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: codeine / keflex attending: chief complaint: right hip pain major surgical or invasive procedure: pelvic arteriogram history of present illness: hpi: f s/p fall at c/o r hip pain. patient was in usual state of health until this am when she notes mechanical fall in bathroom. walks w assistance of cane at baseline but did not have cane this am at time of fall. denies syncope, lightheadedness, chest pain or shortness of breath at time of fall. denies head strike. patient brought to ed by ambulance for evaluation. surgery consultation is obtained for traumatic injury. at time of evaluation patient complains of severe r hip pain but denies associated symptoms as per above. denies headache, blurry vision, fever, chills, blurry vision, double vision, chest pain, shortness of breath, abdominal pain, dysuria. past medical history: 1. breast cancer, bilaterally. 2. hypertension. 3. history of recurrent urinary tract infection. 4. inferior myocardial infarction . 5. osteoporosis. 6. depression. 7. rectocele. 8. left arm lymph edema secondary to breast cancer treatment. 9. herpes zoster . 10. memory loss. 11. status post cva 12. cystocele 13. history of falls. 14. hemorrhoidectomy. 15. left cataract surgery. 16. right carotid endarterectomy . 17. left dermoid ovarian cyst removal. 18. two lumpectomies of the left breast, followed by xrt. 19. cad (per nursing home records) social history: the patient is currently a resident at . she is widowed since and has a son who lives in . tobacco: quit many years ago, cannot quantify use etoh: none illicits: none family history: non-contributory physical exam: physical examination upon admission: temp: 98.3 hr: 93 bp: 114/56 resp: 18 o(2)sat: 95 normal constitutional: uncomfortable. heent: normocephalic., pupils equal, round and reactive to light, extraocular muscles intact chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft extr/back: tenderness over right greater trochanter. decreased rom, , no cyanosis, clubbing or edema neuro: speech fluent. alert and oriented x 3. psych: normal mood, normal mentation pertinent results: 04:40am blood wbc-5.6 rbc-2.81* hgb-9.0* hct-26.6* mcv-95 mch-31.9 mchc-33.8 rdw-14.8 plt ct-184 12:31am blood wbc-5.9 rbc-2.76* hgb-8.5* hct-26.5* mcv-96 mch-31.0 mchc-32.2 rdw-13.9 plt ct-238 09:10pm blood wbc-5.7 rbc-2.61* hgb-8.3* hct-24.4* mcv-94 mch-32.0 mchc-34.2 rdw-14.4 plt ct-183 05:00pm blood hct-22.5* 09:21pm blood wbc-7.9 rbc-3.30*# hgb-10.5*# hct-30.8*# mcv-93 mch-31.6 mchc-33.9 rdw-14.1 plt ct-185 04:45am blood neuts-77.6* lymphs-15.4* monos-3.4 eos-2.9 baso-0.6 07:45am blood neuts-85.9* lymphs-9.7* monos-2.6 eos-1.1 baso-0.8 04:40am blood plt ct-184 04:40am blood pt-15.5* ptt-49.3* inr(pt)-1.4* 04:40am blood glucose-100 urean-23* creat-1.2* na-139 k-5.1 cl-105 hco3-24 angap-15 04:45am blood glucose-94 urean-26* creat-1.3* na-142 k-4.3 cl-106 hco3-28 angap-12 08:40am blood glucose-127* urean-26* creat-1.2* na-139 k-4.3 cl-104 hco3-28 angap-11 07:45am blood glucose-114* urean-25* creat-1.2* na-138 k-5.9* cl-102 hco3-24 angap-18 04:40am blood albumin-3.4* calcium-8.6 phos-2.9 mg-2.4 04:45am blood albumin-3.3* calcium-8.3* phos-2.8 mg-2.3 08:40am blood calcium-7.9* phos-2.8 mg-2.1 0/29/11: ekg: normal sinus rhythm. leftward axis. non-specific st segment depression in leads i and avl and st segment elevation in leads ii, iii, avf and v6. there are only tiny r waves or small qr deflections in leads v3-6 consistent with an extensive anterior wall myocardial infarction of undetermined age. consider left ventricular hypertrophy. consider inferior wall myocardial infarction. compared to the previous tracing of the voltage in leads v3-v6 has decreased with tiny r waves or tiny q waves. consider anterior wall myocardial infarction and inferior wall infarction of undetermined age. : hip x-ray: impression: comminuted fracture of the right iliac with no associated widening or diastasis of the right sacroiliac joint which is better seen on the subsequent ct of the pelvis. : chest x-ray: impression: low lung volumes without acute cardiopulmonary abnormality : cat scan of the head: impression: 1. no acute intracranial process. 2. age related global atrophy. 3. soft tissue swelling overlying the left posterior vertex and left frontal bone without underlying fracture. : cat scan hip: impression: 1. comminuted fracture of the right iliac involving the right sacroiliac joint without widening or diastasis of the sacroiliac joint. there is an overlying extraperitoneal hematoma measuring 7 x 3 cm which extends into the right hemipelvis measuring 6 x 6 cm and displaces the urinary bladder to the left. active extravasation cannot be assessed on this unenhanced study. 2. degenerative changes of the bilateral femoroacetabular joints and visualized portion of the lumbar spine without fracture. 3. sigmoid diverticulosis without evidence of diverticulitis. 