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: no known allergies / adverse drug reactions attending: chief complaint: fever to 103, sepsis major surgical or invasive procedure: picc line placement history of present illness: 101 cantonese speaking dementia at baseline (waxes and wanes), h/o htn, hld, fall and sdh presents from with fever to 103, and tachycardia to 130. . at also noted to have fs 311 and then 245. . in the ed, initial vs were: 99.2, 114, 102/52, 30, 100%/nrb. in ed noted that abd was distended and nt. labs in ed showed uti. in the ed she received 2l ivf and was noted to have "180cc of uop". she was noted to have a lactate which decreased from 3.6 to 2.3. labs significant for a na of 146, creatinine of 1.4 (above baseline 0.7), wbc with 31.5 and 21% bands. cxr showed small bilateral pleural effusions with possible mild vascular congestion and bibasilar atelectasis. ekg showed sinus tach inf twi in iii and avl new from . urine and cultures were sent. she was hemodynamically stable with vs on transfer: 99s, hr 104, bp 110/56, rr 21, 100%/2l. ct abd/pelvis showed massively dilated sigmoid up to 10 cm fecal impaction w/o evidence of obstruction. smal pleural effusions w/ rll atelectasis or consolidation. patient was given vancomycin, zosyn, rectal tylenol and 2l ns. . on the floor, she is well appearing and follows commands appropriately. past medical history: s/pa sdh s/p fall h/o anxiety, depression ftt dementia, advanced oa choledochlolithiasis hld htn herpes zoster urinary incontenence right pupil 8/fixed, left 1/fixed, surgery psh: s/p hepaticojejunostomy and ccy social history: she is wheelchair bound at baseline. she is a former factory worker. she has lived in and as well as this country. her supports include her son, , a daughter, and a granddaughter, . lives in nursing home (. son, is primary health care proxy. family history: non-contributory physical exam: pex on admission to icu: vitals: 97.8, 94, 110/56, 99%/3l general: alert, no acute distress , smiling heent: sclera anicteric, dry mm, oropharynx clear neck: supple, jvp flat lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: tachycardic and reg rhythm, normal s1 + s2, 3/6 sem at rusb abdomen: non-tender, very distended, no bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley draining clear fluid ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs: 08:35pm lactate-2.3* 07:20pm urine -mod nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-4* ph-5.0 leuk-sm 07:20pm urine rbc-24* wbc-13* bacteria-few yeast-none epi-3 07:14pm alt(sgpt)-22 ast(sgot)-26 alk phos-135* tot bili-0.5 07:14pm wbc-31.5*# rbc-3.49* hgb-9.4*# hct-29.4*# mcv-84 mch-26.8* mchc-31.8 rdw-16.5* 07:14pm neuts-72* bands-21* lymphs-4* monos-2 eos-0 basos-0 atyps-1* metas-0 myelos-0 07:13pm lactate-3.6* imaging: cxr : impression: 1. small bilateral pleural effusions with possible mild vascular congestion. 2. bibasilar atelectasis or consolidation. ct ab/pelvis impression: 1. bilateral atelectasis or consolidation, with small pleural effusions. 2. marked sigmoid distention up to 10 cm, likely secondary to fecal impaction, though other causes such as ischemia are not entirely excluded. 3. hepaticojejunostomy changes, with intact roux-en-y limb and no evidence of obstruction. small amount of perihepatic free fluid, non-specific. 4. pancreatic cystic lesion most likely representing ipmn. if clinically appropriate, given patient age, could be further evaluated on mrcp. 5. diffuse atherosclerosis. echo the left atrium is elongated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. left ventricular systolic function is hyperdynamic (ef>75%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). a mid-cavitary gradient is identified. an apical intracavitary gradient is identified. the right ventricular free wall is hypertrophied. right ventricular chamber size is normal. with borderline normal free wall function. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (valve area 1.5 cm2). no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. the main pulmonary artery is dilated. the branch pulmonary arteries are dilated. there is no pericardial effusion. impression: no vegetations seen renal u/s: impression: normal left kidney. lower pole of the right kidney could not be adequately visualized on ultrasound, but no obvious hydronephrosis seen. head ct: impression: no acute intracranial abnormality. cxr: impression: 1. satisfactory position of peripherally inserted central venous catheter wire tip, although the distal floppy tip is obscured by overlying cardiac electrode. 2. enlarging bilateral moderately large pleural effusions. brief hospital course: yo f with dementia, htn, h/o falls p/w fever to 103 and bandemia in setting of uti and fecal impaction, found to have polymicrobial bacteremia and shock. . briefly, patient was admitted with lethargy, hypoxia, fever, elevated lactate and leukocytosis with bandemia, ua positive for wbc and bacteria, and was also noted to have large fecal impaction (not obstruction) on ct abd/pelvis. she was started on broad coverage for hcap, uti, and potential gi source (including c.dif) with vanc/zosyn/azithromycin/flagyl. cxr was negative for acute lung process. c.dif was negative, so flagyl was discontinued on hd3. non-contrast head ct was negative. urine cultures returned with gnr, further speciated on hd3 to e.coli resistant to zosyn, so patient was transitioned to ceftriaxone per sensitivities. however, she also grew gpc (streptococcus species) and gnr from cultures. tte was negative for vegetations. episodes of hypotension, tachycardia, hypoxia felt to be related to sepsis and general inflammatory process with cytokine release. for fecal impaction, attempted fleets enema, lactulose, soaps enema, mineral enema, manual disimpaction, all without complete success. gi consulted, but no procedure indicated. developed progressive acute renal failure, likely related to hypotension and hypovolemia, but patient was aggressive hydrated but without benefit. multiple discussions on goals of care were held with hcp (son), and decision was made for comfort measures only on hd5. the patient passed away peacefully on at 12:24pm. medications on admission: vitamin d 50,000 unit cap oral due . aspir-81 81 mg tab oral 1 tablet, delayed release (e.c.)(s) once daily . senna 8.6 mg cap oral . azo cranberry twice daily . colace 100 mg cap oral 1 capsule(s) twice daily . ursodiol 300 mg cap oral 1 capsule(s) twice daily . calcium carbonate-vitamin d3 -- unknown strength 1 tablet(s) twice daily . risperidone 0.5 mg tab oral 1 tablet(s) qhs . ipratropium-albuterol 0.5 mg-3 mg(2.5 mg base)/3 ml neb solution inhalation 1 solution for nebulization(s) every 4-6 hrs, as needed . -time 325 mg (65 mg iron) tab oral 1 tablet(s) twice daily . cyanocobalamin (vitamin b-12) 1,000 mcg/ml injection injection 1 solution(s) q month due . bisacodyl prn emulose prn mom prn trazodone prn acetaminophen prn fleet enema prn mechanical soft diet discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: central venous catheter placement with guidance diagnoses: acidosis anemia of other chronic disease urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation other persistent mental disorders due to conditions classified elsewhere pulmonary collapse other and unspecified hyperlipidemia septic shock hypovolemia fecal impaction 

Answer: The patient is high likely exposed to