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: aloe / levaquin / tape / penicillins attending: chief complaint: bilateral nephrolithiasis s/p l pcnl() major surgical or invasive procedure: right percutaneous nephrolithotomy history of present illness: 42m with hx of bilat nephrolithiasis s/p l pcnl(), eswl (, persistent right sided stone burden. past medical history: multiple sclerosis neurogenic bladder s/p suprapubic catheter multiple urinary tract infections with multi-drug resistant organisms social history: married, lives with wife. no tobacco, no illicits. family history: non-contributory. pertinent results: 05:37am blood wbc-9.1 rbc-3.92* hgb-10.4* hct-32.0* mcv-82 mch-26.6* mchc-32.7 rdw-14.2 plt ct-325 05:37am blood glucose-124* urean-10 creat-0.8 na-140 k-3.5 cl-105 hco3-24 angap-15 brief hospital course: the patient was admitted to dr. urology service on after percutaneous nephrolithotripsy. no concerning intraoperative events occurred; please see dictated operative note for details. the patient was transferred in stable condition from the or to the pacu. the patient became febrile and tachycardic in the pacu, and was sent to the icu for further monitoring overnight. course: pt transferred overnight with tachycardia and fever. pt pancultured and started on vanc, ceftaz and tobramycin. blood culture from with gnr yet to be speciated at time of transfer. continued on regimen as noted above. picc line request placed for likely need for long-term antibiotics. hemodynamically stable at time of transfer back to urology service. foley discontinued. on pod2, the patient was transferred in stable condition from the icu to the floor. his urine in both the suprapubic catheter and nephrostomy was clear yellow without clots. on the morning of pod 3, the patient was febrile, and cultures resent. he remained afebrile after pod 3. on pod 4, the pcn tube was clamped. on pod 5, the patient's pcn tube was removed. the blood culture grew pseudomonas and urine cultures grew pseudomonal and providentia. id consult was called and recommended ceftazidime 1gm iv q8h until . vna and home infusion was arranged for iv antibiotics. at discharge, patient's pain well controlled with oral pain medications, tolerating regular diet, ambulating without assistance, and voiding without difficulty. he is given oral pain medications on discharge, without antibiotics. he is given explicit instructions to call dr. for follow-up. medications on admission: baclofen, oxybutynin, famotidine, mvi discharge medications: 1. baclofen 10 mg tablet sig: two (2) tablet po 5x/day (5 times a day). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: for breakthrough pain >4, take in place of tylenol. disp:*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. ceftazidime 2 gram recon soln sig: one (1) intravenous every eight (8) hours for 9 days: continue antibiotics until . disp:*27 2 gram recon soln* refills:*0* 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 7. ascorbic acid 500 mg tablet sig: one (1) tablet po tid (3 times a day). discharge disposition: home with service facility: vna discharge diagnosis: nephrolithiasis status post right percutaneous nephrolithotomy discharge condition: stable discharge instructions: vna: 1. please administer iv antibiotics as prescribed for entire course: ceftazidime 2 gm iv q8h until . 2. please flush picc line per routine, monitor for signs of infection 3. routine daily vitals, hr, bp, temp for the patient: -expect drainage (bloody drainage is expected) from your back. please change your dressings as often as needed to keep your skin as dry as possible. -you have been discharged with a picc line in place for the continued administration of your antibiotics, this will be removed when course is finished. -please seek medical attention if you experience fevers > 101.5, chills, chest pain, difficulty breathing, or increasing pain. -call dr. office upon discharge to schedule a follow-up appointment for removal of picc line and if you have any urological questions, . followup instructions: call dr. office to schedule a follow-up appointment and if you have any urological questions, . procedure: percutaneous nephrostomy with fragmentation diagnoses: other postoperative infection urinary tract infection, site not specified sepsis hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation multiple sclerosis other and unspecified coagulation defects calculus of kidney volume depletion, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms septicemia due to pseudomonas neurogenic bladder nos 

Answer: The patient is high likely exposed to