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: patient recorded as having no known allergies to drugs attending: chief complaint: dehydration major surgical or invasive procedure: none history of present illness: ms. is a 79f with a pmh s/f dm and morbid obesity, who was recently discharged from , after she underwent an orif for a right femur fracture. at that time, she as also treated for a lower extremity cellulitis with unasyn-->augmentin, completed on . she has been at a rehab center since then regaining function. her son notes that she has been largely bedbound at rehab, and had finally began to ambulate this past friday. the patient was doing well, in her usual state of health until yesterday, when her family noted her to be more tired, less responsive, with a decreased appetite. of note, at baseline the patient has chronic diarrhea, stool has been sent for o&p and culture, which have been negative. per nursing report from , she has had poor po intake secondary to nausea, with three episodes of diarrhea. they report that several patients on her floor have virus. her vital signs became unstable today, where she had a t=92, bp=104/51 (though the nurse reports it was as low as 80s systolic), hr=66, rr=22, 94%2l. fingersticks were in the 30s in this setting. labs showed a leukocytosis to 28.5, with arf (bun/cr= 27/2.6). attempts to place an iv were unsuccessful, and the patient's family requested transfer to . . ros is notable for dizziness, decreased appetite, nausea, diarrhea, new cough, and pain along her buttocks in the areas of skin breakdown. she denies any headaches, pleuritic chest pain. . in the ed, her presenting vital signs were: t=96.0, bp=107/61, hr=74, rr=18, o2sat 100%ra. her abdomen was soft and nontender, and was reported as benign. labs were significant for a leukocytosis to 28.9, a creatinine of 2.8 (baseline 1-1.2), and a lactate of 3.5. she was given a dose of vancomycin, zosyn, and flagyl for concern of an intra-abdominal infection. a left ij was placed for access. cxr shows a new right sided pleural effusion. past medical history: 1. diabetes mellitus ii 2. hypertension 3. chronic anemia 4. chronic le cellulitis/ulcerations 5. right femur fracture s/p orif 6. hyperlipidemia social history: currently resides at after her recent femur fracture. prior to that, lived at home with her husband. denies any current etoh, smoking. family history: noncontributory physical exam: t=94.6 orally... bp=104/63... hr=69... rr=22... o2=100% 2l . . physical exam general: morbidly obese, lethargic, nad. responds appropriately to questions with probing. heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mucous membranes very dry cardiac: distant heart sounds, regular rhythm, normal rate. lungs: distant, difficult to assess. abdomen: obese, mild tenderness to deep palpation extremities: 4+ pitting edema bilaterally, bilateral heel ulcers. left ulcer is necrotic with edematous, erythematous margins. no fluctuance. multiple areas of skin breakdown bilaterally on the lower extremities. neuro: a&ox3. appropriate. cn 2-12 grossly intact. pertinent results: please see omr brief hospital course: ms. is a 79f with a pmh s/f diabetes presenting with decreased po intake, diarrhea, and dehydration, also with hypothermia and leukocytosis. on presentation pt appeared to be septic with possible sources including gi (cdiff), skin ulcers, pneumonia (effusion may have been parapneumonic). pancultures were went and remained negative. due to persistent hypotension, hypoperfusion (altered mental status, anuria and atn, elevated lactate), pt required fluid resuscitation and pressor support. given her pulmonary status, she was electively intubated to allow for aggressive ivf. she was treated empirically with vancomycin, zosyn, and flagyl to empirically cover for hospital acquired pna and c. diff. given difficulty finding infectious source, pt had ct scan - which showed incidental finding consistent with endometrial cancer, local metastases to bone and possible uterine infection. she was evaluated by oncology, gyn-onc, and gynecology, but given the entire presentation, the family decided to make pt and avoid furthur diagnostic procedures and treatements. pt was then extubated, started on morphine drip and quickly passed away. medications on admission: -cholestyramine 1pkt daily -tramadol 75mg tid prn -metoprolol succinate 100 mg daily -enoxaparin 40 mg -metformin 1,000 mg -pioglitazone 45 mg daily -glipizide 5 mg daily -lasix 40 mg daily -lispro sliding scale -lidocaine patch -ondansetron, oxycodone 5mg, bowel reg prn . discharge medications: none discharge disposition: expired discharge diagnosis: cardiopulmonary arrest, sepsis discharge condition: deceased discharge instructions: none followup instructions: none md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube arterial catheterization diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis ulcer of other part of foot cardiac arrest septic shock morbid obesity dehydration secondary malignant neoplasm of bone and bone marrow malignant neoplasm of corpus uteri, except isthmus 

Answer: The patient is high likely exposed to