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: sulfa (sulfonamides) / codeine attending: chief complaint: transfer from hospital, fever to 108 and hypotension. major surgical or invasive procedure: endotracheal intubation. history of present illness: 55f s/p lap appy (perforated retrocecal appendix) converted to open who had fever to 102 after procedure yesterday and was tachycardic, received 1 dose unasyn and then was febrile to 108 this am with altered mental status. pt was intubated for signs of respiratory distress and was placed on a cooling blanket and received cold gastric lavage. unasyn was d/c'd and zosyn and vanc were started and central line placed. ct head, chest, abd neg for acute processes. pt was paralyzed and sedated for presumed seratonin syndrome. cryptoheptadine was administered. prozac was d/c'd (last dose 1am). at 8:30pm pt became hypotensive to sbp <80 mmhg and levophed started prior to transfer to . during transfer neosinephrine was addeded for additional support. past medical history: depression scoliosis ventral hernia endometriosis migraines chronic anemia s/p back surgery s/p hernia repair s/p ex lap hx uveitis social history: lives alone, never married, works as a data programmer. no etoh, remote tob hx, quit 5 yrs ago. family history: non-contributory. physical exam: vs: t 101.6 bp 123/78 hr 83 ac 500 x 14 p 10 fio2 50% gen: nad, intubated, not responsive, flaccid heent: eomi, perrl (3 mm) neck: no lad chest: ctab cv: rrr nl s1 s2 no mrg appreciated abd: soft, nt, mildly distended + bs, 5 cm horizontal incision near umbilicus, cdi with staples. 15 cm horizontal incision r abdomen cdi with staples. ext: obese, non-pitting edema neuro: flaccid, likely still paralyzed from cisatracurium given at osh. perrl. tracking with eyes. skin: no rash pertinent results: cxr : mild cardiomegaly accompanied by moderate distention of the mediastinal vasculature. mild pulmonary edema and small right pleural effusion suggest cardiac decompensation and/or volume overload. there is no pneumothorax. tip of the endotracheal tube ends above the clavicles, at least 5.5 cm above the carina, probably 2-3 cm above optimal placement. nasogastric tube passes to the distal stomach and out of view. tip of the right jugular central line projects over the course of the right brachiocephalic vein. no pneumothorax. . tte : there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). left ventricular systolic function is hyperdynamic (ef>75%). right ventricular chamber size and free wall motion are normal. the aortic valve is not well seen (probably mildly thickened leaflets). there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no pericardial effusion. . ct abd/pelvis : 1. complex cystic focus in the left adnexa with apparent enlargement of the left ovary. this is worrisome for an ovarian malignancy. tuboovarian abscess is considered less likely as there is no inflammatory reaction surrounding the ovary. further evaluation could be obtained with ultrasound. 2. no fluid collection is identified in the retrocecal space. 3. sigmoid diverticulosis. 4. no acute hepatobiliary or pancreatic abnormalities identified. 5. small bilateral pleural effusions. brief hospital course: a/p: 55yof s/p appendectomy for ruptured retrocecal appy, still febrile on abx. . 1. sepsis: the patient was transferred to with sepsis syndrome from osh, was hypotensive and with high fevers. soon after transfer she was hemodynamically stable. she was continued on broad spectrum antibiotics. there was no pathogen identified, although she was treated for a presumed pna as well as a possible gi source given the history of appendectomy at the osh. there was an initial concern for a gyn source of infection, possible l , gynecology was consulted, and this was found to be less likely. the infection resolved with empiric antibiotics . 2. altered ms/seizures: after the sepsis was resolving, the pt was noted to have persistent coma. she remained unarousable, with flaccid limbs not withdrawing to pain. neurology was consulted. she was noted at one point to have jerking movements suggestive of seizure activity, initial ecg was negative for epileptogenic activity. in order to rule out meningitis, lp was attempted by radiology under fluoro although was unsuccessful. she was treated for possible hsv and bacterial meningitis empirically. there was high clinical suspicion for status epilepticus, continuous eeg monitoring was done and confirmed seizure activity. the patient was started on depakote for seizure prophylaxis. the etiology of the initial cns insult was assessed as likely sustained when hypotensive and febrile to 108. over the course of the hospitalization, the patient's mental status showed minimal improvement. she was able to interact and follow commands limited to movements of her eyes and tongue. she demonstrated extremely limited ability to perform movements below the neck. she remained quadraplegic she had no gag reflex and could not breathe off of the ventilator. . 3. withdrawal of life support: extensive discussions were held with the patient as well as members of her immediate family with the attending physician, . as well as other members of the medical team. it was explained to the patient and family that in her current state, she could not live without life support from the venitalor since she was not able to breathe on her own. they were explained the option to have a tracheotomy for ventilation at rehab where she would have an opportunity for a longer-term recovery, although there was no guarantee that she would be able to come off of the ventilator. whether the patient would make any meaningful neurological recovery was also uncertain. the patient and family expressed a clear decision that the patient did not want to remain on the ventilator and that she wanted to be off of life support. she indicated that she understood the implications. the patient was extubated and passed away shortly therafter with family and friends present. . 4. respiratory failure: the patient remained ventilator dependent during the hospital stay as noted above, . 5. pancreatitis: there was an isolated elevation of pancreatic enzymes in the abscence of symptoms. she received a post-pyloric tube for feeding. after several days, this was trending down and tube feeds were done through an ng tube. . 6. anemia: hct remained 25 range stable. . 7. trop leak: trop peak to 0.55 on , elevated ck rhabdo. likely demand ischemia in setting of septic shock. . 8. rhabdomyolisis: ck peaked on , and later resolved. her renal funtion remained intact. # thrombocytosis: most likely reactive infection, trending down. . # s/p appy on : appreciate surgery recs, no active issues. . # fen: continue tfs, new og tube placed . electrolyte repletion as needed. . # ppx: ppi, pneumoboots, heparin sc, bowel regimen. # code: full initially, but then later in the hospitialization converted to dnr/dni. # access: 20g piv x 2, rtf a-line # comm: sister or cell . medications on admission: prozac 20 qhs premarin 0.625 mg trazodone 100 mg po qd atenolol 100 mg po qd albuterol prn rhinocort flexeril . meds on transfer: vanc 1 gm zosyn cryptoheptadine 12 mg tylenol 650 mg motrin 600 mg versed 5 mg nimbex gtt discharge medications: not applicable discharge disposition: expired discharge diagnosis: not applicable discharge condition: deceased discharge instructions: not applicable followup instructions: not applicable md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnostic ultrasound of other sites of thorax infusion of vasopressor agent diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified unspecified pleural effusion congestive heart failure, unspecified toxic encephalopathy acute kidney failure, unspecified unspecified septicemia severe sepsis other specified forms of chronic ischemic heart disease septic shock obesity, unspecified rhabdomyolysis other nonspecific abnormal serum enzyme levels generalized nonconvulsive epilepsy, with intractable epilepsy other specified symptoms associated with female genital organs 

Answer: The patient is high likely exposed to