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 is a 75-year-old woman with a past medical history significant for coronary artery disease, status post coronary artery bypass graft in , hypertension and elevated cholesterol who presented on with burning epigastric pain. this was originally thought to be cardiac ischemia and the patient was taken to cardiac catheterization and found to have patent vein grafts. laboratory studies then revealed that the patient had pancreatitis with an amylase of approximately 3300. the patient was intubated somewhat prophylactically in the catheter lab and then admitted to the medical intensive care unit. the medical intensive care unit course was complicated by hypotension. the patient was on dopamine transiently, which was thought to secondary to a gastrointestinal infection. she was anemic to 24 and received multiple units of packed red blood cells. she also began to spike some temperatures on , despite being on antibiotics and continued to have fevers up until her transfer to the floor. the patient was covered with ceftriaxone and clindamycin initially for a multilobar vent associated pneumonia. sputum grew out serratia which was sensitive to ceftriaxone. the patient was ultimately transitioned from clindamycin to flagyl in part because there was concern that the patient might have clostridium difficile colitis. flagyl was ultimately discontinued after the patient had three negative clostridium difficile cultures. the patient also had some transient oliguria, presumably from fluid sequestration while in the intensive care unit. over the course of her medical intensive care unit stay, she became approximately 10 liters positive. her liver function tests, amylase and lipase decreased to normal and the patient improved clinically an was extubated on and transferred that day to the general wards. the patient currently denies any shortness of breath, chest pain or abdominal pain. past medical history: 1. coronary artery disease, status post coronary artery bypass graft performed at 15 years ago with a diagonal to lad graft and saphenous vein graft to pda graft. 2. hypertension 3. elevated cholesterol 4. question history of chronic obstructive pulmonary disease home medications (to be confirmed by her primary care physician): 1. aspirin 2. atenolol 3. lipitor 4. hydrochlorothiazide 5. vasotec transfer to floor medications from medical intensive care unit: . regular insulin sliding scale 2. protonix 40 mg intravenous q 24 hours 3. ceftriaxone 1 gm intravenous q 24 hours 4. miconazole cream 5. flagyl 500 mg intravenous q 8 hours 6. lopressor 10 mg intravenous q6h 7. nitroglycerin drip for which the patient was currently being weaned off. allergies: no known drug allergies. physical exam at transfer to the general floor: vital signs: temperature 98.8??????, pulse 90, blood pressure 169/84, respiratory rate 20s, pulse oximetry 98% to 99% on a shelf mask. general appearance: the patient was awake, alert and mildly uncomfortable, appearing in no acute distress. head, ears, eyes, nose and throat: dry oral mucosa, no oral lesions. neck: jugular venous pressure was prominent. cardiovascular: regular rate and rhythm, normal s1, s2, no murmurs. lungs: bilateral rales and crackles. there were no wheezes. breath sounds were decreased at the bases bilaterally. abdomen: soft, nontender, nondistended with active bowel sounds. extremities: the patient complained of left wrist pain which later resolved after re-siting of the patient's peripheral intravenous. neurologic: the patient moved all four extremities and followed commands. imaging and laboratory studies on : white blood count 20.1, hematocrit 32.6, platelets 636. inr 1.2, sodium 145, potassium 3.3, chloride 106, bicarbonate 26, bun 32, creatinine 0.6, glucose 136. the patient had a prior echocardiogram which showed a normal ejection fraction of 61% with posterobasal wall motion abnormalities, normal filling pressures on cardiac catheterization of . in addition to sputum culture on revealing serratia sensitive to ceftriaxone, urine cultures on revealed greater than 100,000 organisms per ml of yeast. in response to this culture result, the patient's foley catheter was discontinued and replaced. hospital course by system: 1. infectious disease: the patient ultimately presented to the intensive care unit intubated with evidence of a vent associated pneumonia. sputum cultures were positive for serratia, sensitive to ceftriaxone for which the patient received a 14 day course of antibiotics. the patient was temporarily on anaerobic coverage for question of aspiration pneumonia, as well as for question of clostridium difficile colitis. the patient gradually defervesced on antibiotics and her respiratory status improved substantially