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: ascites major surgical or invasive procedure: paracentesis history of present illness: this is a 58 y/o female with hemochromatosis and acute liver failure as well as serratia bacteremia and acute renal failure who is now transferred to for further medical care and for liver transplant evaluation. per d/c summary of osh, patient was in good health until earlier this summer when she had an acute gib and hct drop to 23. at that time, she was found to have ascites and liver failure. endoscopy showed duod ulcer. liver workup not complete but negative hep serologies. the patient was then seen in the office and was noted to have cellulitis on the dorsum of the first metatsarsal head. she was admitted for abcess drainage. she was noted to have marked ascites, edema, lft abnormalities and was also worked up at this time. on the first day of her hospitalization, her genetic test for hemochromatosis was positive and was homozygous for c282y. ferritin on was 3939. bilirubin has also been rising, to 2.2-4.3, now 2.2. albumin was 2.0, fell as low as 1.6, and with iv albumin improved to 2.9. during the time that she was treated for the foot abcess, she had a lot of ivf and her weight increased. diuresis was attempted with aldactone and lasix but was limited. she had 2 paracentesises with removal of 6 liters. she went home but still had a low hct and was to begin iron chelation therapy. during the chelation therapy (monday of last week), she developed fever, rigor, chills, temp to 102.5 and "labile sbp".. she was observed overnight and then discharged the following day. the next day, her husband found her confused at home and on admission, she was encephalopathic, with asterixis, and fever. her blood cultures 9/13 grew gram negative rods, serratia, pan sensitive. she was started on cipro. diag paracentesis was negative. urine was negative. source of bacteremia unclear. f/u blood cultures have been negative. she subsequently dropped her sbp and was transferred to the icu with a drop in her uop. diuretics were held but then reinstituted when uop still low and she got 160 mg lasix prior to transfer. her systolic bps had been in the 80s-90s. central line was placed today with cvp of 12, "renal dose" dopamine ws started but stopped for tachycardia. her cr bumped to 3.0 from a normal baseline. due to ongoing coagulopathy and anemia, has recieived at least 3 prbcs, 3 ffp, 1 plt. on transfer the patient is reluctant to answer questions. reports mouth is dry. breathing is ok. no pain anywhere but just doesn't want to talk anymore. past medical history: 1. liver cirrhosis from hemochromatosis 2. duodenal ulcer in early . foot abcess, on keflex 4. s/p failed surgery for dupuytren's contracture social history: married with 2 children, and grandchildren. lives with husband. had been a "social drinker" but no etoh since early . no tobacco. family history: unknown physical exam: pe: vs t 97.9 ax hr 95 bp 99/57 rr 20 93% 4l nc gen: chronically ill, disheveled, moaning, alert to place, slightly jaundiced, diffusely tender and sensitive to palpation heent: perrl, icteric sclera, o/p with evidence of dried blood on lips neck: r ij in place chest: bruising on chest, no spiders rrr s1s2 no mrg lungs: clear anteriorly (limited exam) abd: distended, + ascites, no hsm palpated, slightly tender ext: + pitting edema, left first metatarsal with evidence of incision and suturing, no erythema or drainage, heel ulcer on right with some serous drainage. neuro: could not cooperate, alert to place, moving all extremities, no asterixis illicited pertinent results: 04:06am blood wbc-18.9* rbc-2.62* hgb-8.5* hct-26.4* mcv-101* mch-32.6* mchc-32.3 rdw-19.6* plt ct-26* 03:29am blood neuts-86.7* bands-0 lymphs-8.4* monos-3.5 eos-1.2 baso-0.2 04:06am blood plt ct-26* 03:36pm blood glucose-143* urean-49* creat-1.7* na-148* k-2.7* cl-113* hco3-19* angap-19 03:29am blood alt-9 ast-47* alkphos-214* totbili-7.2* 12:20am blood lipase-66* 03:36pm blood calcium-10.0 phos-4.4 mg-1.8 12:20am blood caltibc-87* ferritn-greater th trf-67* 05:41pm blood ammonia-46 05:17am blood tsh-12* . echo impression: regional left ventricular systolic dysfunction c/w multivessel cad. mild-moderate pulmonary artery systolic hypertension. mild mitral regurgitation. . cxr impression: 1. large amount of ascites. . 