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: right abdominal pain and fever of 102.8 major surgical or invasive procedure: percutaneous nephrostomy tube placement history of present illness: the patient is a 88 year old female who was transferred from an outside hospital on with a cheif complaint of right abdominal pain for one day and a fever of 102.8. the patient was transferred here because a ct scan demonstrated massive right hydronephrosis, 11.5 by 10.8 centimeters at largest diameter, consuming most of the right side of her abdomen. there was cortical thinning, however there was some cortex still present. the ct scan was reviewed with the radiologist on staff and this was determined to be an acute on chronic problem. the right kidney was still making urine, as evidenced by the ct scan. a urinalysis was positive for leukocyte esterase and white blood cells. there was no obvious cause of obstruction (no stones, no strictures). the patient denied any dysuria, hematuria or change in urination. she is incontinent at baseline. she has no significant urologic history and has never seen a urologist. at rest, her pain was mild. past medical history: dementia, pacemaker, chf, asthma, hypothyroid, gout, s/p tah for uterine cancer (s/p brachytherapy and radiation therapy) social history: none family history: none physical exam: general: no apparent distress, thin old woman heent: pupils equal, round and reactive to light, exreaoccular muscles in tact neck: supple lungs: bibasilar crackles cardiac: regular rate and rhythum, normal s1s2, no murmurs gastrointestinal: bowel sounds +, soft, nondistended, + diffuse tenderness, worse on the right extremities: no clubbing, cyanosis or edema, full range of motion neurologic: demented, axox1 pertinent results: 08:14pm blood wbc-13.3* rbc-3.74* hgb-10.6* hct-33.6* mcv-90 mch-28.4 mchc-31.6 rdw-14.6 plt ct-225 05:55am blood wbc-15.2* rbc-3.55* hgb-10.0* hct-31.6* mcv-89 mch-28.2 mchc-31.7 rdw-14.5 plt ct-190 08:30pm blood wbc-16.5* rbc-3.26* hgb-9.3* hct-29.8* mcv-91 mch-28.4 mchc-31.1 rdw-14.4 plt ct-172 03:41am blood wbc-11.6* rbc-2.51* hgb-6.9*# hct-22.3*# mcv-89 mch-27.4 mchc-30.8* rdw-14.6 plt ct-143* 08:14pm blood neuts-92* bands-3 lymphs-2* monos-1* eos-0 baso-1 atyps-0 metas-1* myelos-0 08:30pm blood neuts-96.4* bands-0 lymphs-1.3* monos-1.6* eos-0.1 baso-0.6 08:14pm blood pt-14.7* ptt-33.1 inr(pt)-1.5 03:41am blood pt-13.6* ptt-36.7* inr(pt)-1.2 08:14pm blood glucose-160* urean-38* creat-2.0* na-137 k-3.8 cl-95* hco3-28 angap-18 05:55am blood glucose-161* urean-41* creat-1.9* na-138 k-3.6 cl-93* hco3-34* angap-15 03:41am blood glucose-127* urean-35* creat-1.6* na-139 k-3.4 cl-104 hco3-27 angap-11 08:14pm blood calcium-9.0 phos-4.6* mg-2.1 03:41am blood calcium-7.2* phos-3.2 mg-1.7 09:52pm blood type-art temp-37.2 po2-137* pco2-54* ph-7.34* calhco3-30 base xs-2 intubat-not intuba brief hospital course: the patient was admitted to on for abdominal pain and severe right hydronephrosis on a ct scan. she was started on ciprofloxacin and kept npo for percutaneous nephrostomy tube placement later that day by interventional radiology. the procedure went well with no problems. that night, the patient became tachycardic and hypotensive and had to be transferred to the intensive care unit. of not, blood cultures from an outside hospital were positive for e. coli. she was adequately resuscitated with approximately three liters of intravenous fluid. she responded well in the icu and she was afebrile overnight. she was started on aztreonam and cipro. ultimately her urine grew pan sensitive ecoli; so the aztreonam was stopped and cipro continued. on hospital day two, she was transferred out of the icu to the floor. she recieved 2 units of red blood cells for a hematocrit of 22.9 (from 29.8). she was started on a regular diet. she had brief episodes of paroxysmal atrial fibrillation which she was treated with lopressor iv and po; her pacemaker corrected her rapid rate on several occasions. 1 set of cardiac enzymes were neg. and serial ecgs showed no evidence of ischemia. her electrolytes were aggressively replaced. medications on admission: allopurinol 100', levoxyl 0.075', lasix 40', k-dur 10'', asa, magnesium, albuterol neb, iron, timolol drops, xalatan, trisapt drops discharge medications: 1. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 2. levothyroxine sodium 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 4. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 5. multivitamins tablet, chewable sig: one (1) cap po daily (daily). disp:*qs cap(s)* refills:*2* 6. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*qs * refills:*0* 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 8. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*qs * refills:*2* 9. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). disp:*qs * refills:*2* 10. dorzolamide 2 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*qs * refills:*2* 11. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*qs tablet(s)* refills:*0* 12. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. disp:*10 tablet(s)* refills:*0* 13. metoprolol tartrate 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* discharge disposition: extended care facility: healthcare - discharge diagnosis: urosepsis discharge condition: stable discharge instructions: nephrostomy instructions: please flush with 5 cc sterile water once a day; change drain sponge as needed. measure nephrotomy output. followup instructions: for antegrade nephrostogram and stent placement call to finalize scheduling follow up with dr. the same day after nephrostogram or shortly after; call at for appointment procedure: percutaneous nephrostomy without fragmentation transfusion of packed cells diagnoses: congestive heart failure, unspecified unspecified acquired hypothyroidism asthma, unspecified type, unspecified other persistent mental disorders due to conditions classified elsewhere personal history of malignant neoplasm of other parts of uterus hypotension, unspecified bacteremia cardiac pacemaker in situ hydronephrosis acute pyelonephritis without lesion of renal medullary necrosis 

Answer: The patient is high likely exposed to