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: benadryl / iodine; iodine containing / sulfa (sulfonamides) / penicillins / morphine / ambien / codeine attending: chief complaint: fever, mental status changes major surgical or invasive procedure: none history of present illness: ms. is a 73yo female with pmh significant for cad, pad, cva and dm who is being transferred from the icu. she initially presented on to with fever and confusion. at the osh she was given cetriaxone for questionable pneumonia. on transfer to she was found to be hypotensive with sbp in the 90's and febrile with t~102.8. she had leukocytosis of 15.0 and an elevated lactate of 4.3. she received 4-5l of ns, vancomycin and flagyl in the ed and a lumbar puncture was done which was negative. she was transferred to the icu for sepsis/sirs with no indentifiable source of infection. in the icu her blood pressure quickly stabilized with ivfs. she has remained afebrile since she was transferred from the ed. her antibiotic regimen was changed to levoquin, flagyl, primaquine & clindamycin (for pcp ). per patient she had not been feeling well on the day of admission to the osh. she had an uneasy feeling in her stomach. she admits to an episode of loose stools last friday and then had a large bm yesterday on transfer to the ed. she has not had any more bms since then. she denies any sob, chest pain, dizziness, nausea, vomiting, fevers, or chills at home. she does note that she has not been feeling well overall for the past several months. past medical history: 1)htn 2)hyperlipidemia 3)type 2 dmii, complicated by amyotrophy 4)peripheral arterial disease s/p fem- bypass x2 5)cad s/p mi 6)hypothyroidism 7)h/o cva (left basal ganglia) 8)seizures 9)depression social history: . no smoking or etoh. family history: nc physical exam: vital signs t 98.8 tmax 99.2 bp 134/53 ar 67 rr 18 gen: pleasant female, nad heent: mm dry, perrla heart: distant heart sounds, nl s1/s2, no s3/s4, no m,r,g lungs: ctab, +crackles @ posterior lung bases, good air movement abdomen: soft, diffusely tender, tympanic to percussion, +bs extremities: <1+ bilateral edema, 2+ dp/pt pulses bilaterally neuro: intact to time and place, equal muscle strength in upper and lower extremities pertinent results: laboratory results: 12:20pm blood wbc-15.0*# rbc-3.66* hgb-11.5* hct-34.5* mcv-94 mch-31.6 mchc-33.5 rdw-14.3 plt ct-420 07:05am blood wbc-9.9 rbc-3.55* hgb-11.2* hct-33.1* mcv-93 mch-31.7 mchc-33.9 rdw-14.8 plt ct-378 12:20pm blood pt-11.9 ptt-25.2 inr(pt)-1.0 12:20pm blood glucose-255* urean-48* creat-1.3* na-139 k-4.5 cl-103 hco3-23 angap-18 12:20pm blood alt-19 ast-27 ld(ldh)-380* alkphos-50 amylase-26 totbili-0.1 12:20pm blood totprot-5.2* albumin-2.9* globuln-2.3 calcium-8.0* phos-3.2 mg-1.7 12:20pm blood crp-45.4* relevant imaging: 1)cxray ():increased effusions are noted compared to the prior study with some mild increase in interstitial markings but no new focal consolidation 2)ct scan abdomen & pelvis (): bilateral pleural effusions and atelectasis versus aspiration. interstitial prominence at the lung bases suggestive of pulmonary edema. 3)le doppler (): no evidence of deep venous thrombosis in either lower extremity. 4)echo (): the left atrium is mildly dilated. left ventricular systolic function is hyperdynamic (ef>75%). the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. brief hospital course: ms. is a 74 yo female with mmps as listed above who initially presented with fever and hypotension and met sirs criteria, now being transferred from the icu to the medical floor. 1) hypotension: likely became hypotensive in the context of possible occult infection given her leukocytosis, elevated temperature, and her lactic acidosis. there was no identifiable source of infection. no consolidation on cxray, u/a negative, and blood cultures remained negative during her stay. her blood pressure slowly normalized upon transfer to the medical floor after having received liters of fluid in the icu. anti-hypertensives were initially held but then restarted at time of discharge. 2) fever, leukocytosis: there appears to be no clear source of infection based on the imaging and culture data. given her recent history of loose stools and "uneasy feeling" in her stomach c. diff was entertained. she has also been on steroids for several months and given her elevated ldh and new o2 requirements, pcp was also on the initial differential. he had bilateral pleural effusions on ct scan and was started on levoquin, flagyl, clindamycin, primaquine in the icu. blood cultures remained negative. levoquin and flagyl were continued on the medical floor but flagyl was then stopped. 3) hypoxia: patient found to have new oxygen requirement upon transfer to medical floor. be secondary to atelectasis and bilateral effusions shown on cxray. no evidence of pulmonary edema on cxray and clinical exam. echo was done with no major changes from prior study. she underwent agressive chest pt and was given an incentive spirometer. 