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: codeine / heparin agents attending: chief complaint: pancolitis, sepsis, ms changes major surgical or invasive procedure: subtotal colectomy & end colostomy history of present illness: 77f known uc x 1yr who developed recalcitrant uc following a fall in early . she presented to on with pancolitis in severe sepsis & was admitted to the micu service. her condition was not responding to maximal medical therapy--with continued fevers, mental status changes, and worrisome runs of ventricular tachycardia--she was brought to the or on by dr & received a subtotal colectomy with end ileostomy. please refer to the previosuly dictated op note for the details of this procedure. past medical history: peptic ulcer disease arthritis hypertension hysterectomy ulcerative colitis multiinfarct dementia social history: patient is a nonsmoker and lives alone, she is a widow family history: noncontributory physical exam: gen-ill appearing woman heent-anicteric, flushed skin, oral mucosa dry, neck supple cv-rrr, no r/m/g resp-expiratory wheezes, no accessory muscle use -no bowel sounds, generalized tenderness ext-3+ pitting edema, dp 1+ bilaterally pertinent results: 08:02pm glucose-125* urea n-23* creat-0.3* sodium-147* potassium-3.6 chloride-107 total co2-34* anion gap-10 08:02pm alt(sgpt)-97* ast(sgot)-73* alk phos-87 tot bili-4.2* 08:02pm albumin-2.1* calcium-8.0* phosphate-2.1* magnesium-1.6 08:02pm wbc-3.1* rbc-3.08* hgb-9.8* hct-29.0* mcv-94 mch-31.9 mchc-33.9 rdw-18.5* 08:02pm neuts-57 bands-25* lymphs-15* monos-0 eos-3 basos-0 atyps-0 metas-0 myelos-0 nuc rbcs-1* 08:02pm hypochrom-2+ anisocyt-2+ poikilocy-2+ macrocyt-2+ microcyt-2+ polychrom-occasional ovalocyt-2+ schistocy-2+ teardrop-2+ bite-2+ 08:02pm plt smr-low plt count-123* 08:02pm pt-16.4* ptt-31.7 inr(pt)-1.7 (at discharge) 07:15am blood wbc-6.6 rbc-3.57* hgb-11.1* hct-33.9* mcv-95 mch-31.1 mchc-32.8 rdw-17.6* plt ct-322 12:00pm urine blood-sm nitrite-pos protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-mod 07:15am blood plt ct-322 04:17am blood pt-12.4 ptt-25.0 inr(pt)-1.0 brief hospital course: she had a prolonged sicu course following this surgery, which is summarized below in an organ system based approach. neurologic: despite waking soon after extubation in the first week postop, she developed increasing lethargy for the next several weeks. neurology was consulted, and both radiographic imaging & eeg were negative for pathology. her lethargy was ultimately attributed to poor clearance of sedating medications and she finally perked up about three weeks after surgery. zoloft was empirically started for depression, with some benefit. neurontin was started for pain control. following placement of her transgastric jejunostomy tube on the patient did require intermittent subcutaneous morphine and vicodin. her mental status was markedly improved following transfer to the floor. with minimization of sedating medications she is alert and oriented. cardiac: she received perioperative beta blockade after her initial dependence on vasopressors was weaned. her preop runs of ventricular tachycardia persisted for a couple days postop but eventually subsided. about 1 week postop, she developed atrial fibrillation which responded to amiodarone. cardiology was consulted and anticoagulation was decided against after she reverted to normal sinus rhythm by pod14. she remains on amiodarone and lopressor. she remained in normal sinus rhythm from the time of her transfer to the floor on . respiratory: her mental status led to a difficulty weaning off the ventilator & in fact, she required re-intubation due to tachypnea & poor clearance of secretions. once extubated a 2nd time, she avoided reintubation with frequent nebs, suctioning & chest pt. by the time of discharge, she has saturations of 96-100% on nasal cannula. she did require frequent chest pt and nebulizer treatments as well as encouragement to breathe deeply. fen: she was about 20 kg over her dry weight (70kg) during this admission. she received diuresis with lasix & diamox, with good effect. nutritionally, she was sustained periop with tpn & transitioned to tube feeds once her ostomy was functional. following removal of her dobhoff tube, a swallow consult was obtained. the swallow specialists recommended the following: "begin a po diet, but with modified solid textures to reduce the work of chewing. thin liquids are recommended, as they appear no different than nectar thick liquids, and only very trace aspiration occurs." however, per the nutrition service the patients caloric intake was insufficient to meet her nutritional needs. thus a transgastric jejunostomy tube was placed on by interventional radiology. in consultation with the nutrition service the patient was rapidly advanced to her goal