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: lisinopril attending: chief complaint: confusion major surgical or invasive procedure: none history of present illness: 77f with sleep apnea on home o2 recently discharged from s/p treatment of le cellulitis and increasing le edema. cxr @ revelaed worsening pulmonary edema, and she had a positive ua. she received both ctx and vancomycin. she also received bolus fluids for hypotension. patient discharged on dicloxicillin on patient returned to our ed on with change in mental status. and increased le pain, as noticed by family. vitals on admission were 96.6 72 112/58 20 100nrb (88 ra). cxr was negative for any focal infiltrate. she was given solumedrol 125 iv x 1 for presumed copd exacerbation. abg: 7.42/54/363. patient had facemask removed and transitioned to nc. she was also given vanc/levo. patient remained asleep for 4 hours without internvention and sent to the floor. on the floor patinet was somnolent and abg was 7.31/65/135 and patinet was transferred to the micu for cpap for presumed hypercarbic respiratory failure. past medical history: htn hyperlipidemia dm2 afib on coumadin gout sleep apnea social history: denies smoking, etoh use family history: noncontributory physical exam: vitals - t:95.5 bp:110/60 hr:90 rr:18 02 sat: 88ra general: somnolent skin: bruise on l flank heent: large neck, at/nc, eomi, perrla, anicteric sclera, pink conjunctiva, patent nares, mmm, supple neck, no lad, no jvd cardiac: rrr, s1/s2, no mrg lung: ctab abdomen: obese, +bs, nontender in all quadrants, no rebound/guarding, no appreciable hepatosplenomegaly m/s: lower extremity venous stasis changes, 2+ edema bilaterally pulses: 2+ dp pulses bilaterally neuro: unable to assess pertinent results: imaging: cxr: impression: limited examination. moderate cardiomegaly. no pulmonary abnormality. . ct head findings: there is no hemorrhage, mass effect, shift of the normally midline structures, or major vascular territorial infarct. the -white matter differentiation is preserved. there is no hydrocephalus. cysts are seen within the choroid plexus. osseous structures demonstrate mild upper hyperostosis of the walls of the right maxillary sinus. the paranasal sinuses and mastoid air cells are well aerated. impression: 1. no hemorrhage or mass effect. . ct chest cta chest: there are coronary artery calcifications and calcifications of the mitral and aortic annuli. scattered mediastinal lymph nodes do not meet ct criteria for enlargement. while the examination is technically limited, there are no main or segmental pulmonary artery emboli. there are small bilateral pleural effusions and mild diffuse ground-glass opacity as well as mild cardiomegaly, suggestive of mild pulmonary edema. impression: 1. moderate cardiomegaly with small bilateral pleural effusions and ground-glass opacities suggestive of mild pulmonary edema. brief hospital course: 77f with known copd on home o2 with possible copd exacerbation and resultant hypercarbin respiratory failure hypercarbic respiratory failure: cause is unclear, though may have had some element of chf. patient was found to have c02 in the mid 60s and was somnolent and thus was taken to the micu for non-invasive ventilation. this intervention improved mental status. additionally was initially diuresed, but this was complicated by hypotension. cause was also likely secondary to obesity hypoventilation given patient's habitus. as well patient has osa and was started on cpap. should increase cpap as tolerated and patient if possible should have a repeat sleep study. improved co2 and mental status after cpap. there is very little evidence in chart that patient actually has copd. night prior to discharge tolerated 10 cpap. this should be continued and a sleep consult should be done at some point. hypotension: found to have sbps in the 80s, however always able to mentate and had adequate urine output. hypotension was likely a combination of difficulty in measuring, given habitus, hypovolemia given diarrhea and high doses of diltiazem (thought to be home doses, but possible patient was non-adherant). bps stable prior to discharge in the 100-130s range. given that the patient has baseline hypertension, suspect that diovan will likely have to be restarted, as well as diltiazem. c diff: diagnosed during this admission. started on flagyl for 14 day course. symptoms improved at time of diagnosis cellulitis - patient recently discharged from s/p treatment for cellulitis on dicloxacillin, on presentation was treated wtih vancomycin. however, by hd # 2 was clearly improved and antibiotics were discontinued. atrial fibrillation: had episodes of tachycardia and was started on diltiazem at 1/2 home dose, was hypotensive (though as above, difficult to get accurate bp) but also intermittently tachycardic. rate control was significantly improved with digoxin load. the level of digoxin should be checked in days to ensure patient not toxic at time of steady state. coagulopathy: patient with increased inr during admission. this is likely secondary to coumadin dosing at slightly higher (5 mg versus 2.5 in some notes) as well as poor intake and diarrhea. additionally is on metronidazole that can increase it. this level should be followed with coumadin restarted when level <3. though it is possible that the patient has developed another cause for hypocoagulibility, it seems less likely in the setting of previously normal coags. nonetheless, if this should continue to increase, mixing studies as well as hematology evaluation may be necessary. medications on admission: allopurinol 300 daily atorvastatin 10 daily diltiazem 360 daily gabapentin 300 valsartan 80 mg daily warfarin 5 mg daily lasix 100 mg glyburide 2.5 eucerin cream nystatin poweder dicloxacillin 250 mg q8h x 14 days (day 1 ) . discharge medications: 1. glyburide 2.5 mg tablet sig: one (1) tablet po twice a day. 2. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 3. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. gabapentin 300 mg capsule sig: one (1) capsule po q24h (every 24 hours). 6. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days. 7. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily): please check level or . 8. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). discharge disposition: extended care facility: & rehab center - discharge diagnosis: hypercarbic respiratory failure obstructive sleep apnea atrial fibrillation c diff cad discharge condition: improved discharge instructions: you were admitted with trouble breathing and recovering infection. while you were here your breathing improved with the use of cpap. additionally you now have c diff infection in your bowels for which you should take antibiotics for 10 more days. please return to the er if you have fever, chills, chest pain, shortness of breath, vomiting, worsening diarrhea, abdominal pain or any other concerning symptoms followup instructions: please follow up with you primary care physician or with dr. at . additionally you should be seen by a pulmonologist. if you would like to be seen by dr. ( md procedure: non-invasive mechanical ventilation diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation other and unspecified hyperlipidemia acute respiratory failure cellulitis and abscess of leg, except foot intestinal infection due to clostridium difficile long-term (current) use of anticoagulants obesity, unspecified other and unspecified coagulation defects undiagnosed cardiac murmurs other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to