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: found down with hypotension, hypoxia and tachycardia major surgical or invasive procedure: will get peg vs open j-tube placement history of present illness: 72 yo bedbound man with left hemiplegia referred from rehab nursing home when patient was found down by staff with desaturation to 80s, hypotensions to 80s and tachycardic to 106 on early am on . the duration of unconsciousness is unknown. he was brought by ems to the ed and intubated on arrival. ros was unavailable as that time. past medical history: hypertension h/o right mca cva and left pca cva with severe encephalomalacia predominantly within the right temporal parietal and left occipital lobes and residual left sided weakness seizures dementia h/ syndrome (colonic pseudo-obstruction) h/o aspiration pna gastritis with h/o gi bleed anemia of chronic disease s/p laminectomy for disc herniation with internal fixation s/p left total hip replacement s/p ivc filter for dvt legally blind social history: lives in st. / in . his son is his health care proxy. a smoker. no alcohol use in the past ten years. family history: nc physical exam: pe: t99.1 hr 86 bp 128/71 rr 16 o2 saturation 99% on ft 10l gen: elderly man heent: anicteric, pupils 4mm-->2mm bilaterally; op clear cv: reg s1/s2, no s3/s4/m/r pulm: coarse bs throughout abd: +bs, no scars, nondistended and firm mass in llq but no apparent tenderness, no hsm appreciated ext: warm, 2+ dp b/l, no edema, old pressure ulcer on left lateral aspect of heel neuro: aox 0 (time, places, persons); grossly responds to commands; cnii-xii intact, patient has left umn facial droop; contracture deformity of rue is present with 3+ biceps and patellar reflex on the left; 1+ on the right side skin: no rashes, deferred looking at known sacral decubiti x 2 (3cm x 1cm, 1cm x 1cm) involving only the superificial dermis pertinent results: 08:44pm cortisol-26.0* 08:05pm cortisol-21.9* 05:29pm cortisol-16.0 03:15pm type-art temp-36.7 po2-159* pco2-38 ph-7.39 total co2-24 base xs--1 -assist/con intubated-intubated 03:15pm lactate-2.2* 03:03pm glucose-139* urea n-34* creat-1.7* sodium-166* potassium-3.4 chloride-135* total co2-23 anion gap-11 10:15am type-art temp-36.7 peep-5 o2-40 po2-166* pco2-40 ph-7.40 total co2-26 base xs-0 intubated-intubated 10:15am lactate-2.6* 10:10am wbc-7.0 rbc-3.67*# hgb-11.2*# hct-34.4*# mcv-94 mch-30.6 mchc-32.6 rdw-15.9* 09:54am lipase-39 09:54am albumin-2.3* 09:54am haptoglob-191 09:54am cortisol-20.2* 09:54am pt-13.9* ptt-29.9 inr(pt)-1.2* 09:54am fibrinoge-585*# d-dimer-6273* 07:59am lactate-2.9* na+-167* 07:50am glucose-150* urea n-37* creat-1.9* sodium-166* potassium-3.5 chloride-136* total co2-21* anion gap-13 04:55am rates-14/ tidal vol-500 o2-100 po2-452* pco2-45 ph-7.35 total co2-26 base xs-0 aado2-228 req o2-45 -assist/con intubated-intubated comments-green top . 04:55am lactate-2.8* 04:45am glucose-189* urea n-39* creat-2.1* sodium-164* potassium-3.7 chloride-134* total co2-23 anion gap-11 03:50am urine color-yellow appear-hazy sp -1.019 03:50am urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-sm urobilngn-neg ph-5.0 leuk-sm 03:50am urine rbc-* wbc-21-50* bacteria-many yeast-none epi- 03:50am urine hyaline-0-2 02:58am glucose-167* lactate-4.3* na+-179* k+-4.5 cl--133* tco2-26 02:45am urea n-9 creat-2.3* 02:45am estgfr-using this 02:45am probnp-903* 02:45am wbc-8.8 rbc-4.95 hgb-15.2 hct-46.2 mcv-93 mch-30.6 mchc-32.8 rdw-16.0* 02:45am neuts-81* bands-2 lymphs-8* monos-3 eos-0 basos-0 atyps-6* metas-0 myelos-0 02:45am hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-2+ microcyt-normal polychrom-1+ teardrop-1+ 02:45am pt-14.5* ptt-42.7* inr(pt)-1.3* 02:45am plt smr-low plt count-121* . portable cxr (): endotracheal tube is at the thoracic inlet, approximately 7 cm above the carina. nasogastric tube is seen coiling in the stomach. cardiac, mediastinal, and hilar contours are within normal limits. patchy opacity is seen at both lung bases. large air-filled loops of colon are incompletely evaluated. no pleural effusion. no pneumothorax on this supine view. osseous structures are within normal limits. nipple shadow projects over the left lower lung. . portable cxr (): right basal atelectasis is improved. minimal dependent edema persists. heart size normal. no pneumothorax or pleural effusion. left central venous line tip projects over the low svc. . ct head (): 1. bilateral pneumonia, with dense consolidation in the right lower lobe. 2. nine cm segment of thickened proximal right colon without significant inflammatory change, likely due to underdistention. 3. patulous nondilated sigmoid colon, representing chronic dilation. 4. right kidney cyst. 5. coronary vascular calcifications. . kub (): 1. no radiopaque foreign body consistent with a thermometer identified. 