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: lovenox / sulfa (sulfonamide antibiotics) / morphine attending: chief complaint: altered mental status, right flank pain major surgical or invasive procedure: percutaneous cholecystotomy tube placement history of present illness: 84f w/ mild dementia and substantial spinal stenosis who presented to the er with altered mental status and concern for r flank pain. noted to have thickened gallbladder on bedside u/s and confirmed on formal ruq u/s. notably patient is febrile to 102.6, has an elevated wbc, has a palpable gallbladder, and appears to be suffering from frank sepsis past medical history: pmh: ibs, gerd,high cholesterol, high blood pressure,legally blind and hard of hearing, spinal stenosis with severe pain and limited mobility. psh: cornea surgery in . colonoscopy five years ago normal by report. hiatal hernia surgery for paraesophageal hernia. social history: no tobacco, no etoh family history: non contributory physical exam: vs febrile to 102.6, tachycardic to 114 otherwise normal a+o x 2, incoherent ctab rrr soft, tender to palpation, mildly distended, palpable gallbladder pertinent results: 08:30pm wbc-16.3* rbc-4.14* hgb-13.1 hct-37.6 mcv-91 mch-31.5 mchc-34.7 rdw-13.9 08:30pm neuts-85* bands-0 lymphs-10* monos-5 eos-0 basos-0 atyps-0 metas-0 myelos-0 08:30pm plt smr-normal plt count-170 08:30pm lipase-13 08:30pm alt(sgpt)-15 ast(sgot)-22 alk phos-126* tot bili-0.7 08:30pm glucose-130* urea n-20 creat-1.3* sodium-138 potassium-4.9 chloride-101 total co2-28 anion gap-14 12:15 am bile gallbladder drainage. **final report ** gram stain (final ): no polymorphonuclear leukocytes seen. 3+ (5-10 per 1000x field): gram negative rod(s). fluid culture (final ): due to mixed bacterial types (>=3) an abbreviated workup is performed; p.aeruginosa, s.aureus and beta strep. are reported if present. susceptibility will be performed on p.aeruginosa and s.aureus if sparse growth or greater.. anaerobic culture (final ): mixed bacterial flora-culture screened for b. fragilis, c. perfringens, and c. septicum. bacteroides fragilis group. moderate growth of two colonial morphologies. beta lactamase positive. liver us : findings compatible with acute cholecystitis. percutaneous cholecystostomy tube placement : 1. status post ultrasound-guided percutaneous cholecystostomy. 2. bloody tinged bile drainage, and appearance of sloughing gallbladder mucosa suggests gangrenous cholecystitis. liver us : unchanged gallbladder stones and sludge, though the abnormal gallbladder wall is now contracted, with no residual fluid in the gallbladder lumen. given current appearance of the gallbladder, this would not be immediately amenable to repeat percutaneous cholecystostomy tube placement. recommend close interval monitoring/followup, as the gallbladder may decompress along the prior tract, or may reaccumulated fluid, at which time repeat drainage can be reconsidered if indicated. liver us : slight interval increased distension in the gallbladder over the last 48 hours. persistent wall edema and thickening but lumen predominantly sludge-filled with a vascularized wall. these findings make a repeat attempt at percutaneous cholecystostomy high risk. given the patient's clinical and laboratory improvement, we would recommend continued clinical care and observation without repeat intervention at this time. an additional ultrasound in 48 hours can be obtained to reassess the gallbladder for possible re-intervention if needed. brief hospital course: mrs. was evaluated by the acute care team in the emergency room and based on her abdominal exam, lab data and ultrasound she was diagnosed with acute cholecystitis. due to her age and other comorbidities she was taken to interventional radiology for percutaneous drainage of the gallbladder with catheter placement. she tolerated the procedure well and returned to the surgical icu in stable condition. her abdominal pain resolved and she was maintained on iv zosyn. her bile gram stain noted many gram negative rods and she also had a klebsiella uti. she had problems with mild dementia and unfortunately pulled out her cholecystotomy tube on . a repeat scan showed no reaccumulation of fluid and for the interim she was followed with abdominal exams, maintained on antibiotics and remained npo. following transfer to the surgical floor a repeat ultrasound was done on which showed a sludge filled gallbladder but no free fluid making her a risk for percutaneous drainage. she symptoms were also resolving therefore she began a liquid diet and was gradually advanced to regular. she was able to tolerate it without difficulty and she was afebrile without any abdominal pain. a repeat urine culture from after treatment was no growth and she had no dysuria although did have some baseline incontinence. as she continued to improve clinically, she was discharged on to complete a 10 day course of antibiotics and will follow up in the clinic in weeks. medications on admission: acetazolamide - (prescribed by other provider) - 250 mg tablet - 1 tablet(s) by mouth twice a day amlodipine - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth once a day brimonidine - (prescribed by other provider) - dosage uncertain furosemide - (prescribed by other provider) - 20 mg tablet - 2 tablet(s) by mouth once a day gabapentin - (prescribed by other provider) - 300 mg capsule - 1 capsule(s) by mouth twice a day hydromorphone - (prescribed by other provider) - 2 mg tablet - tablet by mouth twice a day latanoprost - (prescribed by other provider) - 0.005 % drops - once a day lisinopril - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth at bedtime omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth twice a day simvastatin - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth at bedtime timolol - (prescribed by other provider) - dosage uncertain tramadol - 50 mg tablet - 1 tablet(s) by mouth three times a day as needed for pain medications - otc aspirin ] - (prescribed by other provider) - 81 mg tablet, chewable - 1 tablet(s) by mouth once a day naproxen sodium - (prescribed by other provider; otc) - 220 mg tablet - 1 tablet(s) by mouth as needed --------------- --------------- --------------- --------------- discharge medications: 1. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic (2 times a day): both eyes. 2. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours): both eyes. 3. tobramycin-dexamethasone 0.3-0.1 % ointment sig: one (1) appl ophthalmic qhs (once a day (at bedtime)): both eyes. 4. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day): both eyes. 5. aspirin 81 mg tablet sig: one (1) tablet po once a day. 6. amlodipine 5 mg tablet sig: one (1) tablet po once a day. 7. lasix 20 mg tablet sig: one (1) tablet po once a day. 8. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 10. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 11. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 12. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 13. augmentin 500-125 mg tablet sig: one (1) tablet po three times a day: thru . discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: acute cholecystitis urinary tract infection discharge condition: mental status: clear and coherent. russian speaking. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: * you were admitted to the hospital with an inflammed gallbladder which required drainage and antibiotics. * you also had a urinary infection which was treated and cleared up. * your gallbladder symptoms have resolved and your liver function studies are normal. * you still have chronic back pain and may need to take pain medication for relief. * continue to eat a low fat diet and stay hydrated. * if you develop more abdominal pain please call your doctor and return to the emergency room followup instructions: call the acute care clinic at for a follow up appointment in weeks. provider: , md phone: date/time: 11:45 procedure: percutaneous aspiration of gallbladder diagnoses: esophageal reflux pure hypercholesterolemia urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site unspecified septicemia other persistent mental disorders due to conditions classified elsewhere do not resuscitate status acute cholecystitis spinal stenosis, unspecified region legal blindness, as defined in u.s.a. other alteration of consciousness irritable bowel syndrome systemic inflammatory response syndrome, unspecified 

Answer: The patient is high likely exposed to