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: amoxicillin / percocet attending: chief complaint: transferred with hypoxia and leukocytosis major surgical or invasive procedure: left picc line placement right pleural pigtail catheter placement history of present illness: f with cad/chf/a.fib s/p exploratory laparotomy, colocutaneous fistula takedown, extended right colectomy, lysis of adhesions, ileocolostomy, percutaneous gastrostomy tube, extensive soft tissue and skin debridement, and primary ventral hernia repair on with dr. now presents as transfer to ed with hypotension and hypoxia. pt transferred from osh for ? infection/sepsis. pt received vancomycin and flagyl en route and was given ciprofloxacin in ed at . upon arrival, pt had an o2 saturation of 71% and was placed on 100% nrb to which her o2 sat came to 100%. she was temporarily hypotensive to 89/56, hr 102 and was fluid responsive to a bolus of ns which brought her bp to 110/46 with a hr of 76. . past medical history: a. fib, vertigo, cad, chf psh: hysterectomy, incisional hernia repair ~ 30 years ago c/b colocutaneous fistula, s/p resection of infected mesh and closure of colocutaneous fistula social history: no etoh and tobacco. lived with her son and was independent (per her daughter)prior to last hospitalization. has been in rehab since. family history: noncontributory physical exam: temp 96.7, hr 76 (a-flutter), bp 110/46, rr 19, o2 100% on nrb gen: pleasant, confused, oriented x1 to self cv: irreg/irreg, no r/g/m resp: decreased at bases, clear anteriorally b/l chest: right subclavian triple lumen cvl with dressing dated , antibiotic gel/pad in place with no obvious line site infection abd: gastrostomy tube in place and capped. would vac not to suction in place with duoderm at perimeter of extremely large abdominal surgical wound approx 20x30cm. vac removed. fascia closed with no sign of dehiscence, no purulence, no sign of feculent drainage, two small 2-3cm areas of fat necrosis in inferior wound debrided at bedside, otherwise good granulation tissue throughout wound which does track on right lateral aspect approx 5-7cm. abdomen soft otherwise. diffuse mild tenderness. soft palpation non-tender of flanks. ext: + upper extremity edema, trace lower extremity edema. feet warm. foley catheter in place. . pertinent results: 06:56pm wbc-16.8* rbc-3.16* hgb-9.2* hct-29.6* mcv-94 mch-29.1 mchc-31.1 rdw-15.3 06:56pm neuts-94.8* lymphs-3.4* monos-1.4* eos-0.2 basos-0.2 06:56pm plt count-267# 06:56pm pt-13.7* ptt-26.7 inr(pt)-1.2* 06:56pm glucose-123* urea n-34* creat-0.9 sodium-135 potassium-5.4* chloride-96 total co2-34* anion gap-10 04:30am alt(sgpt)-10 ast(sgot)-22 ck(cpk)-26* alk phos-88 tot bili-0.3 ct abd/pelvis : 1. right colectomy and end-to-side ileocolostomy, with free fluid and surrounding inflammatory changes, the latter of which may be post-surgical. foci of extraluminal air extending anteriorly from colonic pouch to fascial flap are noted, and a repeat ct study with oral gastrografin contrast can be performed to assess for residual fistula formation or leak. 2. moderate bilateral pleural effusions and bibasilar atelectasis. 3. renal atrophy ct abd/pelvis : 1. no extraluminal oral contrast identified though majority of contrast is still within small bowel and has not passed the anastomosis. if indicated, delayed examination may be performed to allow time for contrast to reach the large bowel. locules of air in the anterior abdomen with surrounding inflammatory stranding and fluid could indicate residual postoperative changes and inflammation. 2. bilateral pleural effusions and compressive atelectasis as previously seen. cxr : the wire in the left picc ends in the mid svc. moderate bilateral pleural effusions have increased and there is still pulmonary edema, difficult to assess given the obscuration by pleural fluid, but not likely to have improved. severe cardiomegaly is chronic. no pneumothorax cardiac echo : rigth ventricular cavity enlargement with preserved free wall motion. pulmonary artery systolic hypertension. mild-moderate mitral regurgitation. mild aortic regurgitation. normal left ventricular cavtiy size and regional/global systolic function. biatrial enlargement. brief hospital course: mrs. was evaluated by the acute care service in the emergency room and was found to be hypotensive and hypoxic. she was admitted to the icu for further management with a working idagnosis of possible sepsis. her o2 sats improved with a non rebreather and her blood pressure responded to volume. she was cultured and placed on broad spectrum antibiotics and her central line was removed as possibly a source of sepsis. her oxygenation improved and she was weaned quickly to a nasal cannula at 2l, although she had bilateral pleural effusions on her chest xray, right > left. on she underwent placement of a pigtail catheter in the right chest which drained one liter. her blood pressure remained stable and her rhythme was atrial fibrillation rate 70-100. all cultures were negative except for yeast in her urine. due to problems with access a picc line was placed in the left arm on . following transfer to the surgical floor she continued to improve. her tube feedings were resumed and well tolerated and she underwent a swallow test and was cleared for ground solids and thin liquids. she remained afebrile and her antibiotics were discontinued. her abdominal wound is healing well with the vac dressing and it was last changed on . her pigtail catheter was removed on . she remained hemodynamically stable. her follow up chest x ray four hours later did not show a pneumothorax. after slow improvement she is being transferred back to rehab for further physical therapy, wound care and nutrition. she had a picc line for access and a foley in place. the patient was cared for by the rotating attending services of the acute care surgical service. medications on admission: levothyroxine 50 mcg daily, digoxin 125 mcg qod, atenolol 25 daily, pantoprazole 40 q24h, colace 100 , dulcolax prn, mom prn . discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day). 2. levothyroxine 50 mcg tablet : one (1) tablet po daily (daily). 3. digoxin 125 mcg tablet : one (1) tablet po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. atenolol 25 mg tablet : one (1) tablet po daily (daily). 6. miconazole nitrate 2 % powder : one (1) appl topical tid (3 times a day) as needed for rash. 7. colace 60 mg/15 ml syrup : twenty five (25) ml po twice a day. discharge disposition: extended care facility: discharge diagnosis: right pleural effusion leukocytosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: * you were admitted to the hospital with an infection possibly from the central line that was in place. you also had an accumulation of fluid on your lung and had a small tube placed for drainage. * your infection appears to have resolved and you are breathing much better. * the speech and swallow therapist evaluated your ability to swallow food and you did well with ground solids. your dentures are loose and at some point should be refitted. * you will still need to have feedings thru your stomach tube while you heal your abdominal wound and your appetite improves. * you are being transferred back to rehab for further physical therapy and medical care. followup instructions: call the acute care clinic at for a follow up appointment in weeks. procedure: enteral infusion of concentrated nutritional substances thoracentesis diagnoses: coronary atherosclerosis of native coronary artery cellulitis and abscess of trunk unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia severe sepsis unspecified acquired hypothyroidism candidiasis of other urogenital sites atrial fibrillation other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure septic shock pressure ulcer, lower back hypoxemia other and unspecified infection due to central venous catheter ileostomy status leukocytosis, unspecified gastrostomy status acquired absence of both cervix and uterus pressure ulcer, stage ii acquired absence of intestine (large) (small) 

Answer: The patient is high likely exposed to