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: bactrim ds attending: chief complaint: dysurea major surgical or invasive procedure: none history of present illness: ms. is a 43 year-old woman with a history of hypertension, obesity s/p gastric bypass who presents with left flank pain, was found to be hypotensive in the ed, and is transferred to the micu for urosepsis. . she was in her usoh until yesterday afternoon when she felt acute onset left flank pain with subjective fevers and nausea. she denied dysuria. she presented to the ed today with worsening symptoms at the urging of her fiance who felt she appeared "blue and pale." . in the ed, initial vs: t 99, bp 93/46 hr 97 100% on ra. she was found to be persistently hypotensive, with systolic blood pressures in the 80s. she was given 7l of ns, and ultimately started on levophed under code sepesis. a rij was placed, and repositioned 2cm backwards after initial cxr demonstrated rv placement. a ua showed evidence of uti, and periureteter stranding was confirmed on pelvis ct. the patient was given ctx and cipro. with evidence of gallbladder edema on ct, a ruq u/s and lfts were checked, and normal. the patient was admitted to the micu for further management. . ros: denies night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, brbpr, melena, hematochezia. past medical history: htn morbid obesity s/p gastric bypass anemia depression/anxiety hyperlipidemia varicose veins ventral hernia social history: no history of smoking, alcohol, or drug abuse. she lives with her husband but is currently going through a divorce. family history: hypertension and cad in parents, prostate cancer in grandparent physical exam: vitals - t: 98 bp: 90/60 hr: 92 rr: 02 sat: general: well appearing, laying in bed heent: atnc, eomi, no lad cardiac: rrr, nl s1 s2, hs murmur loudest at base lung: ctab, no rales abdomen: soft, nt, nd, +bs ext: +left cva ttp neuro: cns grossly intact, ue/le strength derm: no lesions, tattoo on right leg pertinent results: 12:02pm type-central ve po2-138* pco2-37 ph-7.28* total co2-18* base xs--8 comments-green top 12:02pm lactate-2.8* 12:02pm o2 sat-96 09:19am ph-7.29* comments-green top 09:19am lactate-4.8* 09:19am hgb-7.6* calchct-23 o2 sat-92 09:10am hgb-7.3* hct-25.9* 07:11am ph-7.34* comments-green top 07:11am lactate-2.3* 07:11am hgb-7.1* calchct-21 04:13am comments-green top 04:13am lactate-3.9* 04:05am glucose-115* urea n-16 creat-1.3* sodium-136 potassium-3.7 chloride-104 total co2-19* anion gap-17 04:05am estgfr-using this 04:05am alt(sgpt)-14 ast(sgot)-22 ck(cpk)-23* alk phos-75 tot bili-0.8 04:05am lipase-56 04:05am ctropnt-<0.01 04:05am ck-mb-2 04:05am calcium-8.7 phosphate-2.1* magnesium-1.4* 04:05am cortisol-59.9* 04:05am crp-23.6* 04:05am urine hours-random 04:05am urine ucg-negative 04:05am wbc-6.2 rbc-4.29 hgb-8.6* hct-30.2* mcv-70*# mch-20.1* mchc-28.7* rdw-26.2* 04:05am neuts-85* bands-10* lymphs-1* monos-2 eos-0 basos-1 atyps-1* metas-0 myelos-0 04:05am hypochrom-2+ anisocyt-1+ poikilocy-1+ macrocyt-normal microcyt-2+ polychrom-occasional ovalocyt-1+ teardrop-occasional 04:05am plt smr-normal plt count-298 04:05am pt-13.1 ptt-22.2 inr(pt)-1.1 03:50am urine hours-random 03:50am urine gr hold-hold 03:50am urine color-yellow appear-hazy sp -1.017 03:50am urine blood-lg nitrite-pos protein-25 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 03:50am urine rbc-* wbc->50 bacteria-many yeast-none epi- ruq u/s: cholelithiasis with us findings equivocal for acute cholecystitis, and clinical correlation is recommended. in particular, the combination of stones, distension and wall thickening with edema could be seen with cholecystitis, but clinical correlation is needed since the appearance is not specific and the given history is of left flank pain. a hepatobiliary scan may be helpful if there is concern for choleystitis and possibly serial ultrasound scanning. abd/pelv ct: 1. bilateral perinephric stranding, prominence in stranding of the left ureter, may reflect a recently passed left-sided stone or sequelae of upper urinary tract infection, clinical correlation is recommended. although much more prominent on the left, fat stranding is also present about the right kidney, which suggests that process may be bilateral. the lack of stones makes recent passage of a stone less likely. 