to the point where she was saturating 95% on room air by the time of discharge. the patient continued to have bilateral crackles which were thought to be consistent with some underlying interstitial lung disease which will be confirmed with her primary care physician prior to discharge. regarding the question of clostridium difficile, the patient had three negative cultures and was taken off flagyl following her transfer to the floor. the patient's only other infectious issue was a question of a sinusitis, given recurrent fevers on antibiotics and the patient's history of having a nasogastric tube in place while she was in the intensive care unit. ct of the sinuses did reveal some paranasal sinus thickening and partial opacification of the mastoid air cells. given that the patient was essentially afebrile following her transfer to the floor, she was taken off of flagyl and this etiology was not further pursued. we did hesitate to place an additional nasogastric tube for feeding purposes given this result. 2. gastrointestinal: patient with presumed gallstone pancreatitis resolved by the time of her transfer to the floor. her amylase and liver function tests had essentially returned to baseline. the patient received tpn for nutrition while in the intensive care unit. please see the nutrition section for further details. the patient denied any abdominal pain through the remainder of her hospital stay and tolerated her advanced diet. 3. cardiovascular: the patient with a history of hypertension by report. as she was unable to take po's, she relied on intravenous lopressor and hydralazine for blood pressure control. after she was started back on po's, she was put on po lopressor, po hydralazine and po vasotec. the doses of these will be confirmed with her primary care physician and noted in page 1. the patient also with a history of coronary artery disease. she underwent a cardiac catheterization when she was admitted thinking that her symptoms were related to cardiac ischemia. this study revealed patent grafts. she has an intact ejection fraction with some posterobasal wall motion abnormality as noted on recent cardiac echocardiogram. during her course on the floor, the patient was gently diuresed to keep her 500 cc to 1 liter negative per day, given the fact that she was 10 liters positive and seemed to mobilizing a lot of fluid following her extubation in the medical intensive care unit. the patient was noted to have some short runs of supraventricular tachycardia for which she was asymptomatic while in the intensive care unit. she was kept in telemetry during her floor course for further monitoring. 4. endocrine: patient with slightly elevated blood sugars while on tpn. her sugars were followed as we returned her to her regular diet. she had no known history of diabetes. 5. nutrition: the patient relied on tpn while in the medical intensive care unit. she failed a swallowing study upon her return to the floor and was continued on tpn for several days. a repeat swallowing study on revealed good tolerance of po's. she was subsequently taken off of tpn and her diet gradually advanced. 6. hematological: the patient was anemic requiring transfusion in the setting of her intensive care unit presentation. 7. orthopedics: the patient initially complained of some left wrist pain while in the intensive care unit. she had negative wrist x-rays. after resetting of her intravenous, she exhibited full range of motion without pain of that extremity. discharge condition: stable discharge diagnosis: 1. coronary artery disease with a history of coronary artery bypass grafts x2 2. hypertension 3. pancreatitis 4. serratia pneumonia 5. interstitial lung disease discharge medications: please see page 1 for full details. 1. enteric coated aspirin 325 mg po qd 2. protonix 40 mg po qd 3. hydralazine 25 mg po tid 4. lopressor 25 mg po bid 5. lipitor 10 mg po qd 6. vasotec dose to be confirmed by her primary care physician 7. albuterol metered dose inhaler 2 puffs q 4 to 6 hours prn. discharge instructions: at rehabilitation, the patient should receive physical therapy and occupational therapy. she should have pulmonary toilet as necessary. she should have outpatient follow up schedule with her primary care physician, . , whose phone number is (. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances angiocardiography of left heart structures other and unspecified coronary arteriography insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery hypotension, unspecified pneumonitis due to inhalation of food or vomitus postinflammatory pulmonary fibrosis calculus of gallbladder without mention of cholecystitis, without mention of obstruction acute pancreatitis oliguria and anuria 

Answer: The patient is high likely exposed to