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 65-year-old russian-speaking female with a past medical history significant for hepatitis c cirrhosis, diabetes, and coronary artery disease who presents with fever and hypotension. on the day prior to admission, the patient had a routine cystoscopy. she had taken bactrim prophylaxis with this cystoscopy, but otherwise no antibiotic prophylaxis. the next day, she noted a fever to 102. she also had nausea and vomiting with emesis times one, and abdominal pain, and diarrhea. she also noted fevers and chills with a temperature to 102. she then presented to the emergency department. her primary complaint at the time of emergency department evaluation was hematuria. a review of systems was significant for dysuria and frequency for the previous few days. she also notes exercise-induced angina over the previous few months, but no active change in this. she is otherwise without any complaints; including no cough or shortness of breath or chest pain. upon arrival to the emergency department, the patient was noted to be febrile and mildly hypotensive. she was enrolled in a sepsis protocol given her fever, leukocytosis, and a lactate greater than 4. she was aggressively fluid resuscitated and received a total of 4 liters of normal saline. her blood pressure initially responded to fluid boluses but then trended down to the 90s systolic. she was then started on levophed for pressor support which had to be titrated up to 4 mcg a minute to maintain mean arterial pressures of greater than 60. she was given ceftriaxone, and vancomycin, and levofloxacin as per sepsis protocol. her lactate did trend down to 1.4 following aggressive fluid resuscitation. her mixed venous oxygen saturations ranged from 82% to 89%. her central venous pressure was 10 cm when placed. it subsequently ranged from 9 to 18, and at the time of medical intensive care unit evaluation was 8. the patient was subsequently admitted to the medical intensive care unit for management given her presumed septic shock. past medical history: 1. hepatitis c cirrhosis (child's class b). 2. portal hypertension with grade ii varices. 3. history of escherichia coli urosepsis in . 4. depression. 5. history of upper gastrointestinal bleed. 6. history of psychosis. 7. status post cholecystectomy. 8. history of hepatic encephalopathy. 9. asthma. 10. coronary artery disease. 11. hypertension. 12. diabetes mellitus. 13. iron deficiency anemia. medications on admission: zyprexa, protonix, nadolol, celexa, sonata, and bactrim prophylaxis. allergies: no known drug allergies. social history: the patient denies any tobacco or alcohol use. family history: noncontributory. physical examination on presentation: temperature was 99.5 with a temperature maximum of 101.9, her blood pressure was 119/37, her pulse was 65, her respiratory rate was 22, and her oxygen saturation was 99% on 2 liters of oxygen via nasal cannula. in general, a chronically ill-appearing and disheveled female. alert and conversant. in no acute distress. head, eyes, ears, nose, and throat examination revealed positive scleral icterus. the mucous membranes were moist. the pupils were reactive. neck examination revealed no jugular venous pressure. positive telangiectasias. a right internal jugular in place. lung examination revealed decreased breath sounds in the left base. cardiovascular examination revealed a regular rate, normal first heart sounds and second heart sounds, with no murmurs, rubs, or gallops. the abdomen had positive bowel sounds and distended. mildly tenderness to palpation in the umbilical area with a reducible umbilical hernia. a large right upper quadrant scar. difficult to palpate liver given significant distention. positive umbilical vein prominence. extremities revealed trace lower extremity edema bilaterally, warm, left radial artery line in place. neurologic examination revealed alert and oriented times three. she responded appropriately to questions and moved extremities times four. pertinent laboratory values on presentation: white blood cell count was 21, her hematocrit was 34.2, and her platelets were 106. sodium was 138, potassium was 3.8, chloride was 106, bicarbonate was 21, blood urea nitrogen was 16, creatinine was 1, and her blood glucose was 110. differential with 83% neutrophils, 7% band, 4% lymphocytes, and 6% monocytes. urinalysis revealed large blood, nitrite positive, protein of 30, small bilirubin, with 6 to 10 red blood cells, 21 to 50 white blood cells, a few bacteria, and 0 to 2 epithelial cells. pertinent radiology/imaging: a chest x-ray revealed questionable hazy left cardiac silhouette and questionable anterior effusion on lateral film. a kub revealed no obstruction or other acute process. summary of hospital course by issue/system: 1. infectious disease issues: the patient was admitted in acute septic shock, with primary source being urosepsis. the patient with a history of urosepsis, admitted following a cystoscopy with only bactrim prophylaxis with probable bacteria feeding her blood. she did develop temporal sepsis and did require levophed for pressure support. the patient initially received vancomycin, levaquin, and ceftriaxone. this was sepsis clinically tailored to only levaquin and vancomycin. the patient was initially started on levophed for pressure support in the emergency department given her hypotension despite aggressive fluid resuscitation. on the day of admission to the medical intensive care unit, the patient's blood pressure did stabilize and she was weaned off pressure support within one day. she continued to remain hemodynamically stable and was subsequently called out to the floor where she completed an empiric course of levaquin. her vancomycin was subsequently discontinued as her cultures remained negative for any vancomycin-sensitive organisms. 2. cirrhosis issues: the patient with hepatitis c cirrhosis (child's class b). initially, her cirrhotic medications were held given her acute septic shock. she was subsequently started back on her aldactone at a low dose which was slowly titrated up. she was placed on a low-sodium diet with strict ins-and-outs. the hepatology team did follow the patient throughout her hospital course. she was thought to require long-term spontaneous bacterial peritonitis prophylaxis with plans to start her on ciprofloxacin for prophylaxis when she did complete her course of levaquin for her urosepsis. 3. diabetes mellitus issues: the patient was maintained on glyburide with an insulin sliding-scale for coverage. 4. psychiatric issues: the patient on celexa and olanzapine as per her outpatient regimen. she also received sonata for sleep. condition at discharge: stable. discharge status: to home with services. discharge diagnoses: 1. urosepsis. 2. septic shock. 3. hepatitis c cirrhosis. 4. portal hypertension with grade ii varices. 5. ascites. 6. diabetes mellitus. 7. urinary tract infection. medications on discharge: 1. levaquin 500 mg once per day (times 10 days). 2. albuterol meter-dosed inhaler as needed. 3. olanzapine 10 mg at hour of sleep. 4. citalopram 20 mg once per day. 5. timolol eyedrops once per day. 6. zaleplon 5 mg at hour of sleep. 7. glyburide 2.5 mg in the morning. 8. nadolol 80 mg once per day. 9. spironolactone 100 mg once per day. 10. lactulose 30 mg q.6h. as needed. 11. pantoprazole 40 mg once per day. 12. lasix 40 mg once per day. 13. ciprofloxacin one tablet by mouth every week; to be started following completion of levaquin. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage diagnoses: other postoperative infection urinary tract infection, site not specified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia portal hypertension 

Answer: The patient is high likely exposed to