2. heterogeneous hepatic echo texture, consistent with the patient's given history of hemachromatosis. no biliary dilatation. evaluation of the hepatic vasculature is markedly limited due to patient inability to tolerate the examination. . 3. limited evaluation of the kidneys. questionable focal scar in the upper pole of the right kidney. brief hospital course: a/p: 58 f w/ recently diagnosed hemochromatosis and resulting cirrhosis, with osh course c/b arf, worsening liver failure and ascites, serratia bacteremia of unknown source. . 1. liver failure: meld score is 28. etiology of cirrhosis known to be from hemochromatosis, was originally transferred to for tranplant workup, but has decompensated in the micu, with liver failure and hrs/renal failure. pt's family decided that pt would like to be dnr/dni, as well as made cmo on . -admitted to floor from micu in end stage liver failure, end stage renal failure, cmo. will cont morphine drip, ativan, comfort measures. . . . during hospitalization: . 2. renal failure: differential of renal failure includes atn from borderline hypotension, ain (on keflex), prerenal, hrs. renal u/s at osh was normal. -foley in place. follow uop. -u lytes, u eos, uosms, look at sediment, spep/upep (renal failure and anemia). -check cvp, if < will bolus fluids, otherwise will hold off pending studies -renal consult in am. . 3. serratia bacteremia: etiology of this unclear. need to obtain full micro data from osh. source may be foot which had concerning features of osteo at osh film, urine (was negative), lung, heart. will need at least 2 week course for bacteremia but if related to an osteo, would need longer course. -continue levofloxacin, will not double cover for now especially as patient stable and afebrile but can d/w id in am as serratia a resistant bacteria. -ua/ucx, bld cx (surveillance and obtain osh results), cxr -consider echo (will likely need as part of transplant eval -will obtain left foot x rays. can d/w podiatry asneeded. . 4. hypothyroidism: will check a tsh here. was started on iv levothyroxine there for unclear reasons though perhaps they felt her ms could be explained by this. will start po levothyroxine for now, 75 mcg (average dose for her weight). . 5. anemia: unclear source of anemia. guiac all stools. send type and screen. iron studies sent. spep/upep for anemia/renal failure. cont ppi. -tfuse >21 unless actively breathing. . 6. anion gap metabolic acidosis: unclear etiology. likely related to renal failure. will also send venous lactate and follow closely. if gap increasing, will obtain abg. . 7. coagulopathy: inr 1.7 for now. ffp for procedures as needed. got vit k at osh. -transfuse plts >10. . 8. fen: pos as tolerated, 2 g na diet. fluid restriction if needed. . 9. foot: check foot films on left, will continue for possible osteomyelitis with keflex, renall dosed. had two week course per chart. . 10. ?dm: often seen in hemochromatosis but a1c was 4.1 at osh. fs qid with iss. . 11. ppx: pneumoboots, ppi . 12. full code . 13. husband: work home . 14. dispo: cmo. expired on @ 10am. patient's family and attending were notified. medications on admission: 1. lactulose 30 q4-6 2. protonix 40 3. mvi 4. levothyroxine 50 mcg iv 5. sprionolactone 200 qd 6. thiamine 100 qd 7. fa 1 qd 8. lasix 80 (prior to admission), 160 x 1 on 9. kcl 10. ciprofloxacin , , , and then levofloxacin. got one dose cefempime and one dose zosyn on . 11. morphine 1 mg q6h 12. vit k 10 mg on discharge medications: n/a discharge disposition: expired discharge diagnosis: respiratory arrest liver cirrhosis d/t hemochromatosis end stage renal disease . discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: enteral infusion of concentrated nutritional substances percutaneous abdominal drainage non-invasive mechanical ventilation other incision with drainage of skin and subcutaneous tissue diagnoses: acidosis congestive heart failure, unspecified acute and subacute necrosis of liver acute kidney failure, unspecified hepatorenal syndrome acquired coagulation factor deficiency severe sepsis unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute and chronic respiratory failure cellulitis and abscess of foot, except toes ulcer of heel and midfoot disruption of external operation (surgical) wound other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms septicemia due to serratia 

Answer: The patient is high likely exposed to