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: ms. is a pleasant 55-year-old female who was transferred from the , and was admitted directly to the intensive care unit on . the patient has a history of hypertension and diabetes who had a recent abdominal ventral hernia repair on for incarcerated bowel. she did well until postoperative day #6 when she developed some chest pain and dyspnea. at that time, there was a concern for a pulmonary embolism, and she was started on iv heparin. the patient was transferred directly to the micu of the . she was scheduled to get a ct angiogram to rule out pulmonary embolism, but given the fact that she had a depressed creatinine clearance and the presence of only one kidney that was held off at only one time. in addition, she received an echocardiogram that revealed no rv strain, and lower extremity noninvasive studies were also done that was negative for a clot. patient also had a swan-ganz catheter placed that was found to be consistent with septic physiology, and so it was concluded at that time that she most likely has a septic shock rather than a pulmonary embolus. the patient had a colonoscopy while she was in the intensive care unit, and it was found that she had pseudomembranous colitis. at that time, she was started on po vancomycin and iv flagyl. in addition, the patient also complained of some abdominal distention and was found to have an ileus, and so all po were held, and picc line was placed, and the patient was started on tpn. the only po she received was medications, more specifically to help clear up her pseudomembranous colitis. the patient was intubated for hypoxia and respiratory distress and was extubated on . before being transferred to the floor, the patient was aggressively diuresed with a goal of liters negative by receiving iv lasix since she received excessive amounts of fluid when she initially presented and was hypotensive. past medical history: 1. diabetes. 2. hypertension. 3. asthma. 4. gastroesophageal reflux disease. 5. morbid obesity. 6. depression. 7. status post left nephrectomy. medications: 1. lasix 40 mg po q day. 2. zestril 5 mg po q day. 3. neurontin 400 mg po q am and 800 mg po q pm. 4. elavil 30 mg po q day. 5. azmacort prn. 6. glucophage 500 mg po q day. allergies: 1. cephalexin. 2. erythromycin. 3. bactrim. 4. sulfa. 5. glycerin. physical exam on admissions: vital signs: temperature is 98.7, pulse 104, blood pressure 153/68, respiratory rate 24, and o2 saturation 99% on 4 liters. general: the patient was comfortable, sitting on chair, in no acute distress. lungs: decreased breath sounds bilateral bases with some rhonchi. heart: s1, s2 regular, rate, and rhythm with tachycardia. no murmurs, rubs, or gallops heard. abdomen is soft, obese, distended, some bowel sounds. extremities: + upper and lower extremity edema. laboratories on admission to the floor: white count 12.9, hematocrit 31.9, platelets 334. sodium 140, potassium 3.8, chloride 102, bicarb 24, bun 17, creatinine 0.7, glucose 242, calcium 8.4, magnesium 1.8, phosphorus 3.5. hospital course: the patient is a 55-year-old female who was recently transferred out of medical intensive care unit after presenting there from an outside hospital for hypoxia, hypotension, concern for pulmonary embolus, and was found to be in septic shock secondary to pseudomembranous colitis. the patient was started on iv flagyl and po vancomycin and was extubated on . the patient is doing well at this time. 1. pseudomembranous colitis: the patient is currently on flagyl 500 mg po tid and vancomycin 125 mg po qid. the case was discussed with the id team, who recommended that given the patient's history of pseudomembranous colitis, and the fact that she is still having some diarrhea, although her clostridium difficile toxin is negative, it would be reasonable to continue treatment for a total of two weeks with her antibiotics. the patient is going to be discharged from the hospital to an acute rehab with two weeks additional course of both flagyl and vancomycin. 2. hypoxia: the patient most likely has hypoxia secondary to a combination of atelectasis along with congestive heart failure. this patient received aggressive fluids in the unit for resuscitation. the patient has been receiving aggressive iv lasix, and the patient has been diuresing about 1-1.5 liters everyday, and her breathing substantially improved. on the day of discharge, the patient's o2 saturation was anywhere between 94-98% on liters with a nasal cannula. in addition, the concern for pulmonary embolus was very minimal, and was more consistent with atelectasis. the patient was continuing getting albuterol and atrovent inhalers along with chest pt and incentive spirometry, and was often encouraged to move out of bed to the chair, and the patient's breathing improved tremendously. 3. hypertension: patient was consistently hypertensive during the hospital course, and so was started on captopril 25 mg po tid, and was titrated upwards to 100 mg po tid. at day of discharge, the patient's blood pressure remained stable with a systolic blood pressure in the range of 120-140s. the patient was currently on 100 mg po tid. 4. renal: the patient is status post left nephrectomy and was in acute renal failure in presentation, but most likely in the setting of prerenal since the patient was dry and hypertensive. after receiving aggressive iv fluids, the patient's creatinine is now back to baseline, and on the day of discharge, the patient's creatinine was 0.6. 5. diabetes: patient was being covered with regular sliding scale insulin while in hospital with fingersticks qid. the patient is to continue getting the same while in rehabilitation because switching over to her po glucophage 500 mg po q day. this will be done at the rehabilitation prior to her discharge to home. 6. fen: patient had an ileus while in the medical intensive care unit, and so the patient was kept npo, and received nutrition through her picc line. the patient received tpn, but as patient's symptoms improved and was starting to pass gas, the patient's diet was advanced. she was initially started on clear liquids followed by full liquids, and the day prior to discharge, the patient was started on a bland low residual diet which she tolerated well. at that time it was decided it would be reasonable to stop the tpn. the patient was tolerating full po. discharge diagnoses: 1. pseudomembranous colitis. 2. hypertension. 3. atelectasis. 4. diabetes. 5. asthma. 6. gastroesophageal reflux disease. discharge medications: 1. regular sliding scale insulin. 2. albuterol 1-2 puffs q4-6h prn. 3. flovent two puffs . 4. salmeterol 1-2 puffs . 5. trazodone 25 mg po q hs prn. 6. tylenol 325-650 mg po q4-6h prn. 7. protonix 40 mg po q day. 8. vancomycin 125 mg po q6h. 9. flagyl 500 mg po tid. 10. captopril 100 mg po tid. 11. lasix 40 mg po q day. 12. miconazole powder applied prn to effected area. discharge status: the patient is stable at time of discharge, and is being discharged to an extended care facility. followup: the patient is to followup with her primary care physician weeks after discharge from the extended care facility. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances colonoscopy diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia pulmonary collapse acute respiratory failure other shock without mention of trauma intestinal infection due to clostridium difficile paralytic ileus 

Answer: The patient is high likely exposed to