl, 15 meq of calcium gluconate, 25 meq of magnesium sulfate, 30 meq of sodium acetate, 1 cc of multi trace elements. for the other two days of the week the patient receives a three liter bag every day consisting of 80 gm of amino acids, 270 gm of dextrose, 55 gm of interlipids 20%, 110 meq of sodium chloride, 40 meq of potassium chloride, 15 meq of calcium gluconate, 25 meq of magnesium sulfate, 30 meq of sodium acetate and 1 cc of multi trace elements. the patient received tpn through home infusion co. the patient also received d5 normal saline two liters per day. final diagnosis: 1. klebsiella line sepsis. 2. gi dysmotility and vasculitis. 3. short bowel syndrome. 4. on home tpn, on home dilaudid pca for chronic pain. 5. question of reflex sympathetic dystrophy. 6. question of hereditary optic neuritis. 7. question of munchausen or factitious disorders, depression. 8. patient has g tube use for decompression only. 9. patient has suprapubic catheter. , f. dictated by: medquist36 d: 20:47 t: 06:43 job#: procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances arterial catheterization incision with removal of foreign body or device from skin and subcutaneous tissue insertion of totally implantable vascular access device [vad] diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified other shock without mention of trauma other septicemia due to gram-negative organisms infection and inflammatory reaction due to other vascular device, implant, and graft other and unspecified postsurgical nonabsorption gastrostomy status arteritis, unspecified dyspepsia and other specified disorders of function of stomach 

Answer: The patient is high likely exposed to