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: patient recorded as having no known allergies to drugs attending: chief complaint: fever, hypotension major surgical or invasive procedure: none history of present illness: 85yo male with h//o mds, itp, and colon ca s/p hemicolectomy in with subsequent complications requiring repeat surgeries. patient had been at rehab facility doing well until when noted to have low-grade fever and lethargy. on noted to have fever to 102 with increased malaise & lethargy. pt's picc line removed & cultures sent. pt became increasingly lethargic with hypotension to sbp 60's. pt given ivf bolus & sent to ed. no cough, sob, nausea/vomiting, abd pain, urinary symptoms, ha. past medical history: 1. peripheral edema 2. dysphagia 3. itp4. 4. gbs like peripheral neuropathy 5. gastroesophageal reflux 6. neck pain 7. chronic conjunctivitis 8. peripheral vascular disease 9. hemorrhoids 10. serous otitis 11. benign prostatic hypertrophy 12. hypertension 13. right colon cancer 14. rectal ulcers 15. mds social history: violinist, no alcohol, no drug use family history: no colon cancer history. physical exam: admission exam: vs: t-100.6, hr-105, bp-93/46, rr-16, sats-98% 3l/nc heent: pale conjunctiva, anicteric, + oral thrush, dry mucosa neck: supple, no lymphadenopathy, no jvd cv: tachy, 2/6 sem @ lusb, no s3/s4 pulm: cta bilat, no wheeze/rales/rhonchi abd: soft, hyperactive bowel sounds, nontender, no rebound/guarding, ileostomy pink with green stool in bag, vertical abdominal wound healing ext: no edema, warm, 1+ bilat dp, 2+ bilat radial pulses skin: no rash pertinent results: 03:36am blood wbc-40.1* rbc-3.66* hgb-11.1* hct-32.5* mcv-89 mch-30.3 mchc-34.3 rdw-18.5* plt ct-82* 03:33pm blood hct-31.8* 02:48am blood wbc-38.5* rbc-3.47* hgb-10.9*# hct-29.6* mcv-85 mch-31.4 mchc-36.8* rdw-18.4* plt ct-71* 01:19pm blood hct-23.9* 04:35am blood wbc-47.9* rbc-2.79* hgb-8.2* hct-24.4* mcv-88 mch-29.5 mchc-33.7 rdw-19.1* plt ct-92* 06:38pm blood wbc-57.8* rbc-2.67* hgb-8.1* hct-24.5* mcv-92 mch-30.2 mchc-32.9 rdw-17.3* plt ct-108* 02:48am blood neuts-67 bands-4 lymphs-4* monos-18* eos-0 baso-0 atyps-0 metas-3* myelos-2* hyperse-2* 04:35am blood neuts-66 bands-4 lymphs-5* monos-23* eos-0 baso-0 atyps-0 metas-1* myelos-1* 06:38pm blood neuts-56 bands-9* lymphs-6* monos-28* eos-0 baso-0 atyps-0 metas-1* myelos-0 01:00pm blood lap-pnd 03:36am blood glucose-136* urean-48* creat-0.7 na-141 k-3.3 cl-113* hco3-16* angap-15 02:48am blood glucose-177* urean-54* creat-0.9 na-139 k-4.0 cl-113* hco3-16* angap-14 04:35am blood glucose-139* urean-50* creat-1.1 na-139 k-4.5 cl-113* hco3-16* angap-15 06:38pm blood glucose-133* urean-69* creat-1.6* na-132* k-5.3* cl-103 hco3-20* angap-14 12:10pm blood ck(cpk)-pnd 03:36am blood ck(cpk)-11* 07:08pm blood ck(cpk)-15* 02:48am blood alt-80* ast-24 ld(ldh)-259* alkphos-129* amylase-96 totbili-0.8 dirbili-0.3 indbili-0.5 04:35am blood alt-100* ast-29 ck(cpk)-17* alkphos-151* amylase-125* totbili-1.1 06:38pm blood alt-129* ast-40 ck(cpk)-7* alkphos-196* amylase-216* totbili-1.0 02:48am blood lipase-84* 04:35am blood lipase-81* 06:38pm blood lipase-160* ggt-529* 12:10pm blood ck-mb-pnd ctropnt-pnd 03:36am blood ck-mb-notdone ctropnt-0.03* 07:08pm blood ck-mb-notdone ctropnt-0.04* 04:35am blood ck-mb-notdone ctropnt-0.06* 06:38pm blood ck-mb-1 ctropnt-0.12* 02:48am blood albumin-3.0* calcium-7.9* phos-5.0* mg-2.0 04:35am blood