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 76-year-old male with a history of bladder cancer status post resection and chemotherapy, prostate cancer status post xrt, renal stones, history of postobstructive acute renal failure, penile implant, hypertension, and type 2 diabetes who presented on with left flank pain, fevers, chills, and dysuria. the patient was found to have left hydroureter and hydronephrosis with questionable caliceal rupture by cat scan. the patient was started on levaquin. the patient subsequently had an episode of hypotension requiring pressors on and was therefore transferred to the icu. he was electively intubated on for impending ventilatory failure and for upcoming ir gu procedures. upon initial presentation in the emergency department, the patient described half an hour of chest discomfort without radiation, nausea, vomiting, diaphoresis or shortness of breath, which resolved without any intervention. the patient had v/q scan, which was normal. past medical history: bladder cancer, status post surgery and chemo in . prostate cancer, status post xrt in . hypertension. non-insulin dependent diabetes mellitus. postobstructive acute renal failure. kidney stones times 1 one year ago. penile implant. allergies: penicillin which causes palpitations. medications on admission: norvasc. social history: the patient lives with his cousin. has 2 daughters. denies tobacco, alcohol or drug abuse. family history: notable for coronary artery disease, hypertension, myocardial infarction, and diabetes. physical exam from admission: temperature notable for t-max of 99.6 degrees, blood pressure 97/65, heart rate 110, respiratory rate 20, 97 percent on room air. lungs were clear to auscultation. cardiac exam regular, tachycardia. abdominal exam was benign. there was cva tenderness. no clubbing, cyanosis or edema. laboratory data from admission: white blood cell count 3.6, hematocrit 42.2, platelets 135. ck 123, troponin less than 0.01, d-dimer 2,214. bun 15, creatinine 1.3. radiographic studies: ekg showed st depressions in v3 through v6, normal sinus rhythm, no t-wave inversions, no st elevations. chest x-ray, no infiltrate. cat scan, persistent obstruction at the left uv junction with marked hydroureter, and perinephric stranding. hospital course: sepsis secondary to presumed renal source. the patient was transferred to the icu on for hypotension and septic physiology. he was intubated there and was transferred back to the floor on postextubation, and overall stable. the patient was treated with levofloxacin and ceftriaxone. he had had vancomycin dose by level initially, which was discontinued per the infectious disease team. flagyl had been added on to cover for potential gi sources of the persistent ________ and cultures grew pansensitive e. coli in the urine. leukocytosis was persistent, but fever curve was improving overall. the question was raised about potential cholecystitis in the setting of elevated lfts. however, there was no evidence of this by ultrasound, and his abdominal exam was overall normal. the cat scan of his abdomen was negative for any evidence of an active gi infection. the patient was also maintained on topical acyclovir for oral hsv. gu: the patient was status post percutaneous nephrostomy tubes placed through interventional radiology on with drainage of bloody material. he had a redo on with tube in 1 collecting system, ureter and bladder draining all urine down the right to the bladder and then out of the left tube. the patient has stricture at the level of the bladder. there was no need to replace the foley as long as the left nephrostomy tube was still draining. the patient was maintained on ditropan for bladder spasms, and his urine output remained to be adequate. hypoxia: the patient was intubated on to secondary to sepsis. his respiratory status was now much more stable on room air, not requiring any further intervention. dic: initially noted from sepsis, his inr was as high as 2.7, ptt 59.6 and platelets in the 20s. the patient received platelets, ffp, and rbcs around his gu procedures. he was stable since arrival to the floor. the patient was hit negative, but heparin was held anyway. his coagulopathy was corrected. acute renal failure: this was resolving with a peak creatinine of 3.7 secondary to atn versus postobstructive. now with post atn or postobstructive diuresis upon time of discharge with resolution of his renal failure, his creatinine decreased to 1 upon discharge. cardiac: the patient had troponin leak of 0.02. he had an echocardiogram performed on , which showed an ejection fraction of 45-50 percent, mild global lv hypokinesis, trace mr. ruled out by enzymes. he was maintained on beta-blocker and calcium channel blocker. the patient will require an outpatient stress test upon discharge. liver: the patient had elevated lfts during his hospitalization. it was likely related to shock liver in the setting of hypotension, which resolved upon discharge. diabetes: the patient currently is not on any medications at home. however, he was maintained on sliding scale during his hospital course with adequate glycemic control. discharge diagnoses: urosepsis, status post ureteral stent for ureteral stricture. acute renal failure. hypertension. history of bladder cancer. diabetes type 2. prostate cancer. history of renal stones. history of penile implant. discharge condition: the patient is stable. discharge status: he will be discharged home with services. recommended follow-up: the patient was instructed to follow up with his pcp. patient is also to have his nu stent and brush biopsy followed up by dr. in urology. additionally, the patient is to follow up with interventional radiology for nu stent exchange in 3 months from discharge. surgical/invasive procedures performed during this hospitalization: status post percutaneous nephrostomy tube. status post nu stent and brush biopsy. status post intubation and extubation. status post central venous line placement. discharge medications: 1. tylenol 325 mg p.o. q.6 hours p.r.n. 2. sucralfate 1 tablet p.o. q.i.d. 3. metoprolol 50 mg p.o. t.i.d. 4. acyclovir topical ointment. 5. oxybutynin chloride 5 mg p.o. t.i.d. 6. amlodipine 10 mg p.o. q.d. 7. ocean spray q.i.d. 8. levofloxacin 500 mg p.o. q.d. for 7 days. , m.d. dictated by: medquist36 d: 14:19:59 t: 00:11:35 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube arterial catheterization transfusion of packed cells transfusion of platelets nephrostomy diagnoses: acidosis urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia acute respiratory failure defibrination syndrome septic shock hydronephrosis hydroureter 

Answer: The patient is high likely exposed to