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: patient recorded as having no known allergies to drugs attending: chief complaint: altered mental status major surgical or invasive procedure: picc line placement history of present illness: history obtained from medical records. this is a year-old female with a history of dementia and htn who presents with fever, tachycardia, and hypoxia from . pt treated for bronchitis with levaquin 250 mg x 7 days starting on . this am, not responding to stimuli and noted to be in respiratory distress. vs 100.1 (po) although ed reported up to 101f, hr 84, bp 131/57, rr 28, o2 sat 90% ra. per pcp , there was some concern for an aspiration event. given tylenol 650 mg pr and albuterol nebulizer prior to being sent to ed. in the ed, t 99.8, bp 121/55, hr 95, rr 24, o2 sat 95% 6l nc --> 98% on 100% nrb --> 97% on 3l nc. labs notable for wbc 30.1 without associated left shift or bands, na 169, bun 116, cr 2.6, ag 18, and lactate 2.0. ua few bacteria, 0-2 wbc, mod le. cxr with ? bilateral upper lobe opacities, final read pending. pt dnr/dni per nh records. given vancomycin 1 gm x 1, zoysn 4.5 gm iv x 1, 1l ivfs, and admitted to for further mgmt. ros: unable to assess. past medical history: 1. hypertension. 2. grave's disease. 3. dementia. 4. depression. 5. spinal stenosis. 6. degenerative joint disease. 7. status post multiple falls with a gait disturbance. social history: resides at . niece is hcp family history: unknown/noncontributory physical exam: vitals: afebrile 132/55 p72 r20 100% 2l gen: elderly female, non-toxic. heent: mm dry. cor: rrr, no m/g/r, normal s1 s2 pulm: coarse wheeze throughout. abd: soft, nt/nd. ext: no c/c/e, no palpable cords neuro: +dementia, non-focal. picc in place pertinent results: admission labs: 10:56am wbc-30.1*# rbc-4.07* hgb-11.2* hct-34.9* mcv-86 mch-27.5 mchc-32.1 rdw-13.8 10:56am neuts-64.3 lymphs-33.9 monos-1.5* eos-0.2 basos-0.2 10:56am pt-14.5* ptt-21.1* inr(pt)-1.3* 10:56am plt count-406 10:56am asa-neg ethanol-neg acetmnphn-9.6 bnzodzpn-neg barbitrt-neg tricyclic-neg 10:56am tsh-0.88 10:56am calcium-9.4 phosphate-4.5 magnesium-2.9* 10:56am alt(sgpt)-12 ast(sgot)-12 ck(cpk)-32 alk phos-136* tot bili-0.2 10:56am glucose-262* urea n-116* creat-2.6*# sodium-169* potassium-4.0 chloride-130* total co2-21* anion gap-22* 11:12am lactate-2.0 11:40am urine color-yellow appear-hazy sp -1.014 11:40am urine blood-sm nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-mod 11:40am urine rbc-0-2 wbc-0-2 bacteria-few yeast-none epi-0-2 11:40am urine eos-negative 02:17pm type-art temp-36.2 po2-116* pco2-34* ph-7.41 total co2-22 base xs--1 intubated-not intuba . . cxr : findings: persistent cardiomegaly and pulmonary vascular engorgement. diffuse hazy opacities are again demonstrated in the right lung without substantial change. as noted previously, this could be due to resolving asymmetrical pulmonary edema or infection. new area of opacity has developed in the left retrocardiac region, and may reflect atelectasis, aspiration, or early focus of pneumonia. . 05:01am blood wbc-17.9* rbc-3.12* hgb-8.8* hct-26.8* mcv-86 mch-28.1 mchc-32.6 rdw-15.6* plt ct-365 04:24am blood pt-13.8* ptt-31.9 inr(pt)-1.2* 05:01am blood glucose-132* urean-16 creat-1.3* na-146* k-4.5 cl-112* hco3-24 angap-15 05:01am blood calcium-8.3* phos-2.9 mg-1.5* (note: mg repleted after this result) 04:00am blood caltibc-130* vitb12-* folate-11.8 ferritn-256* trf-100* 10:56am blood tsh-0.88 . micro: mrsa screen (final ): positive for methicillin resistant staph aureus. . c-diff negative x 3 . urine culture (final ): proteus mirabilis. >100,000 organisms/ml.. proteus mirabilis | ampicillin------------ =>32 r ampicillin/sulbactam-- =>32 r cefazolin------------- <=4 s cefepime-------------- 4 s ceftazidime----------- =>2 s ceftriaxone----------- <=1 s cefuroxime------------ 8 s ciprofloxacin--------- =>4 r gentamicin------------ 8 i meropenem-------------<=0.25 s piperacillin---------- =>128 r piperacillin/tazo----- =>128 r tobramycin------------ 2 s trimethoprim/sulfa---- =>16 r . brief hospital course: sepsis from left lower lobe pneumonia: treated with multiple antibiotics initially, but ultimately to complete a course of ceftriaxone and vancomycin. leukocytosis initially improved, but recently has