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: tegretol / phenergan plain / bactrim / keflex / amoxicillin / chlorhexidine / ceftriaxone attending: chief complaint: respiratory distress, hypoxemia, diarrhea major surgical or invasive procedure: lumbar puncture triple lumen central venous line placement. history of present illness: hpi: ms. is a 75f with a h/o chronic diarrhea, ischemic colitis s/p partial colectomy and recurrent utis who presents to the er with worsening diarrhea. she was admitted to from - for hyperlkalemia, diarrhea, non-anion gap metabolic acidosis, and was discharged to rehab. by her report, she was discharged from rehab 2 weeks ago, and since that time, she has had 8 loose, watery stools/day whereas she normally has approximately more formed stools. the diarrhea is associated with abdominal cramping which is in intensity and improves after each episode. she denies any fevers, chills, medication changes, sick contacts, dietary changes, blood or mucous in stool. the vna came to visit her the day of admission, found her to be orthostatic with hr in the 90s, so she came to the er for evaluation. of note, she says that diarrhea and abdominal cramping has been constant over the 2 week period. in the er, she received tylenol for ha, ns 400cc, and morphine 2mg iv which helped relieve her abdominal cramps. she has not had any bowel movements in the past 8 hours. review of systems: (+) per hpi with mild nausea (-) denies fever, chills, night sweats, recent weight loss or gain. denies blurry vision, diplopia, loss of vision, photophobia. denies sinus tenderness, rhinorrhea or congestion. denies chest pain or tightness, palpitations, lower extremity edema. denies cough, shortness of breath, or wheezes. denies vomiting, constipation, melena, hematemesis, hematochezia. denies dysuria, stool or urine incontinence. denies arthralgias or myalgias. denies rashes or skin breakdown. no numbness/tingling in extremities. all other systems negative. past medical history: past medical history: #chronic diarrhea. she has had chronic diarrhea since , presumed to result from her biliroth 1 and colectomy. she was cleared for a suspected diagnosis of crohn's disease by normal colonoscopy in and . #recurrent utis. she had a pansensitive e. coli uti in and . she recently presented during with pyelonephritis (evidence of peripheric stranding on ct). #gerd. barrett's esophagus reported on previous egd (date unknown). #hypertension. controlled with amlodipine and labetalol. #seizure disorder. admitted in by neurology. they concluded that she had psychogenic nonepileptic seizures. #s/p partial right colectomy with ileosotmy and subsequent reversal, following an episode of ischemic colitis. #status post appendectomy. #status post open cholecystectomy with common bile duct exploration and choleduodenosotomy. she has a normal finding of pneumobilia, noted in kub in and during recent admission. #orif left wrist #biliroth 1 #spinal fusionx2. date unknown. sometimes a cause of lbp, particularly on right. social history: patient lives in with her husband. she has four children, but is estranged from two due to substance abuse issues. she reports that her husband helps her walk since her recent difficulty, but that she is fairly independent. indicates a history of childhood sexual abuse. she denies alcohol, tobacco, or illicit drug use. family history: mother: died in 90s, unclear cause father: died 73, alcoholism siblings: died in 60s from throat cancer children: 4 children, 56 to 50; no medical problems : no fh of seizures or epilepsy physical exam: t: 98.1 bp 154/93 hr 73 rr 16 sao2 100ra general - well-appearing woman in nad, appropriate heent - nc/at, eomi, sclerae anicteric, very dry mucous membranes neck - supple, no jvd lungs - cta bilat, unlabored, no accessory muscle use heart - rrr, 1/6 systolic murmur crescendo-decrescendo. loud s2. abdomen - soft/nd, +mild tenderness in all quadrants with moderate palpation no masses or hsm, no rebound/guarding extremities - wwp skin - no rashes or lesions lymph - no cervical lad neuro - awake, a&ox3, no focal deficits, possible tardative dyskinesia, movements which she attributes to dry mouth psych: appropriate, cooperative pertinent results: 05:50pm urine color-straw appear-clear sp -1.005 05:50pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-sm 05:50pm urine rbc-0 wbc-12* bacteria-few yeast-none epi-<1 05:50pm urine mucous-rare 04:13pm glucose-95 urea n-38* creat-2.2* sodium-135 potassium-4.5 chloride-104 total co2-22 anion gap-14 04:13pm alt(sgpt)-34 ast(sgot)-53* ld(ldh)-198 alk phos-94 tot bili-0.2 04:13pm lipase-57 04:13pm albumin-4.3 iron-29* 04:13pm caltibc-360 ferritin-16 trf-277 04:13pm wbc-3.7* rbc-4.30# hgb-11.1* hct-33.5* mcv-78* mch-25.8* mchc-33.1 