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: this is a 53-year-old female with advanced multiple sclerosis who is bed bound and paraplegic from her multiple sclerosis , s/p ileal conduit who presents with a stone in her right ureteropelvic junction which is causing right hydronephrosis. the patient is transferred to from hospital for decompression via percutaneous nephrostomy tube. the patient presented to the outside hospital one day prior to admission with fevers by report, lethargy which was noted at her nursing home. the patient also was complaining of diffuse myalgias. the patient had recently decreased p.o. intake. she reported that she had some nausea. she had no emesis. no diarrhea. no cough. no upper respiratory symptoms. no complaints of headache. at hospital, the patient was diagnosed with urosepsis from the nephrolithiasis. the patient was started on iv antibiotics with oxacillin, gentamicin, and flagyl to treat a proteus urosepsis. the patient was transferred here for further management and percutaneous nephrostomy placement. past medical history: 1. multiple sclerosis, advanced (bed bound), status post right and left nephrostomy tubes, status post ileal conduit, status post right hydronephrosis. 2. recurrent urinary tract infections. 3. question of coronary artery disease. admission medications: 1. lipitor 10 mg p.o. q.d. 2. senokot. 3. ecotrin q.d. 81 mg. 4. imdur 30 q.d. 5. combivent q.i.d. 6. nifedipine 60 q.d. 7. flonase b.i.d. 8. oxacillin. 9. flagyl. 10. gentamicin. 11. tylenol. 12. ativan. 13. compazine. social history: the patient has lived in a nursing home for the past three years. she does not smoke tobacco or have a history of smoking tobacco. she has a history of past alcohol use, although not abuse. family history: her mother passed away from diabetes mellitus and uterine cancer. physical examination: vital signs: temperature 100.4, blood pressure 110/60, heart rate 100, respiratory rate 16, 94% on room air. general: she was somnolent. her pupils were equal, round, and reactive to light. they were 5 mm. the extraocular muscles were intact. she was anicteric. neck: supple. cardiovascular: tachycardiac. no murmurs, rubs, or gallops noted. lungs: clear to auscultation anteriorly. abdomen: diffusely tender, increased tenderness in the right lower quadrant and left lower quadrant. active bowel sounds. she had an ostomy bag in place with cloudy urine. extremities: there was 2+ pitting edema to the midcalf bilaterally as well as in the arms bilaterally. neurologic: flaccid below the neck. her toes were equivocal. laboratory and radiologic data: on admission, the patient's white blood cell count was noted to be 28.2, hematocrit 43.6, platelets 339,000. chem-7 revealed a sodium of 131, potassium 4.3, chloride 97, bicarbonate 22, bun 16, creatinine 0.4, and glucose 167. her lfts were within normal limits. albumin 3.2, calcium 8.8. her differential for her white blood cell count on admission was 78% polys, 5% bands, 10% lymphocytes. the urinalysis was notable for red blood cells, greater than 50 white blood cells, no epithelials, many bacteria, a ph of 9, 30 protein, positive for nitrate, and large leukocyte esterase. the ct of the abdomen at the outside hospital showed a large staghorn calculi at the right ureteropelvic junction with resultant right hydronephrosis. hospital course: the patient is a 53-year-old female with advanced multiple sclerosis was initially admitted to the medical service for management of her urosepsis and percutaneous nephrostomy tube placement. post the percutaneous nephrostomy tube placement in the right kidney, the patient was noted to become more tachycardiac as well as to have episodes of hypotension with her systolic blood pressure dropping to the 80s, requiring fluid rescuciation. she was transferred to the for intensive monitoring of her presumed post-procedural sepsis. antibiotic coverage was broadened to ampicillin, flagyl, and gentamycin. multiple attempts were made to place a central line which were unsuccessful. on , the patient had a picc placed by interventional radiology for iv antibiotics. after observation in the intensive care unit overnight, the patient remained hemodynamically stable and was transferred back to the medicine service. blood cultures confirmed a proteus and pseudomonas bacteremia, the former with multidrug resistance. ceftriaxone theray was chosen based on sensitivities initially and then changed to ceftazidime for improved pseudomonas coverage with plans for a 14 day course. at the request of pt's private urologist, plans were made to postpone nephrolith removal until sepsis was fully treated. of note, on transfer to the general medical floor, the patient was noted to have a firm right upper quadrant round mass which was not present on subsequent u/s, suggesting a this was simply a loop of bowel containg feces. ultrasound did reveal diffusely echogenic liver consistent with fatty liver, cholelithiasis, and an ill defined desity in the right upper renal pole carresponding to the knoen nephrolith. mrcp was suggested to better evaluate the liver but was impossible due to metal ureteral stents. the patient's urologist was aware of this evaluation. the patient wasfelt to be malnoursihed malnourished by her albumin which was 2.8 on admission. she was continued on a house diet with boost plus supplements three times a day. she should be encouraged to drink nutritional supplements at least three times a day to attempt to improve her nutritional status. condition on discharge: stable. discharge status: to an extended care facility, ethic senior health care in . discharge diagnosis: 1. urosepsis with proteus and pseudomonas bacteremia. 2. multiple sclerosis. 3. status post right percutaneous nephrostomy tube placement. 4. obstructing nephrolithiasis discharge medications: 1. aspirin 81 mg, enteric coated, p.o. q.d. 2. tylenol 325 mg liquid p.o. q. four to six hours p.r.n. pain/fever. 3. docusate sodium 100 mg one capsule p.o. b.i.d. 4. bisacodyl 5 mg two suppositories p.r. p.r.n. constipation. 5. milk of magnesia 30 ml p.o. q. six hours. p.r.n. 6. combivent one to two puffs q. six hours p.r.n. 7. heparin 5,000 units one injection q. 12 hours. 8. senna 8.6 one tablet p.o. b.i.d. 9. ceftazidime 1 gram q. eight hours times two weeks. follow-up: the patient should call dr. at to arrange for the percutaneous nephrolithotomy and stone removal via endoscopy by dr. . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified percutaneous nephrostomy without fragmentation percutaneous nephrostomy without fragmentation diagnoses: unspecified protein-calorie malnutrition bacteremia multiple sclerosis hydronephrosis calculus of ureter proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site pseudomonas infection in conditions classified elsewhere and of unspecified site acute pyelonephritis without lesion of renal medullary necrosis 

Answer: The patient is high likely exposed to