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: the patient with generalized weakness for about one week prior to admission, gradually worsening with loss of appetite, weight loss by clothing size and lethargy. three days prior to admission the patient saw primary care physician who found the following on laboratory examination: elevated esr of 116. other laboratory values included liver function tests, tsh and electrolytes within normal limits. white blood cell count 8.0, hematocrit 36.5, platelets 526,000. review of systems: the patient denies cough, chest pain, shortness of breath, fever, chills, nausea, vomiting, diarrhea, constipation, arthralgia, myalgias, vision changes, headache, difficulty urinating. past medical history: 1. coronary artery disease, status post left anterior descending stent on . 2. left hip fracture , status post repair. 3. right hip fracture , status post replacement. 4. colon cancer, status post right hemicolectomy . 5. benign prostatic hypertrophy. 6. atonic bladder. 7. skin cancer. medications on admission: the patient has prescription for atorvastatin and aspirin, but the patient is medicine noncompliant. allergies: no known drug allergies. social history: the patient lives alone with visiting services and daughters who help with groceries. recently decreased activity secondary to right hip fracture but still active. thirty pack year smoking history, occasional alcohol. family history: noncontributory. physical examination: vital signs revealed temperature 98.1, blood pressure 110/52, heart rate 79, respiratory rate 20, oxygen saturation 96% in room air. in general, the patient is in bed, pleasant, no apparent distress. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation, 3.5 to 3.0 millimeters. mucous membranes were moist. the oropharynx was clear with dentures. cranial nerves ii through xii are intact. neck was supple with no lymphadenopathy. no jugular venous distention. cardiac - soft s1 and s2, no murmurs, rubs or gallops. lungs are clear to auscultation bilaterally. the abdomen is soft, nontender, nondistended. extremities - no cyanosis, clubbing or edema noted. neurologic examination - 5/5 strength throughout. sensation to light touch grossly intact throughout. laboratory data: on admission, white blood cell count 7.3, hematocrit 34.9, platelets 316,000. sodium 137, potassium 5.5 with sample hemolyzed, chloride 100, bicarbonate 26, blood urea nitrogen 24, creatinine 1.3, glucose 83. guaiac negative stool. urinalysis was pending at the time of admission. chest x-ray on , showed no evidence of pneumonia or pulmonary process. electrocardiogram on , showed increased pr interval suggestive of first degree heart block. hospital course: 1. urinary tract infection - urosepsis - the patient with a positive urinalysis on . after traumatic foley placement on , the patient noted to become febrile to 103 degrees per rectum with rigors. ciprofloxacin 500 mg intravenously times one started in the a.m. urology consulted for foley placement and benign prostatic hypertrophy management. recommended alpha i blocker and to treat urinary tract infection for two weeks. the patient then noted to be hypotensive later in the a.m. of , with blood pressure of 80/palpable and 500 ccs of normal saline bolus times two was given with some improvement of blood pressure to 118/62, but the patient continued to be hypotensive. the patient was transferred to the micu for hypotension likely secondary to sepsis. levofloxacin 500 mg intravenously times one, vancomycin one gram intravenously times one and ceftriaxone one gram q.d. was started on admission to the micu. urine cultures and three out of eight blood cultures were positive for e. coli. the bacteria was pansensitive to all antibiotics. in the micu, the patient hemodynamically stable and did not require pressor support. the patient was afebrile throughout the micu stay. the blood pressure was 100 to 140 over 40 to 50. the heart rate was in the 70s. respiratory rate was 18 to 20 and the patient saturated 99 to 100% in room air. the patient was transferred to the floor on , with good p.o. intake. the foley was discontinued and good urine output was noted with no complaints of chest pain, shortness of breath, dysuria, fever or chills. 2. elevated esr - the patient was admitted with an esr of 116, possible contribution of infection and the patient will need to follow-up with primary care physician for recheck in one to two weeks. given the negative review of systems, giant cell arteritis and polymyalgia rheumatica are less likely. clear infectious source genitourinary. malignancy also a possibility with likely primary sites prostate, colon, especially given history, and lungs. the psa was 8.0 which is lower than the value of 11.0 from prior on . the patient was guaiac negative and chest x-ray was clear. 3. cardiovascular - the patient with a history of coronary artery disease, status post stent and rotablation in . the patient denies any recent chest pain or anginal equivalents. no acute issues. the patient denies taking regular medications at home although he has prescription for aspirin and atorvastatin. the patient restarted this admission. of note, the patient is not on a beta blocker. there is some history from previous discharge summary of bradycardia and wenckebach second degree heart block but he tolerated metoprolol 25 mg b.i.d. while given the patient's age and history of medication noncompliance, a beta blocker was not started during this admission. it is recommended that the patient follow-up with primary care physician for cardiac medication optimization. 4. rehabilitation - the patient evaluated by physical therapy and recommended short term rehabilitation for gait retraining. the patient may also need services for medication management especially for antibiotics over the next two weeks. condition on discharge: stable on transfer to short term rehabilitation. medications on discharge: 1. aspirin 81 mg p.o. q.d. 2. atorvastatin 10 mg q.d. 3. tamsulosin 0.4 mg q.h.s. 4. cefpodoxime proxetil 200 mg b.i.d. follow-up: the patient will follow-up with primary care physician, . , in one to two weeks. discharge diagnoses: 1. urinary tract infection. 2. urosepsis. 3. benign prostatic hypertrophy. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified pure hypercholesterolemia urinary tract infection, site not specified other septicemia due to gram-negative organisms 

Answer: The patient is high likely exposed to