rdw-14.7 04:13pm neuts-45* bands-0 lymphs-33 monos-11 eos-10* basos-0 atyps-1* metas-0 myelos-0 04:13pm plt smr-normal plt count-196 04:13pm hypochrom-occasional anisocyt-1+ poikilocy-normal macrocyt-normal microcyt-1+ polychrom-normal ovalocyt-occasional imaging: nchct - impression: suboptimal scan due to patient motion in the scanner. with this limitation in mind, no acute intracranial process is seen. brief hospital course: medicine floor course: 1. chronic diarrhea with acute worsening. improved soon after admission with administration of lomotil. stool studies were sent and pending at discharge. an appointment had already been made with her outpatient gastroenterologist for early . chronic kidney disease, stage iii. the patient's baseline creatinine ranges quite widely and it is difficult to determine a true baseline. gfr with ivf and decrease in diarrhea. 3. pyuria. urine sample likely was contaminated with stool. 4. hypertension with intravascular volume depletion. continued amlodipine and labetolol. 5. depression/anxiety: continued klonopin, seroquel, cymbalta 6. orthostatic hypotension. no symptoms with blood pressure drop. 7. gerd. continued omeprazole 8. anemia, likely due to ckd and iron deficiency. icu course: the patient was transferred to the icu on when she was noted to be hypoxic (83% on ra) and febrile (103f rectally). she also had altered mental status and minimally responsive and noted to have generalized body "twitching". her oxygen saturation improved with nrb mask, however she was found to be acidotic and retained carbon dioxide. a head ct was done which suboptimal due to motion artifact, no acute intracranial process is seen. the patient also was started on eeg monitoring and her antibiotic coverage was broadened. an lp was attempted but was unsuccessful at the bedside and planned for an ir attempt. the patient continued to have difficulty breathing and retained increasing amounts of carbon dioxide. the patient did not wish to be intubated. the family decided to transition her care to comfort focused and she passed away later that evening. the cause for her acute decomenstaion was not identified at the time of her death. medications on admission: amlodipine - (prescribed by other provider) - 5 mg tablet - 2 tablet(s) by mouth daily cholestyramine-sucrose - (prescribed by other provider: ) - 4 gram powder - 1 tbs by mouth twice a day clonazepam - 1 mg tablet - 1 tablet(s) by mouth at bedtime diphenoxylate-atropine - 2.5 mg-0.025 mg tablet - one tablet(s) by mouth three times daily as needed for diarrhea duloxetine - 60 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth take one at bedtime duloxetine - 30 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth at bedtime gabapentin - (prescribed by other provider) - 300 mg capsule - 1 capsule(s) by mouth twice daily ibandronate - (prescribed by other provider) - 150 mg tablet - 1 tablet(s) by mouth monthly labetalol - (prescribed by other provider) - 200 mg tablet - 1 tablet(s) by mouth twice daily omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth daily quetiapine - 100 mg tablet - 2 tablet(s) by mouth at bedtime and 1 tablet extra prn simvastatin - (prescribed by other provider: ) - 40 mg tablet - 1 tablet(s) by mouth daily medications - otc calcium carbonate-vitamin d3 - (prescribed by other provider: ) - 600 mg (1,500 mg)-200 unit tablet - 3 tablet(s) by mouth daily ferrous sulfate - (otc) - 325 mg (65 mg iron) tablet - 1 tablet(s) by mouth daily multivitamin - (prescribed by other provider: ) - tablet, chewable - 1 tablet(s) by mouth daily discharge medications: expired discharge disposition: expired discharge diagnosis: hypercapneic and hypoxic respiratory failure discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: venous catheterization, not elsewhere classified arthrocentesis diagnoses: acidosis anemia in chronic kidney disease other chronic pain esophageal reflux hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other convulsions dysthymic disorder chronic kidney disease, stage iii (moderate) regional enteritis of unspecified site acute respiratory failure long-term (current) use of other medications iron deficiency anemia, unspecified fever, unspecified diarrhea altered mental status do not resuscitate status dehydration lumbago other and unspecified postsurgical nonabsorption chronic vascular insufficiency of intestine barrett's esophagus abdominal pain, generalized arthrodesis status orthostatic hypotension leukocytopenia, unspecified effusion of joint, lower leg other nonspecific findings on examination of urine acquired absence of intestine (large) (small) personal history of traumatic fracture 

Answer: The patient is high likely exposed to