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: intra-abdominal abscess major surgical or invasive procedure: ir placement of intra-abdominal drain ( 8.0 french meditech catheter ) history of present illness: 74f with history of perforated sigmoid diverticulitis s/p ex lap sigmoid resection and procedure in . takedown was c/b leak requiring ex lap, transverse loop colostomy, and repair of the anastomosis . thought was given to reduction of the current ostomy but due to patients age and dementia the ostomy was left. she is a nursing home resident and has had a week of llq pain. she reports no fevers/chills. however a ct scan demonstrates a large abd multiloculated fluid collection. past medical history: pmh: dmii, cad, dementia, htn, hypercholesterolemia, perforated sigmoid diverticulitis, ?endometrial hyperplasia psh: 1. cabg, 2. l tkr, 3. exploratory laparotomy, sigmoid resection, hartmann procedure , 4. left colectomy, colostomy closure social history: currently lives in rehab facility following relocation from due to illness. no recent history of alcohol, tobacco, or recreational drug use. family history: non-contributory physical exam: upon admission: pe: 98.4 104 127/77 12 98%ra a&ox3, nad tachy, regular ctab abd soft, tender left abdomen ext no edema upon : vs: 97.5, 96.9, 70, 130/80, 16, 94% ra nad, disoriented at times. ncat rrr, s1s2 ctab abd: soft, ntnd. ostomy in rlq c/d/i. drain in place at llq. there is minor erythema near the drain site which is vastly improved since admission. several old scars noted. ext: wnl pertinent results: 05:00pm blood wbc-17.7*# rbc-4.27# hgb-12.3# hct-37.5# mcv-88 mch-28.8 mchc-32.8 rdw-14.6 plt ct-654* 12:03am blood wbc-15.6* rbc-3.92* hgb-11.3* hct-34.7* mcv-89 mch-28.7 mchc-32.4 rdw-14.3 plt ct-541* 03:55am blood wbc-14.5* rbc-3.56* hgb-10.5* hct-31.1* mcv-87 mch-29.5 mchc-33.8 rdw-14.7 plt ct-551* 03:57am blood wbc-10.1 rbc-3.21* hgb-9.1* hct-28.1* mcv-88 mch-28.4 mchc-32.5 rdw-14.7 plt ct-449* 06:20am blood wbc-8.8 rbc-3.27* hgb-9.3* hct-28.3* mcv-87 mch-28.5 mchc-32.9 rdw-15.0 plt ct-492* 05:45am blood wbc-10.8 rbc-3.61* hgb-10.5* hct-31.1* mcv-86 mch-29.2 mchc-33.8 rdw-14.8 plt ct-595* 07:05am blood wbc-10.9 rbc-3.68* hgb-10.3* hct-31.8* mcv-87 mch-28.0 mchc-32.4 rdw-14.8 plt ct-521* 05:25am blood wbc-11.9* rbc-3.72* hgb-10.9* hct-32.1* mcv-86 mch-29.3 mchc-34.0 rdw-15.0 plt ct-563* 05:35am blood wbc-12.6* rbc-3.72* hgb-11.0* hct-32.3* mcv-87 mch-29.7 mchc-34.2 rdw-15.3 plt ct-572* 05:00pm blood neuts-81.1* lymphs-7.6* monos-3.4 eos-7.8* baso-0.1 12:03am blood neuts-84.0* lymphs-6.8* monos-3.1 eos-6.0* baso-0.1 06:20am blood neuts-55.8 lymphs-24.6 monos-4.8 eos-14.3* baso-0.5 10:27pm blood pt-16.3* ptt-25.5 inr(pt)-1.5* 12:03am blood pt-16.7* ptt-25.1 inr(pt)-1.5* 03:55am blood pt-17.1* ptt-25.3 inr(pt)-1.5* 03:57am blood pt-16.8* ptt-27.5 inr(pt)-1.5* 05:25am blood pt-14.2* ptt-26.1 inr(pt)-1.2* 05:00pm blood glucose-340* urean-28* creat-1.3* na-136 k-4.4 cl-96 hco3-27 angap-17 12:03am blood glucose-241* urean-22* creat-0.9 na-138 k-4.5 cl-101 hco3-26 angap-16 03:55am blood glucose-231* urean-17 creat-0.9 na-135 k-4.0 cl-102 hco3-27 angap-10 03:57am blood glucose-172* urean-11 creat-0.9 na-136 k-3.5 cl-101 hco3-28 angap-11 06:20am blood glucose-155* urean-9 creat-1.0 na-138 k-3.7 cl-100 hco3-30 angap-12 05:45am blood glucose-118* urean-8 creat-1.0 na-137 k-4.5 cl-99 hco3-28 angap-15 07:05am blood glucose-134* urean-11 creat-1.0 na-139 k-4.3 cl-100 hco3-27 angap-16 05:25am blood glucose-135* urean-14 creat-0.9 na-139 k-4.1 cl-101 hco3-26 angap-16 05:35am blood glucose-139* urean-13 creat-0.8 na-141 k-4.3 cl-104 hco3-24 angap-17 05:35am blood alt-8 ast-20 ld(ldh)-181 alkphos-73 totbili-0.2 12:03am blood albumin-3.1* calcium-8.6 phos-3.3 mg-1.6 03:55am blood calcium-8.6 phos-2.9 mg-1.5* 03:55am blood calcium-8.6 phos-2.9 mg-1.5* 03:57am blood calcium-8.4 phos-2.6* mg-2.1 06:20am blood albumin-2.8* calcium-8.6 phos-3.0 mg-1.8 05:45am blood calcium-9.2 phos-2.9 mg-2.6 07:05am blood calcium-9.0 phos-4.3 mg-1.9 05:25am blood calcium-8.9 phos-3.8 mg-1.7 05:35am blood albumin-3.5 calcium-9.3 phos-3.3 mg-2.3 ct abd/pelvis : impression: 1. large left intraabdominal abscess with adjacent, adherent loops of small bowel and proximal small- bowel obstruction, with transition point in the region of the abscess. 