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: history of present illness: this is a 67 year old female with a history of bipolar disorder, hypertension, hypercholesterolemia, who now complains of dysuria and bladder pain for one and a half weeks. the patient initially called her primary care physician numerous times and complained of this bladder discomfort and dysuria. she also reports having gone to hospital emergency room on . she received treatment but did not take it. she was again seen by her primary care physician on for the same symptoms. she was prescribed ciprofloxacin but did not take it, reporting that she was allergic to the medication because of a rash and chest pain that she developed. the patient was once again seen in the emergency department on for the bladder pain. she was found to have a urinary tract infection which was seen on urinalysis. she received a prescription for keflex at the time, which again she did not take. she did take some pyridium with some improvement in symptoms. the urine culture from that date was contaminated. she presented to the emergency department at on . she complained of several days of nausea and vomiting and a vague history of ingesting some chemical that burned. she reported no suicidal or homicidal ideation but it was difficult to gather information, due to the patient's sedation from ativan. at this time, the patient was also complaining of bladder pain and bilateral leg pain. the patient had been refusing all tests and intravenous in the emergency department. she was evaluated by psychiatry and deemed not competent to leave against medical advice and she was then started on fluids. she was given 2 mg of ativan for sedation, in order to prepare her for a ct scan. past medical history: 1.) history of bipolar disorder. 2.) hypercholesterolemia. 3.) history of pelvic pain. 4.) history of femur fracture. 5.) hypertension. 6.) urinary tract infection. 7.) chronic bladder pain. allergies: bactrim, develops a rash. ampicillin, develops a rash. levaquin, rash and chest pain. medications: on admission, she was on lipitor, lopressor, keflex for three days, pyridium. social history: she lives with a male partner for 20 years. she has three children. she has a history of drinking one white russian per day. she reports to have stopped drinking two months ago. no history of tobacco or any other drug use. she also has a history of verbal and/or physical abuse from her male partner. review of systems: positive for weight loss and ear pain. physical examination: on physical examination, her temperature was 96.5; blood pressure 102/58; heart rate 68; respiratory rate 17; oxygen saturation 94% on room air. general: she was an older female, lying in bed, asleep, arouses with difficulty to voice. she opened her eyes when asked to. head, eyes, ears, nose and throat: normal cephalic, atraumatic. pupils are equal, round, and reactive to light and accommodation. oropharynx clear. mucous membranes slightly dry. scabs on the lower lip. neck examination: no jugular venous distention. chest clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, no murmurs, rubs or gallops. abdomen: positive bowel sounds, soft, nondistended with diffuse tenderness throughout to palpation, no masses palpable. extremities: trace edema bilaterally lower extremities. on admission, she was found to have a white blood cell count of 7.2 with 55 neutrophils and 28 bands, 12 lymphocytes and 5 monocytes. she also had an increase in creatinine from .8 which is her baseline to 1.8 and she had an anion gap of 21. she has a positive urinalysis with trace protein, moderate leukocytes, no microscopic analysis. a second urinalysis was also positive with trace blood, 30 protein, trace glucose, trace ketones, small bilirubin, negative leukocytes with 0 to 2 red blood cells, 0 white blood cells and no bacteria. a head ct was obtained and was negative for any acute process. hospital course: once the patient was admitted to the medicine service, she was found to have a pneumonia on chest x-ray. she was started on ceftriaxone. she was initially refusing all work-up. on hospital day number four, , she was found to have an incarcerated femoral hernia on the right. at this time, the patient was taken to the operating room and transferred to the surgery service after a small bowel resection and a hernia repair. on postoperative day number four, the patient was unable to be weaned from the ventilator. swan was placed with a wedge pressure of 8, pulmonary artery pressure of 45 over 25, stomach vascular resistance 714, cardiac index 2.8. on postoperative day number four, she also had a worsening pneumonia develop and she was treated with meropenem for enterococcus flucon. on postoperative day number eight, she continued to have fevers. bronchoscopy was performed at the time and it demonstrated left lower lobe collapse. gram stain and cultures were taken. gram negative rods grew and gentamycin was added. she also grew klebsiella on a sputum culture. ultimately, three colonies grew and none of them were