nutritional support of 65ccs/hour of promote with fiber. gi: she receives a ppi for gi prophylaxis. she tolerated tube feeds via a dobhoff tube & her ostomy is functional. her voluminous ostomy output is controlled with banana flakes tid. she had a slight amount of drainage from her abdominal wound in her 2nd postop week, during several staples were removed. this is healing well at the time of discharge with wet to dry packings. her ostomy consistently appeared pink and the patient was getting routine ostomy care from the enterostomal nurse at the time of discharge. heme: she had blood loss anemia & anemia of chronic disease requiring multiple rbc transfusions. she developed severe sepsis about pod14, during which time her wbc count dropped to neutropenic levels & she was treated with neupogen at the suggestion of the heme onc team. she also developed heparin-induced thrombocytopenia, for which her heparin was dc'd & she was continued on daily aspirin. the primary surgical team decided against an ivc filter. at the time of discharge her only blood thinner was aspirin. id: she develop pseudomonal & fungal pneumonia, bacteremia, urinary tract infections, sepsis & septic shock. the id team consulted on the case. she was successfully treated with meropenem & fluconazole prior to discharge. at the time of discharge the patient was noted to have a recurrent pseudomonas urinary tract infection resistant to levofloxacin thus the patient was discharged on a course of meropenem. her foley catheter was to be d/c'ed on arrival to . endo: her diabetes was being managed initally with an insulin drip and at the time of discharge a sliding scale. however, her blood sugars rarely required insulin coverage at the time of discharge. hypoadrenalism was treated early in the hospital course with hydrocortisone. the patient also was noted to have sick euthyroid syndrome. dispo: full code medications on admission: protonix 40 atenolol 25 ca carbonate with vitamin d colazoal 1500 tid mercaptopurine 100 qd hydrocortisone enema 100 pr qd vicodin allergy:novocaine discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever. 3. insulin regular human 100 unit/ml solution sig: see sliding scale see slding scale injection asdir (as directed). 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 5. ipratropium bromide 0.02 % solution sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed. nebulizer 6. amiodarone hcl 200 mg tablet sig: one (1) tablet po daily (daily). 7. erythromycin 5 mg/g ointment sig: 0.5 ophthalmic qid (4 times a day). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. sertraline hcl 100 mg tablet sig: one (1) tablet po daily (daily). 10. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 11. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours) as needed. 12. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 13. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 14. potassium chloride 10 meq capsule, sustained release sig: four (4) capsule, sustained release po prn (as needed) as needed for prn k< 4. 15. meropenem 1 g recon soln sig: one (1) 1000 mg intravenous every eight (8) hours for 5 days. disp:*15 * refills:*0* discharge disposition: extended care facility: - discharge diagnosis: peptic ulcer disease arthritis hypertension hysterectomy fulminant ulcerative colitis multiinfarct dementia atrial fibrillation sepsis neutropenia respiratory failure requiring intubation pneumonia postop atelectasis hypokalemia hypomagnesemia hypocalcemia heparin induced thrombocytopenia blood loss anemia anemia of chronic disease fungal uti & pneumonia wound infection pseudomonas urinary tract infection poor po intake discharge condition: good discharge instructions: contact with fevers > 101, increasing abdominal pain or vomiting, or if you have any questions/concerns. followup instructions: follow-up with dr. in one week. call ( for appointment and directions. md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation temporary ileostomy cholecystectomy open and other right hemicolectomy transfusion of packed cells percutaneous (endoscopic) jejunostomy [pej] injection or infusion of oxazolidinone class of antibiotics diagnoses: anemia of other chronic disease acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled severe sepsis atrial fibrillation pneumonia due to pseudomonas long-term (current) use of insulin other specified septicemias septic shock candidiasis of lung calculus of gallbladder without mention of cholecystitis, without mention of obstruction anticoagulants causing adverse effects in therapeutic use metabolic encephalopathy acute vascular insufficiency of intestine diastolic heart failure, unspecified pneumonia in other systemic mycoses euthyroid sick syndrome universal ulcerative (chronic) colitis 

Answer: The patient is high likely exposed to