4) cad: patient presents with no chest pain or signs of myocardial ischemia on this admission. no new ekg changes. she had not been taking her plavix for 1 week and was initially held on admission for steroid injection she will be receiving on tuesday. she was given one dose in the icu with recommendations to restart after the steroid injection. 5) diabetes: patient on insulin (glargine & regular)at home. she was continued on home regimen but the dose since she was npo. she was restarted on regular regimen at time of discharge. 6)chronic pain: patient has pain in her lower extremities secondary to diabetic amytrophy. given the severity of her pain, the pain service was consulted. she was started on pregabalin and methadone with mild improvement in her symptoms. she was also scheduled for steroid injection but had to be postponed since she had received plavix in the icu. plavix was held for the remainder of her admission until she was seen in the pain clinic as an outpatient. 7) pad: no current issues. s/p fem- bypass x2. 8) cva: no acute cva and neuro exam without focal deficit 9) seizure: ct keppra and topamax 10) hypothyroid: ct outpatient regimen of synthroid 11)depression: ct outpatient regimen of seroquel medications on admission: medications at home: hydrochlorothiazide 25 mg tablet daily levetiracetam 1000 mg po bid topiramate 50 mg tablet po qhs quetiapine 25 mg po qhs metoprolol succinate 100 mg tablet sustained release daily citalopram 30 mg po qam aspirin 81 mg tablet pantoprazole 40 mg po q12h (every 12 hours). nifedipine 30 mg tablet sustained release po daily levothyroxine 37.25 mcg po prednisone 30 mg daily docusate sodium 100 mg po bid acetaminophen 1000 mg po q8h nortriptyline 25 mg capsule senna bisacodyl 5 mg tablet methadone 15 mg po q8h insulin regular human glargine 15u sq qnoon medications on transfer: levofloxacin 750 mg iv daily metronidazole 500 mg iv q8h aspirin 81 mg po daily methadone hcl 10 mg po tid clindamycin 600 mg iv q8h metoprolol 25 mg po tid dolasetron mesylate 12.5 mg iv q8h:prn pantoprazole 40 mg po q12h prednisone 30 mg po daily heparin 5000 unit sc q8h primaquine 30 mg po daily insulin sc sliding scale quetiapine fumarate 25 mg po hs levetiracetam 500 mg po bid topiramate 50 mg po hs levothyroxine sodium 37.5 mcg po daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. topiramate 25 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 4. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 5. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. levothyroxine 25 mcg tablet sig: 1.5 tablets po daily (daily). disp:*60 tablet(s)* refills:*2* 8. methadone 10 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 9. pregabalin 25 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). disp:*60 capsule(s)* refills:*0* 10. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. prednisone 10 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*0* 12. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 13. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 14. celexa 20 mg tablet sig: 1.5 tablets po qam. disp:*30 tablet(s)* refills:*1* 15. bisacodyl 5 mg tablet sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 16. insulin glargine 100 unit/ml cartridge sig: six (6) units subcutaneous in the morning. disp:*1 cartridge* refills:*2* 17. humalog insulin sliding scale please use as directed (please see attached) discharge disposition: home with service facility: gentiva discharge diagnosis: primary diagnoses: 1)fever 2)hypotension 3)type 2 diabetes 4)peripheral vascular disease secondary diagnoses: 1)seizure history 2)hypothyroidism 3)depression discharge condition: stable discharge instructions: 1)please take all medications as listed in the discharge instructions. please note that some changes have been made to your medications. 2)please do not take your plavix until you have undergone the steroid injection on tuesday. please resume plavix the day after the injection. 3)you are currently on daily steroids. please talk with your primary care physician regarding stopping your steroids once you have received the steroid injection next week. 4)you are scheduled with the nurse practitioner and pain clinic next week. please see below for date and times of your appointments. 5)if you experience any chest pain, sob, dizziness or any other concerning symptoms please return to the emergency department. followup instructions: 1)provider: 4 pain management center date/time: 11:00 2)provider: , : date/time: 11:10 3)provider: . phone: date/time: 3:30 procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia unspecified acquired hypothyroidism other convulsions depressive disorder, not elsewhere classified sepsis other and unspecified hyperlipidemia hypotension, unspecified personal history of other diseases of circulatory system old myocardial infarction hypoxemia atherosclerosis of native arteries of the extremities, unspecified diverticulosis of colon (without mention of hemorrhage) myasthenic syndromes in diseases classified elsewhere diabetes with neurological manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to