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: fevers, rigors major surgical or invasive procedure: intensive care unit admission. history of present illness: 42yo female s/p missed abortion with retained contents removed by d&c, presented with fevers to 104 and hypotension. . on she had vaginal bleeding at just under 12 weeks ega, followed by an ultrasound showing fetal demise. she was given misoprostol, followed by cramping and vaginal bleeding. one week later, she continued to have vaginal bleeding, followed by vaginal discharge. around this time she developed occasional dizziness. she continued to have vaginal bleeding, and a repeat u/s showed retained products of conception. she had an uncomplicated d&c by dr. with minimal blood loss. . she felt well overnight, took 600mg of ibuprofen, but was generally pain free. then at 1pm on , she had shaking chills and felt unwell; she took her temperature and it was 104. she took 600mg of ibuprofen again and was advised to come into the ed. . in the ed, initial vs were: t 101.4 p 142 bp 86/53 r 20 o2 sat 99%. she was 106/57, and initial exam was reassuring. initial cxr looked wnl. ct and pelvic ultrasound did not show uterine rupture or . patient was given 4l ns and 1l lr. she began feeling sob, and a repeat cxr showed some vascular congestion. the initial plan was for clindamycin, ampicillin and gentamicin for suspected endometritis. she received all of the clinda, 10 minutes of gentamicin before that was stopped, then received a full dose of zosyn and flagyl. she was admitted to the icu. levophed was begun for blood pressure support due to maps of 54, now adding phenylephrine. two 18g piv and r ij were placed for access. some increased vascular congestion, but still satting well. she continued to have good urine output. vitals prior cvp 5-6, 99.2, hr 115, 100/70, 100% 4l nc. . in micu, she was pain free and resting comfortably. she denies recent cough, rhinorrhea, headache, vomiting, diarrhea, constipation or dysuria. no chest pain or shortness of breath. she has had some nausea, no dizziness while sitting. she developed a cough after receiving fluids in the ed. no history of sti's. traveled two months ago to cayman islands. she has had recent exposure to several febrile children. past medical history: obhx: g3p1 svd @ 37 weeks, ghtn sab gynhx: hx of abnormal pap tests in 20's with more recent pap tests within normal limits. hx of hysteroscopic mmy for fibroids. no history of sti's. pmh: denies psh: orthopedic surgery on wrist social history: patient denies any tobacco, alcohol or illicit drug use. works as a sicu nurse . in monogamous relationship. family history: non-contributory physical exam: admission physcial examination: general: alert, oriented, no acute distress heent: sclera anicteric, perrl, eomi, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, liver tip smooth and barely palpable. gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema skin: diffuse, blanching erythema over chest and lower extremities discharge physcial examination: general: alert, oriented, no acute distress heent: sclera anicteric, perrl, eomi, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding. ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs ================= 10:50pm urine color-yellow appear-clear sp ->1.050* 10:50pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 10:50pm urine rbc-20* wbc-<1 bacteria-none yeast-occ epi-0 04:50pm urine hours-random 04:50pm urine ucg-negative 04:50pm urine color-straw appear-clear sp -1.001 04:50pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-sm 04:50pm urine rbc-<1 wbc-1 bacteria-few yeast-none epi-<1 04:28pm lactate-2.0 04:15pm glucose-102* urea n-11 creat-0.7 sodium-139 potassium-2.7* chloride-103 total co2-22 anion gap-17 04:15pm estgfr-using this 04:15pm wbc-1.8*# rbc-4.29 hgb-13.6 hct-37.5 mcv-88 mch-31.7 mchc-36.2* rdw-12.9 04:15pm neuts-67 bands-18* lymphs-15* monos-0 eos-0 basos-0 atyps-0 metas-0 myelos-0 04:15pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 04:15pm plt smr-normal plt count-183 4:15 pm blood culture #1. blood culture, routine (preliminary): this is a corrected report ( @ 15:25pm). bacteroides fragilis group. identification performed on culture # 324-3040r . anaerobic gram positive coccus(i). previously reported as gram positive rod(s) on . reported to and read back by at 15:26pm on . identification performed on culture # from . anaerobic bottle gram stain (final ): gram negative rod(s). reported to and read back by dr. 11:24am. 4:30 pm blood culture #2. blood culture, routine (preliminary): bacteroides fragilis group. beta lactamase negative. anaerobic gram positive coccus(i). reported to and read back by @ 2:21pm . anaerobic bottle gram stain (final ): gram negative rod(s). 8:58 am stool consistency: formed source: stool. **final report ** clostridium difficile toxin a & b test (final ): feces negative for c.difficile toxin a & b by eia. (reference range-negative). 