identified. the patient remained on simv with low blood pressures and fevers. on postoperative day number 11, the patient's ventilator changes were made from simv to pressure control. on postoperative day number 13, she was rebronchoscoped with minimal findings. on postoperative day number 14, the patient was taken for a tracheostomy and a #8 pore-tex tube was placed. on postoperative day number 18, infectious disease was consulted. she was continued on meropenem, gentamycin for klebsiella in her sputum. on postoperative day number 18, she went for a vac procedure. antibiotics were held prior to vac. following the procedure, the patient continued with fevers and she had bilateral opacities on chest x-ray. she also had a chest ct done which showed a small left effusion, confluent opacities, left greater than right, positive air bronchograms in the left upper lobe, the lingula of the left lower lobe and the right middle lobe. she also had small nodular opacities diffusely, likely to be an infection versus septic emboli. on , which is postoperative day 21, the patient was bronchoscoped again with the findings of tracheal edema. the patient was heavily sedated at the time she had episodes of hypotension. the systolic blood pressure was to the 80's with bradycardia and high respiratory rates. this was relieved with bagged mask ventilation and ativan. she was suctioned without much success and received 20 mg of dexamethasone. on postoperative day number 22, her tracheostomy tube was changed for a longer one because the prior tube was rubbing up against the posterior wall. at this time, the patient was transferred to the medical intensive care unit service. after her transfer to the medical intensive care unit service, she was successfully weaned on day two to a tracheostomy collar. the ventilator she was on had no further signs of respiratory distress. she received aggressive chest therapy and physical therapy. she remained afebrile throughout the rest of her hospital course. on , one of her blood cultures that was drawn on grew gram positive cocci in pairs and clusters and she was started on vancomycin. blood cultures were redrawn at the time. she also had an extensive work-up for the previous fevers. she had a transesophageal echocardiogram done which was negative for endocarditis. she had lower extremity dopplers which were negative for deep vein thrombosis and she was also found to have an elevated lipase up to 546. ct scan of the abdomen showed no evidence of pancreatitis. it was sent to pathology. preliminary was resolving pneumonia. her blood cultures were further revealing to be coagulase negative staph. vancomycin was stopped. the patient was also found to have a normal chromic anemia with a hematocrit of 34. her iron studies were normal, most likely anemia of chronic disease. the patient was seen by psychiatry and deemed to be stable. she was restarted on respiradol .5 p.o. twice a day. the patient remained on trach collar with no signs of respiratory distress. she continued to receive aggressive physical therapy. the patient was discharged in stable condition to a rehabilitation facility on a tracheostomy collar, on no antibiotics. discharge diagnoses: incarcerated femoral hernia, status post small bowel resection. tracheostomy for prolonged ventilator dependence. post pyloric feeding tube placement. enterobacter and klebsiella pneumonia. pancreatitis. bipolar disorder. discharge medications: heparin 5,000 subcutaneous three times a day. albuterol one neb q. six hours. ipitroprium bromide one neb q. six hours. erythropoietin 20,000 units, one injection q. week. bisacodyl 5 mg two tablets oral q. day. lamtidine 20 mg tablets twice a day. metoprolol 50 mg three times a day. dulcosate 100 mg oral q. day. acetaminophen 325 mg one to two tablets every four to six hours as needed. lorazepam .5 mg tablet, one to four tablets p.o. every four to six hours as needed for anxiety. oxycodone 5 mg every four to six hours as needed for pain. respiratione .5 mg one tablet twice a day. follow-up: the patient is to follow-up with dr. in two weeks. please call to schedule an appointment. the patient is to call primary care physician for in one to two weeks after discharge. it is crucial that she receive agressive chest physical therapy, and general pt. the goal is to red-cap her trach with plans for decanulation. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other partial resection of small intestine insertion of endotracheal tube temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring bronchoscopy through artificial stoma open biopsy of lung replacement of tracheostomy tube other unilateral femoral herniorrhaphy diagnoses: pneumonia due to other gram-negative bacteria urinary tract infection, site not specified pneumonitis due to inhalation of food or vomitus acute pancreatitis pneumonia due to klebsiella pneumoniae mechanical complication of tracheostomy femoral hernia with obstruction, unilateral or unspecified (not specified as recurrent) 

Answer: The patient is high likely exposed to