2. distended gallbladder with trace amount of pericholecystic fluid in the setting of periportal edema and mesentery with mild soft tissue anasarca; part of these changes could reflect third spacing; however, if clinical concern for acute cholecystitis, an ultrasound should be considered. 3. nonobstructed ventral hernia containing loops of transverse colon. 4. left adnexal cystic structure, which may represent hydrosalpinx. further evaluation with a pelvic ultrasound is recommended when clinically appropriate. brief hospital course: 43 year-old woman with a history of hypertension, obesity s/p gastric bypass and chronic nutritional anemia bypass surgery presenting with pyelonephritis and urosepsis. # urosepsis/pyelonephritis: initially met sirs criteria with bandemia, tachycardia, and left ureteral fat stranding and ua with evidence of infection. received 7l of ns in ed without improvement. treated in icu with pressors and iv vanc. blood cultures w/pan sensitive gnrs and ucx w/ecoli. switched to po levoflox (nausea w/ cipro iv and poor bioavaialability of po version). # acute renal failure: resolved. prerenal in setting of sepsis and hypotension. treated with ivfs. # microcytic anemia: hct 23.5 vs baseline ~30. thought to be nutritional gastric bypass, low b12, low iron, guiaics negative. # headache: similar to baseline headaches, frontal headache no visual changes no nausea. started on ibuprofen with some initial improvement. # htn: controlled on home medications. # gallbladder edema: initially concerning for cholecystitis but unlikely given normal lfts and absence of luq pain. surgery consulted. no need for further treatment or evaluation at this time. medications on admission: atenolol 25mg daily buspar 10mg calcium-mg 750-465mg iron 325mg tid paxil 30mg daily vitamin b12 1000 mcg sq weekly discharge medications: 1. buspirone 10 mg tablet sig: one (1) tablet po bid (2 times a day). 2. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 3. levofloxacin 250 mg tablet sig: two (2) tablet po q24h (every 24 hours) for 10 days: please continue to take for 10 days. disp:*20 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 6. paroxetine hcl 10 mg tablet sig: three (3) tablet po daily (daily). 7. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 8. cyanocobalamin 1,000 mcg/ml solution sig: one (1) injection once a week. 9. atenolol 25 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary: 1. urosepsis 2. pyelonephritis secondary: 1. s/p gastric bypass discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: it was a pleasure taking care of you during your admission at . you were admitted for urosepsis and pyelonephritis. you were treated with antibiotics, intravenous fluids, and medicines to keep your blood pressure stable. medication changes: new levofloxacin - take for 10 more days. this is to treat your infection. please review your medications with your primary care physician at your follow up appointment. followup instructions: provider: medicine nurse phone: date/time: 10:45 provider: , md phone: date/time: 10:30 procedure: venous catheterization, not elsewhere classified diagnoses: unspecified essential hypertension acute kidney failure, unspecified sepsis other b-complex deficiencies dysthymic disorder bacteremia iron deficiency anemia, unspecified headache hypovolemia bariatric surgery status ventral, unspecified, hernia without mention of obstruction or gangrene acute pyelonephritis without lesion of renal medullary necrosis systemic inflammatory response syndrome, unspecified asymptomatic varicose veins 

Answer: The patient is high likely exposed to