10:59 pm urine site: catheter **final report ** urine culture (final ): no growth. chest xray: normal chest radiograph. pelvic ultrasound: fluid-hematocrit level within the endometrium likely post-surgical from recent d&c. no evidence of residual retained products of conception. ovaries are normal bilaterally. ct abdomen pelvis: lung bases: mild dependent atelectasis is noted at the lung bases bilaterally. mild septal thickening is also seen, which could reflect volume overload. abdomen: there is marked periportal edema and small amount of perihepatic and pericholecystic fluid, which likely reflects progressive overhydration. otherwise, the liver appears unremarkable. the gallbladder is not fully distended. the pancreas, adrenal glands, spleen, and both kidneys are normal. kidneys enhance symmetrically and excrete contrast promptly. no worrisome renal lesion is seen. the abdominal aorta is normal in course and caliber with widely patent major branches. there is mildly edematous root of mesentery likely also reflective of volume status. the stomach and duodenum appear normal. there is no free air. pelvis: small bowel demonstrates no signs of ileus or obstruction. the appendix is visualized and is normal. the large bowel appears unremarkable with minimal fecal load. there are tiny locules of gas anterior to the uterus, which are likely intraluminal, for example in series 2, image 71. the uterus is enlarged with hypodense endometrial contents, which correspond with blood on the pelvic ultrasound performed concurrently. the patient is status post d and c yesterday, and this may be an expected postoperative finding. urinary bladder contains a foley catheter and is largely decompressed. there is trace free pelvic fluid, which could be physiologic. distal ureters appear normal. bones: no worrisome osseous lesions are seen. impression: 1. findings compatible with fluid overload with septal thickening at the lung bases, periportal edema, trace ascites. please correlate clinically. 2. no free air or signs of bowel perforation. 3. hypodense material within the endometrial cavity is compatible with blood, also seen on pelvic ultrasound from today. findings likely reflect recent d and c. please correlate with findings from pelvic ultrasound. brief hospital course: ms. course is described below by course. . # septic shock: ms. hypotension was diagnosed as septic shock. she required one pressor for a 24 hour period. the source was likely endometritis s/p d&c. her blood cultures grew gnrs x 2, unspeciated upon transfer from icu back to obgyn. she was initially treated with zosyn/vanc/flagyl. vanc discontinued upon transfer from icu. a right ij cvc had been placed and was discontinued prior to transfer. pelvic us did not reveal retained material in the uterus. # thrombocytopenia: her initial thrombocytopenia raised concern for dic. her fibrinogen was monitored and remained stable. her inr rose only slightly. . # trasaminitis: initial elevated liver enzymes were attributed to mild ??????shock liver.?????? they were monitored and continued to downtrend. c. diff was negative. . # normocytic anemia: her anemia was likely acute blood loss anemia with a likely dilutional component. . # pulm: on hospital day 2, ms. experienced shortness of breath. this was attributed to pulmonary vascular congestion after aggressive fluid resuscitation. she maintained good oxygen saturation throughout. . by , she was stable enough for transfer out to a regular floor. zosyn and flagyl were continued. her wbc continued to trend down. blood cultures were taken daily. id was consulted and recommended a 7 day outpatient course of augmentin. . # prophylaxis: subcutaneous heparin . by hospital day 6, she was afebrile, hemodynamically stable, and was discharged to home in good condition. medications on admission: denied discharge medications: 1. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 2. acetaminophen 500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever/pain. discharge disposition: home discharge diagnosis: fever and hypotension consistent with sepsis. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: * take your medications as prescribed. * no strenuous activity, nothing in the vagina (no tampons, no douching, no sex), no heavy lifting of objects >10lbs for 2 week. followup instructions: -please call dr office on monday for a follow up appointment. -please contact your primary care physician for follow up appointment regarding mildly elevated liver function enzymes. md procedure: venous catheterization, not elsewhere classified diagnoses: thrombocytopenia, unspecified anemia, unspecified other postoperative infection acute and subacute necrosis of liver severe sepsis hypopotassemia septic shock septicemia due to gram-negative organism, unspecified genital tract and pelvic infection following abortion or ectopic and molar pregnancies 

Answer: The patient is high likely exposed to