been trending up. note patient has a history of cll with persistent hx of leukocytosis, making wbc questionable as a marker for infection. blood cultures negative, rapid resp viral screen negative, urine legionella antigen is negative. she received vancomycin and ceftriaxone for a total ten day course. patient had a speech and swallow evaluation performed initially, which she failed, and was reattempted several days later, and again failed. after discussion with the family, decision was made not to place a peg tube and she was permitted to eat for comfort. . altered mental status: combination of sepsis and hypernatremia on baseline dementia. lfts and tsh wnl, tox screens negative. sedating medications held at admission mental status improved quickly with correction of her multiple medical issues. - patient on d5w for mild hypernatremia and sl increased cr. . acute renal failure: peak at 2.9 at admission. most likely pre-renal etiology given concurrent hypernatremia, story and exam. urine eosinophils negative, renal ultrasound without obstruction. lasix held at admission, and then restarted. her creatinine improved with rehydration, now slightly increased to 1.3 from 1.1. getting addt'l d5w today. . hypernatremia: due to poor po intake and ongoing lasix prior to admission. patient clinically dry on exam at admission. treated with d5w with improvement in values, and sodium normalized at time of discharge. getting addt'l d5w today. . melena: she was also noted to have several episodes of melena. she received 1u prbc, and remained hemodynamically stable. . code: dnr/dni, copy of form in chart. confirmed with family that despite failing speech and swalloe evaluation, patient should be allowed to continue to eat for comfort. . comm: next of listed in chart , (h), (c). access: picc line. will maintain on discharge for continued iv hydration as outpt for several days. dispo: discharge to day to medications on admission: trazodone 25 mg daily trazodone 25 mg qid prn for agitation trazodone 75 mg qhs dulcolax 10 mg qod citalopram 20 mg daily lasix 10 mg daily mvi daily milk of magnesia 30 ml qod nitrobid 2% ointment inch prn for sbp > 170, dbp > 90 flovent inh 2 puffs maalox prn anusol-hc 2.5% cream prn guiafenesin 20 ml q6h prn tylenol 650 pr q4h prn s/p levofloxain 250 mg daily x 7 days discharge medications: 1. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) dose injection tid (3 times a day). 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) nebulizer inhalation q4h (every 4 hours) as needed. 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily): recommend hold until resumed by md. 8. insulin regular human 100 unit/ml solution sig: per sliding scale injection asdir (as directed). 9. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 10. saline flush 0.9 % syringe sig: one (1) syringe injection daily and prn. discharge disposition: extended care facility: discharge diagnosis: 1. aspiration pneumonia 2. altered mental status 3. hypernatremia 4. acute renal failure 5. urinary tract infection 6. acute blood loss anemia 7. dementia discharge condition: stable discharge instructions: you were admitted with an aspiration pneumonia and urinary tract infection, with associated dehydration. you were treated with antibiotics. followup instructions: please follow up with your primary care doctor . recommend feed patient at times when most awake (which may fluctuate according to parkinson medications) (per speech and swallow recommendations). procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified depressive disorder, not elsewhere classified sepsis other persistent mental disorders due to conditions classified elsewhere pneumonitis due to inhalation of food or vomitus other specified septicemias osteoarthrosis, unspecified whether generalized or localized, site unspecified methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site hemorrhage of gastrointestinal tract, unspecified pulmonary congestion and hypostasis toxic diffuse goiter without mention of thyrotoxic crisis or storm hyperosmolality and/or hypernatremia spinal stenosis, unspecified region leukocytosis, unspecified chronic lymphoid leukemia, without mention of having achieved remission other abnormal glucose 

Answer: The patient is high likely exposed to