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: penicillins attending: chief complaint: fever chills major surgical or invasive procedure: left ij line placement history of present illness: 38 year old female with pmhx of anxiety comes into the er with fever, chills, and malaise starting am. they had been in the turks and caicos from sunday until thursday (). reports that she had been feeling well until thursday morning when she initially developed onset of muscle aches. shortly thereafter developed shaking chills (no rigors) and was too weak to stand from a seated position. chose to return to the us immediately. noted to have subj fever in airport, refused further medical evaluation in . reports that on the plane she was having crampy abd pain. . denies sob/cough/cp/palpitations/rashes. states that she was having stiffness of her elbows b/l on the plane, w/o associated erythema/swelling. +generalized neck stiffness, now dramatically improved, +mild ha, no visual changes. . in the carribean, did not drink directly from local water but did brush teeth with it, +ice cubes, +lettuce/fresh vegetables. + mosquito bites. on tuesday ate raw conch. husband describes onset of self limited diarrheal illness on thursday morning as well. wed, niece developed aches and shakes, w/o documented fever or diarrhea/abdominal symptoms. . in ed initially noted to be afebrile, 11p- 98.8, 102/59, 24, 100%ra. initial lactate drawn at 12:45 am was 3.7. 1am noted to be febrile to 103.8, 89/41, 100. sepsis protocol initiated. developed profuse diarhea x2. rec'd cipro/flagyl. past medical history: anxiety social history: denies etoh/ivdu/tobacco married, 22 month old child at home. family history: mother with htn physical exam: vitals: t98.8, bp 86/41, p 97, r 18, 98% general: well-appearing caucasian female. aox3. heent: perrl, eomi. no scleral icterus. oropharynx clear. neck is supple, good rom. negative brudzinki's, negative kernig's. lungs: with decreased breath sounds on the right, dullness to percussion at right base. otherwise clear to auscultation. cv: rrr s1 and s2 audible. no murmurs, rubs, or gallops. abd: soft, tenderness to soft palpation in the right upper, epigastric, and left upper quadrants. no rebound. no guarding. negative . positive bowel sounds. peripheral ext: no cyanosis/clubbing/edema. 2+ peripheral dp pulses bilaterally. pertinent results: 12:40am glucose-137* urea n-16 creat-0.8 sodium-135 potassium-4.2 chloride-99 total co2-20* anion gap-20 12:45am lactate-3.7* 12:40am ck(cpk)-70 . 05:54am lipase-26 05:54am alt(sgpt)-74* ast(sgot)-90* alk phos-50 amylase-40 tot bili-0.9 . 12:40am wbc-6.0 rbc-4.55 hgb-13.9 hct-40.0 mcv-88 mch-30.5 mchc-34.7 rdw-12.8 12:40am neuts-81.5* bands-0 lymphs-13.4* monos-4.8 eos-0.3 basos-0.1 . 12:40am pt-13.7* ptt-29.1 inr(pt)-1.3 . 12:25am urine color-yellow appear-clear sp -1.021 12:25am urine blood-lg nitrite-neg protein-tr glucose-neg ketone-150 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:25am urine rbc-0-2 wbc- bacteria-few yeast-none epi- . 03:04pm cortisol-8.6 03:42pm cortisol-25.6* 04:37pm cortisol-37.3* . cxr : no significant change in the right lower lobe opacity - aspiration/pneumonia. . abd ct : extensive pancolitis, without any definite small-bowel abnormality, free intraperitoneal air, or pneumatosis c/w an infectious etiology. . urine cx: neg stool cx: no campylobacter, yersinia, vibrio, e.coli h, c.diff. blood cx : p urine cx : p brief hospital course: 38 y/o woman, previously healthy, presents with fever, chills, profuse watery diarrhea, sepsis. the etiology of the patient's sepsis was unclear, but was thought to be pulmonary (? of rll infiltrate) vs gi. gi includes any cause of diarrheal illness resulting in mucosal breakdown vs primary sepsis. differential included salmonella, e.coli, and vibrio. yersinia and entamoeba were less likely. the patient was admitted to the icu and covered with levofloxacin, metronidazole, and vancomycin (for empiric enterococcus coverage). her stim was normal. ivf were continued to maintain map>60; the patient required levophed for one day. she was kept npo for pancolitis. . upon transfer to the floor, the patient had negative stool cx for ova and parasites, c.diff, bacteria. ua was clear with negative urine culture. lactate was normal. the patient continued to spike and new cultures were sent. the patient was transitioned to po antibiotics and po fluids. she had a mild transaminitis and hav, hbv, and hcv were pending. her diet was advanced slowly, with aggressive electrolyte repletion due to diarrhea losses. on discharge she was tolerating a brat diet with formed bowel movements. she was advised to continue brat diet for next 3 days. . the patient was extremely anxious. she was continued on paxil and received lorazepam prn. she was very nervous about having peripheral access placed so her ij was left in place until discharge. she was maintained on pneumoboots, ppi, tylenol, trazodone qhs. communication was with the patient and her husband. . on day of discharge she developed a mild inner thigh rash, possibly folliculitis. she was advised to show this to her pcp at their follow up appointment the next day. ig titers were drawn and were pending at discharge; she is also to follow these up with her pcp. medications on admission: paxil 20mg qday discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: diarrhea septic shock .... anxiety disorder discharge condition: stable - tolerating brat diet with formed bms. discharge instructions: please return if you experience worsening diarrhea, fever >101.5, inability to eat or drink, or any other worrisome symptoms. you are to continue a conservative brat diet (bananas, rice, apple sauce, and toast) for the next 3 days. please show your inner thigh rash to dr. . followup instructions: you should follow-up with dr. within the next 1-2 weeks. please let her know that we ordered iga, igg, and igm levels that are still pending at discharge. you should also show her your innter thigh rash. you should also follow-up with clinic to discuss if you have any underlying digestive conditions. please call to arrange an appointment. procedure: venous catheterization, not elsewhere classified diagnoses: unspecified septicemia severe sepsis septic shock infectious diarrhea 

Answer: The patient is high likely exposed to