2. mildly dilated fluid filled esophagus. 12:00 pm abscess llq abdominal abscess. gram stain (final ): 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram positive cocci. singly and in pairs. wound culture (final ): streptococcus anginosus (milleri) group. moderate growth. sensitivities requested by dr. gross 3-4792. escherichia coli. sparse growth. warning! this isolate is an extended-spectrum beta-lactamase (esbl) producer and should be considered resistant to all penicillins, cephalosporins, and aztreonam. consider infectious disease consultation for serious infections caused by esbl-producing species. sensitivities: mic expressed in mcg/ml _________________________________________________________ streptococcus anginosus (milleri) group | escherichia coli | | ampicillin------------ =>32 r ampicillin/sulbactam-- =>32 r cefazolin------------- =>64 r cefepime-------------- r ceftazidime----------- r ceftriaxone----------- =>64 r cefuroxime------------ =>64 r ciprofloxacin--------- =>4 r clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=1 s meropenem------------- <=0.25 s penicillin g----------<=0.06 s piperacillin---------- =>128 r piperacillin/tazo----- 8 s tobramycin------------ =>16 r trimethoprim/sulfa---- <=1 s vancomycin------------ <=1 s anaerobic culture (final ): no anaerobes isolated. fungal culture (preliminary): no fungus isolated. brief hospital course: ms. was admitted to the general surgery service and a ct scan of the abdomen and pelvis showed a large collection in the llq. ir was consulted for drainage and placement of a drain. gs and culture were sent which showed resistant e. coli and strep. id was consulted for abx course and choices. initially zosyn was utilized, but the patient was switched to meropenem on . a picc line was placed in ir on for continued iv abx use. she was seen and evaluated by pt. she was tolerating a regular diet throughout her stay. her pain was well controlled on po pain meds. she was often disoriented to time and place, but was always pleasant and cooperative. she was discharged to a rehab facility on with an ostomy and a drain in place in her llq. a picc was also in place in her right arm. medications on admission: lantus 17u/d, metformin 500''', asa 325', colace 100'', cymbalta 20'', prilosec 20', risperdal 0.5'', simvastatin 40', toprol 100', tramadol 25'', zetia 10' medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 3. risperidone 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 4. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. duloxetine 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. simvastatin 40 mg tablet sig: one (1) tablet po hs (at bedtime). 10. metoprolol succinate 50 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). 11. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 12. ertapenem 1 gram recon soln sig: one (1) gram intravenous once a day for 2 weeks. 13. insulin regular human subcutaneous disposition: extended care facility: of diagnosis: intra-abdominal abscess condition: stable. drain in place. tolerating a regular diet. instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. other: *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. followup instructions: please follow up with dr. in weeks. please call his office to make your appointment (. you will need weekly labs to monitor: lfts, chem-7, cbc while you are on your current antibiotics. please arrange this at your rehab facility or with your primary care doctor. procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of insulin personal history of venous thrombosis and embolism knee joint replacement peritoneal abscess unspecified intestinal obstruction diverticulosis of colon (without mention of hemorrhage) colostomy status amnestic disorder in conditions classified elsewhere 

Answer: The patient is high likely exposed to