2. markedly distended air-filled sigmoid colon. please refer to the abdominal ct of the same date for further details concerning this finding. . echo (): mild lvh; lvef 60%; mild ar; trivial mr brief hospital course: pt is a 72yo bedbound hemiplegic man who was found down at his nursing home with hypoxia, hypotension and tachycardia. . in the ed, he was initially hypotensive w/ sbp in the 60s, tachycardic, tachypnic, lactate 4.3, serum sodium 179. he was intubated, femoral cvl was placed, and he was treated with iv ns x 5 liters. after fluid resuscitation, bp improved to 100s/50s, lactate decreased to 2.9, serum sodium 167. cxr showed bibasilar patchy opacities; ct abd showed segment of thickened right colon; he was treated with iv vancomycin 1gm, iv levoflox 500mg, and iv flagyl 500mg. . in the micu, patient was started on d51/2ns to correct the hypernatremia and to treat the acute renal failure with a goal repletion of free water deficit daily. with iv hydration, hypernatremia resolved by and acute renal failure improved by . urine culture grew pan sensitive e. coli (minus cipro). sputum from grew mrsa and gm+ rods. patient remained on vancomycin but levofloxacin was discontinued and changed to zosyn on . zosyn was changed to meropenem due to enterobacter in the sputum and e. coli in the urine. for long term iv antibiotics, picc was placed. general surgery was consulted for the thickened right colon but it was deemed not a surgical abdomen as patient remained asymptomatic. stool test for c.diff was negative. patient was extubated on . patient was started on tube feeds by ngt which the patient self discontinued multiple times. with resolved hypernatremia and improving renal failure and pna and uti treated on meropenem and vancomycin, patient was transferred to medicine service for further management the sepsis, pna, uti, and nutritional status. . on iv vancomycin and meropenem, patient's sepsis, pna and uti was well controlled with no hypotensive episodes or fevers. patient's oxygen requirement was gradually improved. blood cultures remained negative. with an attempt to discontinue the foley, patient had urinary retention. new foley was inserted with a goal of discontinuing the foley once the uti was resolved. he underwent bladder retraining and was able to void without a foley on discharge. patient completed a two week course of vancomycin and meropenem. . in this hospitalization, patient was getting tube feeds through an ngt. however, patient self discontinued the ngt tube. he was started on tpn for the duration until peg tube was placed on . he was able to tolerate tube feeds prior to discharge. . patient was noted to have colonic thickening on admission but he had no abdominal pain. he had diarrhea on couple occasions but clostridium difficile toxins were negative. . his home medications were restarted prior to discharge. . his code status is dnr/dni and was confirmed with his son, , who is his health care proxy. medications on admission: - asa 81 mg daily - clopidogrel 75 mg daily - metoprolol 12.5 mg - lipitor 40 mg qhs - baclofen 5 mg tid - risperdal 0.25 mg qhs - tylenol prn - heparin 5,000 units tid - lactulose 30 ml tid - vit d 400 units daily - mvi 1 tablet daily - colace 100 mg - senna 2 tab qhs discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 2. cholecalciferol (vitamin d3) 400 unit tablet : two (2) tablet po daily (daily). 3. acetaminophen 650 mg suppository : one (1) suppository rectal q4-6h (every 4 to 6 hours) as needed. 4. clopidogrel 75 mg tablet : one (1) tablet po daily (daily). 5. aspirin 81 mg tablet : one (1) tablet po daily (daily). 6. metoprolol succinate 25 mg tablet sustained release 24 hr : 0.5 tablet sustained release 24 hr po bid (2 times a day). 7. atorvastatin 40 mg tablet : one (1) tablet po daily (daily). 8. risperidone 0.25 mg tablet : one (1) tablet po hs (at bedtime). 9. lactulose 10 g/15 ml solution : one (1) po tid (3 times a day). 10. docusate sodium 100 mg tablet : one (1) tablet po bid (2 times a day). 11. senna 8.6 mg capsule : 1-2 tablets po hs (at bedtime). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnosis: e coli uti with sepsis pneumonia urinary retention uti acute renal failure . secondary diagnosis: anemia of chronic disease sacral decubital ulcers ogilve's syndrome gastritis, hx gi bleed bed bound hx stroke right mca and left pca s/p ivc filter for dvt discharge condition: good discharge instructions: please continue to advance tube feeds to goal. discontinue multivitamin once tube feeds are at goal. please monitor chem 10 weekly, monitor weight weekly. . please call your primary care doctor if you develop fevers, chills, low blood pressure, abdominal pain, nausea, vomiting, oozing or redness at the site of the peg tube. followup instructions: you will be followed by dr. at your nursing home at rehab, as well as by the surgeon who placed your peg tube. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia severe sepsis infection with microorganisms resistant to penicillins acute respiratory failure pneumonitis due to inhalation of food or vomitus methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site retention of urine, unspecified late effects of cerebrovascular disease, hemiplegia affecting unspecified side hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to