4. calcified atherosclerosis of the visualized distal infrarenal abdominal aorta extending into the bilateral common iliac, internal iliac and femoral arteries : cta pelvis: impression: focus of active extravasation in the pelvis adjacent to the right superior pubic ramus with surrounding extraperitoneal hematoma concerning for active arterial bleed. : pelvic arteriogram: conclusion: no evidence of active arterial extravasation on pelvic arteriogram with targeted catheterization of the right internal iliac artery, right superficial pudendal artery in addition to bilateral common iliac artery angiograms : arteriogram: conclusion: no evidence of active arterial extravasation on pelvic arteriogram with targeted catheterization of the right internal iliac artery, right superficial pudendal artery in addition to bilateral common iliac artery angiograms time taken not noted log-in date/time: 5:31 am urine site: not specified 0603c. **final report ** urine culture (final ): escherichia coli. >100,000 organisms/ml.. presumptive identification. piperacillin/tazobactam sensitivity testing available on request. gram positive bacteria. >100,000 organisms/ml.. alpha hemolytic colonies consistent with alpha streptococcus or lactobacillus sp. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ =>32 r ampicillin/sulbactam-- 8 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s tobramycin------------ <=1 s trimethoprim/sulfa---- =>16 r brief hospital course: year old female presents to the acute care service after a mechanical fall. upon admission, she was made npo, given intravenous fluids, and underwent radiographic imaging. she was reported to have a comminuted fracture of the right iliac with note of an extraperitoneal hematoma. because of these findings, she underwent a pelvic angiogram which was negative for extravasation and she required no embolization. she was evaluated by orthopedics who recommmended non-surgical intervention at this time with follow-up in 2 weeks. her head cat scan did not show a inter-cerebral bleed. she was admitted to the intensive care unit for monitoring of her hematocrit. she required additional intravenous fluids for hemodynamic support, but her hematocrit stablized without blood products. initial ekg did show q waves in v3-v6 with normal cpk. she did resume her aspirin and plavix. she was transferred to the surgical floor on hd #2. her vital signs remained stable and she is afebrile. she is tolerating a regular diet and voiding without difficulty. she was evaluated by physical therapy who recommended discharge to a rehabilitation facility where she can regain her strength and mobility. she will be discharged to an extended care facility with instructions to follow up with the acute care service, orthopedics, and her primary care provider. of note: she was started on ciprofloxacin for uti. medications on admission: med: : amlodipine 2.5', citalopram 15', plavix 75', mirtazapine 30', 15 prn, asa 325', calcium carbonate-vitamin d3 600-400'', vitamin d-3 400', co q-10 (unknown), mvi' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stools. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. acetaminophen 650 mg tablet sig: one (1) tablet po tid (3 times a day). 4. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 5. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 6. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days: started . 7. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily): hold for systolic blood pressure <110. 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. mirtazapine 30 mg tablet sig: one (1) tablet po hs (at bedtime). 11. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 12. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 13. multivitamin tablet sig: one (1) tablet po daily (daily). 14. celexa 10 mg tablet sig: one (1) tablet po once a day. 15. celexa 10 mg tablet sig: 0.5 tablet po once a day. 16. oxycodone 5 mg tablet sig: 0.5 tablet po q3h (every 3 hours) as needed for pain: hold for increased sedation, resp. rate <12. discharge disposition: extended care facility: senior healthcare of discharge diagnosis: trauma: fall right posterior ring pelvic fracture (large iliac fx) uti extra-peritoneal hematoma discharge condition: mental status: clear and coherent ( hoh) level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hosptial after you fell at home. you reported right hip pain and you were brought to the hospital. you had x-rays of your hip taken and found to have a smalll fracture in your pelvis with a small amount of bleeding around your hip. your hematocrit stabilzed and you did not need any further intervention. you were seen by orthopedics and they recommended that you not put weight on that leg, but no surgery was warrented at this time. you will need follow-up visit with orthopedics in 2 weeks and with your primary care provider followup instructions: please follow-up with orthopedics, nurse practitioner, , in 2 weeks clinic with ap pelvis radiograph. the telephone number is# please follow up with the acute care service in 2 weeks. you can schedule this appointment by callling # you will need to follow up with your primary care provider, . # in 1 week procedure: arteriography of other intra-abdominal arteries arteriography of other specified sites diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension personal history of malignant neoplasm of breast personal history of tobacco use depressive disorder, not elsewhere classified osteoporosis, unspecified old myocardial infarction osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits fall from other slipping, tripping, or stumbling personal history of irradiation, presenting hazards to health history of fall personal history, urinary (tract) infection other and unspecified escherichia coli [e. coli] closed fracture of ilium memory loss 

Answer: The patient is high likely exposed to