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: ciprofloxacin attending: chief complaint: fevers, nausea, vomiting, dysuria, urinary frequency major surgical or invasive procedure: right internal jugular history of present illness: 39 y f acutely developed urinary sx on , treated with bactrim by pcp without improvement. worsened at home, with fevers developing by . presented to ed on with fevers, n/v, urinary sx. urine cx grew e. coli (sensitive to cipro, gent, nitro; resistant to bactrim), antibiotic treatment begun with levo/gent. admitted to micu for concern of sepsis when pt had some hypotension, but never received pressors. stabilized in the micu, although continued to spike temps, have rigors, n/v. ctx added. called out . d/c'd gent. found to have lll pna by cxr. past medical history: gestational dm admission for pyelo, arf social history: she is from , has been in us for 25 years. she speaks spanish. she is widowed but remarried, has a history of domestic violence. she works at chef as a food preparer. she has 4 children and one 2-week-old grandchild. no tobacco, alcohol or drug use. family history: positive for diabetes in her mother and father, positive for htn in her mother, no family history of heart disease or malignancies physical exam: vs: temp: 102.1 hr: 119 bp: 95/60 rr:20 o2sat: 94% on ra gen: alert, nad heent: perrl, eomi, anicteric, mucous membranes moist neck: no jvd, no cervical lymphadenopathy chest: clear to auscultation bilaterally cv: normal s1/s2, rrr, no murmurs, rubs or gallops abd: soft, tender in the left lower quadrant, nondistended, with normoactive bowel sounds ext: no clubbing, cyanosis, or edema. 2+ dp pulses bilaterally neuro: alert and oriented x3, cranial nerves ii-xii intact, upper and lower extremity strength 5/5 bilaterally, sensation grossly intact skin: no rash pertinent results: 08:30am urine color-ltamb appear-cloudy sp -1.015 blood-lge nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod rbc-113* wbc-254* bacteria-none yeast-none epi-<1 . 08:30pm urine color-yellow appear-hazy sp -1.017 blood-lg nitrite-neg protein-30 glucose-neg ketone-150 bilirubin-neg urobilngn-neg ph-6.5 leuk-mod rbc-21-50* wbc->50 bacteria-mod yeast-none epi- trans epi- renal epi-0-2 . 08:40pm wbc-23.3*# rbc-3.65* hgb-12.4 hct-33.7* mcv-92 mch-33.9* mchc-36.8* rdw-12.1 plt count-241 diff: neuts-87* bands-6* lymphs-2* monos-5 eos-0 basos-0 atyps-0 metas-0 myelos-0 . 08:40pm glucose-126* urea n-9 creat-0.8 sodium-135 potassium-3.1* chloride-100 total co2-17* anion gap-21* . 08:55pm lactate-1.6 . 03:17am pt-14.8* ptt-33.4 inr(pt)-1.5 . 03:17am albumin-2.8* calcium-6.5* phosphate-2.0* magnesium-1.3* . 03:17am lipase-18 . 03:17am alt(sgpt)-95* ast(sgot)-106* ld(ldh)-190 alk phos-92 amylase-29 tot bili-0.8 . 08:10am caltibc-203* ferritin-129 trf-156* . 08:10am calcium-7.2* phosphate-1.8* magnesium-2.4 iron-12* . 01:20pm wbc-21.2* rbc-3.38* hgb-11.0* hct-31.7* mcv-94 mch-32.6* mchc-34.8 rdw-12.8 diff: neuts-76* bands-17* lymphs-6* monos-1* eos-0 basos-0 atyps-0 metas-0 myelos-0 micro: urine cx positive for e.coli. sensitive to cipro, gent, nitro; intermediate to amp/sulbactam; resistant to amp, bactrim. urine cx positive for e.coli. same sensitivities. imaging: renal u/s showed heterogeneous echogenecity in the upper pole of l kidney which could correspond to hydronephrosis. also showed no evidence of perinephric fluid or abscess. no hydronephrosis. abd ct showed: 1) striated nephrogram on the left, with perinephric stranding, findings consistent with pyelonephritis. no renal abscess. 2) trace free fluid within abdomen and pelvis cxr showed interval development of left lower lobe consolidation which could represent pneumonia brief hospital course: 1. pyelonephritis/uti the patient arrived in the ed on with the following vs: t102.1, p119, bp 113/60, rr 20, sat 100%. three hours later her bp dropped to 91/34, then 75/54. the pt then received 4l ns bolus. she also received tordol, levofloxacin, and tylenol. a code sepsis was called at 1am after fluid resuscitation failed. a renal u/s and an abdominal ct were consistent with pyelonephritis. . the pt was transferred to the micu and her bp stabilized without pressors. she remained stable in the micu with the exception of occasional fever spikes and ongoing n/v. a urine culture grew e. coli which was resistant to bactrim and ampicillin, and sensitive to ciprofloxacin, gentamicin, and nitrofurantoin (with intermediate sensitivity to unasyn). pt was started on gentamicin and ceftriaxone. . on the pt was called out to the floor. she continued to have fever spikes, rigors, nausea, l cva tenderness and developed a mild non-productive cough. her r ij catheter was removed and a cxr showed a new left lower lobe consolidation which "could represent pneumonia." she continued to spike occasional temps although her fever curve began trending downwards. her po intake was poor secondary to her nausea, which was treated with compazine and anzemet. gentamicin was discontinued on . levofloxacin was discontinued on . the patient was discharged home on on po cefpodoxime. medications on admission: bactrim 1 tab po bid discharge medications: 1. cefpodoxime 100 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 10 days. disp:*40 tablet(s)* refills:*0* 2. acetaminophen 500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. discharge disposition: home discharge diagnosis: pyelonephritis pneumonia discharge condition: afebrile, hd stable, tolerating full diet discharge instructions: please take all medications as prescribed. please contact your primary physician, . , for an appointment this week - . please return to the emergency department immediately if you have fevers/chills, sob, weakness, lightheadedness, pain on urination or any other worrisome symptoms followup instructions: please contact dr. at for an appointment this week. please discuss with him the need to further evaluate your recurrent urinary tract infections. please keep the following appointments: please follow up with opthamalogy, you can make an appointment by calling (. provider: , ob-gyn date/time: 11:00 md procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified anemia, unspecified conjunctival hemorrhage acute pyelonephritis without lesion of renal medullary necrosis 

Answer: The patient is high likely exposed to