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: penicillins / iodine; iodine containing attending: chief complaint: nausea, vomiting, abd pain major surgical or invasive procedure: ir guided gj tube placement on with repositioning by ir on right femoral line placed bronchoscopy history of present illness: 37 yo woman w/pmhx sx for dm1 complicated by gastroparesis p/w abdominal pain, nausea, vomiting, diarrhea. patient has a longstanding history of gastroparesis, and in the past has required placement of j tube for feedings. she has been having increasing frequency of her gastroparesis flares over the past several months, and now presents with nausea/vomiting/diarrhea since yesterday morning. she states that there are no clear triggers to her symptoms. she checked her bs at the time and it was 500. she took some compazine, gave herself insulin, and then back back to bed, and then when she woke back up, her blood sugar was 33. she drank some oj, went back to lie down, and when she woke up again her blood sugar was 555. since she wasn't tolerating pos, she presented to the ed for evaluation. she notes chills, no fevers. her weight has been relatively stable. she denies dysuria. she also notes loose stools, up to 7x in past day, without blood, which she gets with her gastroparesis flares. she was recently admitted and discharged from hospital with her symptoms last wednesday. there she was hospitalized in the icu. . in the ed, she received zofran, reglan, dilaudid, and morphine for pain. a ua was checked and was negative for infection. . ros: -constitutional: wnl weight loss fatigue/malaise fever chills/rigors nightweats anorexia -eyes: wnl blurry vision diplopia loss of vision photophobia -ent: wnl dry mouth oral ulcers bleeding gums/nose tinnitus sinus pain sore throat -cardiac: wnl chest pain palpitations le edema orthopnea/pnd doe -respiratory: wnl sob pleuritic pain hemoptysis cough -gastrointestinal: wnl nausea vomiting abdominal pain abdominal swelling diarrhea constipation hematemesis hematochezia melena -heme/lymph: wnl bleeding bruising lymphadenopathy -gu: wnl incontinence/retention dysuria hematuria discharge menorrhagia -skin: wnl rash pruritus -endocrine: wnl change in skin/hair loss of energy heat/cold intolerance -musculoskeletal: wnl myalgias arthralgias back pain -neurological: wnl numbness of extremities weakness of extremities parasthesias dizziness/lightheaded vertigo confusion headache -psychiatric: wnl depression suicidal ideation -allergy/immunological: wnl seasonal allergies past medical history: gastroparesis; s/p j tube placement and removal dm1, c/b gastropathy, nephropathy, neuropathy, and dka chronic renal insufficiency hx dvts depression peripheral neuropathy social history: no alcohol, drugs or smoking. physical exam: vs: 98.0 bp 146/92 hr 104 rr 20 o2sat 99% ra gen: thin appearing female, in mild distress from pain heent:mmm dry. no oral ulcers. hrt: tachycardic. no murmurs or rubs. lungs: ctab no rrw. back no cvat abd: soft, mildly tender in epigastrium, normoactive bowel sounds. ext: warm. 2+ pulses. 2+ edema at ankles. neuro: decreased sensation to lt past knees bilaterally. strength normal. sensation in ue intact. aox3. pertinent results: hapto, fibrinogen wnl lfts wnl, albumin 2.2 : fena 0.2%, feurea 21% . hga1c 8.0 . ua : 100 pro, few le, 9wbc, few bacteria, 5 epi, 17 hyaline casts ucx negative . cxr : impression: 1. new, diffuse, bilateral opacities suggesting some interstitial edema and possible early multifocal pneumonia/aspiration. 2. decrease in pneumoperitoneum. . . cxr pa/lat : b/l bases with consolidation in setting of elevated diaphragm/pneumoperitoneum more likely atx rather than pna, tiny b/l pleural effusions, increased on r side . . cxr : 1) small bilateral pleural effusions, unchanged since previous study. 