albumin-2.9* calcium-7.0* phos-4.6* mg-1.8 06:38pm blood albumin-3.2* calcium-8.2* phos-3.1 mg-2.0 uricacd-7.9* 02:48am blood hapto-121 06:38pm blood crp-4.24* 10:04pm blood type-art po2-128* pco2-33* ph-7.34* calhco3-19* base xs--6 comment-green top brief hospital course: by problem: plan: #shock: suspect due to sepsis. source: intra-abdominal abscess vs old picc line -bolused to goal cvp 8-12. -map<65, added levophed. -stress dosed steroids; random 38.9. changed back to home dose on . -keep hct>30 with transfusions. -covered with antibiotics vanco/ceftaz/flagyl, to cover ?mrsa line inf/possible abd source. - ct abdomen --> no cholecystitis, 22 mm fluid pocket near wound - not considered significant source of infection by surgery. #arf: likely secondary to pre-renal azotemia. urine sediment examined--> no muddy brown casts, so doubt atn. -f/u urine lytes. -renally dose all medications. -held acei/aldactone. - creatinine down to 0.7 and doing great. can restart ace and aldactone. # id: d/c'ed flagyl- continuing on ceftaz and vanco for 14 day course to treat presumed picc line infection. #?subclavian artery puncture: review of blood gases sent from ed showed pao2>100. ?arterial line. -ct shows in correct place -vascular rec d/c line --> d/c on -check echo to look for shunt - no shunt identified. #anemia: ?blood loss, renal failure, or related to h/o mds. -keep hct>30. -continue epogen. - got 4uprbcs on . - stable hct since. #itp: -continue steroids.changed back to home dose on . -follow plt count. #mds: -no atypical cells in diff, but would check manual diff given leukocytosis. #lft abnormalities: -?cholestasis - ct negative for cholecystitis -follow lfts - be tpn. #cardiac: -pt with st dep in precordial leads on admission ekg. -follow enzymes-cp -ruling out again. -am ekg. echo ef >55%, mod systolic htn, 3+ mr. - having transient brady episodes on lopressor -continue it. #coagulopathy: -inr 1.6, likely poor nutrition. -given vit k. #prophylaxis: -pneumoboots. -ppi. #fen: -kept npo on admission for possible procedures. advanced diet and pt tolerating po's. -tpn to supplement po as pt has poor po intake and low albumin. #access: -l piv. #comm: family: (home) cell: () #full code. medications on admission: atenolol 25mg qd lisinopril 40mg qd aldactone 25mg terazosin 2mg qhs prednisone 20mg qod prevacid 30mg feso4 325mg tid epogen 5000 units mon/wed/fri insulin tpn xalatan tobradex cosopt discharge medications: vancomycin 1g iv q24h - day # ceftazidime 2g iv q12h - day # bactrim ds 1 tab po mon/wed/fri - pcp prophylaxis due to suppressed immunity. resume outpatient medications. discharge disposition: extended care facility: - discharge diagnosis: sepsis discharge condition: good, stable. discharge instructions: continue antibiotics (vancomycin/ceftazidime) for full 14-day course. followup instructions: follow-up with physicians at hospital upon transfer. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances transfusion of packed cells removal of other device from thorax other puncture of vein diagnoses: acute kidney failure, unspecified unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) sepsis septic shock personal history of malignant neoplasm of large intestine infection and inflammatory reaction due to other vascular device, implant, and graft atherosclerosis of native arteries of the extremities, unspecified 

Answer: The patient is high likely exposed to