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: mr. is a 67 year old male with a history of bladder cancer, status post bladder resection with ileal conduit in who has a history of nephrolithiasis and multiple urinary tract infections who now presents with fevers, chills, nausea, vomiting and a recent urine culture positive for gram negative rods. the patient was recently admitted to in for an elective lithotripsy of a left renal stone which was complicated by corynebacterium urosepsis for which he was treated with ten days of vancomycin. during that admission he also had multiple bilateral lower lobe pulmonary emboli and negative lower extremity noninvasive studies. the patient was in his usual state of health until four to five days prior to admission when he experienced fatigue and fevers to 102 degrees. he presented to his primary care clinic and was started on levofloxacin by his primary care physician on . on , he developed severe left flank pain and was sent to the emergency department with a fever of 102.7 degrees. computerized axial tomography scan showed severe left hydronephrosis with gas requiring urgent decompression. the patient was given one unit of fresh frozen plasma in order to correct his coumadin-induced coagulopathy before his interventional radiology procedure, however, he developed a pruritic rash while receiving his fresh frozen plasma, so he only received one out of three proposed units. at interventional radiology he had a temporary inferior vena cava filter placed through his right jugular and a left percutaneous nephrostomy tube was placed as well under local anesthesia. immediately after the procedure, the patient desaturated to 66% oxygen saturation which then increased to the 90s of 100% fio2 with a nonrebreather mask. the patient was then transferred to the medical intensive care unit for further management. past medical history: bladder cancer with bladder resection in with an ileal conduit. this was transitional cell carcinoma, diabetes type 2, hypertension, coronary artery disease, status post myocardial infarction ten years ago, status post stent to the left circumflex in , at which time catheterization showed an ejection fraction of 65%, hypercholesterolemia, left nephrolithiasis with recurrent urinary tract infection, bilateral pulmonary emboli in , requiring, anticoagulation, status post diskectomy. allergies: codeine causing a rash. medications on admission: vancomycin 1 gm intravenously q. 12, ten day course completed . coumadin 2 mg h.s. alternating with 3 mg h.s., 3 mg on tuesday and thursday, metoprolol xl 200 daily, iron 150 daily, senna one tablet daily, lisinopril 20/hydrochlorothiazide 12.5 daily, aspirin 325 daily, nifedipine cr 60 daily, atorvastatin 10 mg daily, tricor 160 mg daily, humulin n 75/25 36 units q. am, 52 units q.h.s. social history: he lives with his wife and does not drink. he used to smoke, he has a 35 pack year history but he quit 12 to 13 years ago. family history: non-contributory. physical examination: temperature 103.7 degrees, heartrate 113, blood pressure 119/42, respiratory rate 31, oxygen saturation 94% on nonrebreather with 100% fio2. general: visibly tachypneic. head, eyes, ears, nose and throat: dry mucosal membranes, extraocular muscles intact. pupils equal, round and reactive to light. supple neck. cardiovascular examination: regular, tachycardiac, s1 and s2 present, no murmurs, no jugulovenous distension noted. pulmonary examination, lungs clear to auscultation bilaterally. abdomen, soft, nontender, nondistended, positive bowel sounds. the patient has a right lower quadrant urostomy and a left percutaneous nephrostomy tube. extremities, warm, trace edema on the right lower extremity, trace to 1+ edema on the left lower extremity. dorsalis pedis pulses were palpable bilaterally. neurological examination, alert and oriented times three, answers questions appropriately. strength 5/5 bilaterally in upper and lower extremities. laboratory data: white blood cell count 9.4, hematocrit 33.6, platelets 271. sodium 133, potassium 3.8, chloride 97, bicarbonate 20, bun 47, creatinine 2.8, glucose 192, inr 2.5. urine analysis showed specific gravity of 1.017, large blood, positive nitrates, moderate leukocytes, 11 to 20 red blood cells, 50 white blood cells, many bacteria. urine culture from , was growing gram negative rods. arterial blood gases showed 7.43, 27 pco2 and po2 of 81 and lactate of 5.9. chest x-ray after his interventional radiology procedure showed new bibasilar lung opacities in the retrocardiac region with atelectasis. these are new findings compared to his chest x-ray from earlier in the emergency department. computerized axial tomography scan of his abdomen showed severe left hydronephrosis with gas in the collecting system around the left ureteral stone. electrocardiogram showed normal sinus rhythm with rate of 125, q wave in ii, iii and avf. hospital course: 1. urosepsis - the patient had a left percutaneous nephrostomy tube placed for drainage by interventional radiology. he was started on levofloxacin, ampicillin and flagyl for his urosepsis, however, after 24 hours, it was changed to zosyn. he was initially borderline hypotensive with systolic pressures in the 90s, however, after 24 hours of antibiotics his pressure increased and his fever broke. the patient was followed by urology who was initially planning on treating him with intravenous antibiotics and continuing the percutaneous nephrostomy tube for a period of four to six weeks followed by definitive treatment with an open procedure to extract the stone. 2. hypoxia - the patient had several episodes of hypoxia throughout his stay, some points requiring cpap ventilation. he was found to have crackles on examination during some of these episodes of shortness of breath and he was given lasix as he was felt to be in failure. his chest x-rays were consistent with small amount of pulmonary edema. he responded to the lasix, however, it was also thought that his pulmonary emboli may be contributing to his hypoxic episodes. despite having his inferior vena cava filter placed for pulmonary embolism prophylaxis, he was restarted on heparin on and a v/q scan was ordered to assess for pulmonary emboli. in addition, the patient was scheduled for an echocardiogram to assess for systolic or diastolic failure as he has responded to lasix therapy during some of the episodes of shortness of breath. 3. history of pulmonary embolism - the patient had an inferior vena cava filter placed and was initially not given his daily coumadin. however, three days after admission the patient stabilized and was restarted on his heparin therapy. the plan will include removing the temporary inferior vena cava filter after the patient is restarted on coumadin and is therapeutic with an inr of 2.0 to 3.0. 4. anemia - the patient had a small amount of blood loss during his interventional radiology procedure, and he was initially transfused for a hematocrit of 25 considering his history of previous myocardial infarction and coronary artery disease. he received approximately one unit of blood at which time he became short of breath. this was felt to be due to fluid overload and transfusion was stopped. the patient was given lasix and he responded with improved oxygen saturation and decreased symptomatic shortness of breath. after being transfused one unit of blood, his hematocrit stabilized between 28 and 29%. it was felt that this level was adequate for the patient as it was over 28 and in light of his initial reaction to receiving his first transfused unit. 5. diabetes mellitus - the patient was placed on insulin sliding scale and fingerstick glucoses were checked and the patient's blood sugar was tightly controlled and kept in the low 100 range. 6. fluids, electrolytes and nutrition - the patient's electrolytes were closely monitored and repleted as necessary. the patient's diet was also advanced. he was hemodynamically stable. 7. prophylaxis - the patient was placed on a proton pump inhibitor for gastrointestinal prophylaxis. he had an inferior vena cava filter placed and was restarted on heparin therapy. 8. hypertension - after he became hemodynamically stable, the patient eventually developed some mild hypertension. he should be restarted on his outpatient antihypertensives before discharge. code status: full code. the remaining portion of the discharge summary will be dictated by the covering house staff. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified interruption of the vena cava percutaneous nephrostomy without fragmentation diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified other septicemia due to gram-negative organisms hydronephrosis calculus of kidney 

Answer: The patient is high likely exposed to