2) slight interval decrease in size of pneumoperitoneum . ct noncontrast a/p: diffuse pneumoperitineum and air in the gastrohepatic ligament is most likely post operative. last surgery was 2 days ago. no other acute pathology inthe abd and pelvis. no hematoma. j-g are in plce. bilat pleural effusion. atelectasis at the bases. anasarca. brief hospital course: 37 year-old female with poorly-controlled diabetes mellitus type i and known severe gastroparesis presented with abdominal pain, nausea, and vomiting. on presentation, gi was consulted and gj tube was placed on for decompression and initiation of tubefeeding. on the night of the patient was noted to have severe pain. ct scan of the abdomen showed intussusception of her duodenum into her stomach, with gastric outlet obstruction. an ng tube was placed with 1300 cc of bilious output, and ir was notified to emergently reposition the tube. she was taken for fluorscopy again on with repositioning of the tube. this alleviated her acute pain, and she remained on ng tube to suction for 24 more hours. tubefeeding was started on , which she tolerated well. she was treated with ivf, zofran, compazine, ativan, reglan for nausea. her reglan was titrated down and compazine was discontinued to avoid dyskinesias. she underwent egd with duodenal biopsies, antral biopsies, and jejunal biopsies, which were all negative for sprue or other abnormalities. egd showed esophagitis. her protonix was increased to twice daily, and she was started on sucralfate. hospital course was also complicated by c difficile colitis, diagnosed on and treated with flagyl and later vancomycin. on the general medicine floor patient was also found to have bandemia and low grade fever. also with acute renal failure, with creatinine up from baseline of 0.9 to 1.5 on , and delirium, thought to be secondary to dehydration, opiates, fatigue, acute renal failure, c diff infection. patient was transferred to icu due to respiratory distress and hypoxia. she was found to have a large a-a gradient (>500) in the setting of a multifocal process on cxr. initially leukocytosis and chills but no fevers. given that blood transfusion was give prior to the onset of respiratory distress, patient was initially suspected to have trali. in the icu respiratory distress increased requiring mechanical ventilation on . trali was thought to be less likely as time course was not typical. more likely etiology was suspected to be aspiration with resultant chemical pneumonitis given severe gastroparesis; tube feeds were stopped. bronchoscopy with bal was performed and unrevealing. over time experienced increased difficulty with oxygenation; fio2 and peep increased, and eventually patient was paralyzed due to dysynchrony on ventilator. also became hypotensive require pressors. question of autonomic instability versus sepsis, although no clear infectious etiology was found. stim test was normal. patient was intermittently on vancomycin, levofloxacin, and meropenem. on , after several discussions between medical team and family, decision was made to withdraw care. mechanical ventilation was stopped, and patient expired soon after. medications on admission: all: pcn, iv contrast dye. . prozac 80 mg qd trazadone 50 mg qhs lantus 25 u qhs, regular ss compazine 25 mg pr seroquel 600 mg qd mirtazipine 7.5 mg qhs lorazepam 0.5 tab prn discharge disposition: home with service facility: discharge diagnosis: patient expired on . . ards hypotension diabetic gastroparesis malnutrition diabetes mellitus type i , uncontrolled, with complications discharge condition: expired md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube other bronchoscopy other bronchoscopy arterial catheterization other gastroenterostomy without gastrectomy transfusion of packed cells closed [endoscopic] biopsy of small intestine diagnoses: acidosis other iatrogenic hypotension nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere pure hypercholesterolemia acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified unspecified protein-calorie malnutrition hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified polyneuropathy in diabetes chronic kidney disease, unspecified disorders of phosphorus metabolism long-term (current) use of insulin intestinal infection due to clostridium difficile iron deficiency anemia, unspecified hypoxemia diarrhea dehydration bipolar disorder, unspecified unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure leukocytosis, unspecified diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with renal manifestations, type i [juvenile type], uncontrolled gastroparesis mechanical complication of gastrostomy diabetes with other specified manifestations, type i [juvenile type], uncontrolled acquired hypertrophic pyloric stenosis bandemia absence of menstruation 

Answer: The patient is high likely exposed to