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: codeine / morphine attending: chief complaint: transfer given power failure. major surgical or invasive procedure: lumbar puncture on , tolerated the procedure well. history of present illness: ms. is an 82 year-old female initially admitted to an osh on with mental status change in the setting of hyponatremia and hypertension who is now being transferred to given a power failure at the osh. . note: the following history was obtained via discussions with the transferring attending. . initially presented to an osh on with mental status change. found to be hypertensive (220/60) with a sodium of 118. also noted to have an inr of 7.0. course was complicated by respiratory failrue requiring intubation on . subsequently extubated on . now on bipap at night (15/5 with fio2 0.40). also noted to be c.diff positive and was started on po vancomycin. covering attending at osh also reports that the patient was on iv vancomycin but she is unsure for what reason. . given a power failure at the osh, patient was transferred for further care. . at the time of discharge patient's weight was 158.5 lbs, her dry weight. . in speaking with the husband, he reports that two days prior to admission to the osh the patient fell. it does not appear that she hit her head. the following day she had problesm getting to the bathroom and would loose her stool while urinating. two days after falling her she was disoriented; this prompted the husband to . . past medical history: 1. coronary artery disease - status post stent in - status post cabg x5 (): lima->lad; svg->pda; sequential->pl; svg->om and diag 2. hyperlipidemia 3. diabetes mellitus 4. chronic kidney dissease: baseline scr 2.0 5. atrial fibrillation 6. history of deep vein thrombosis times two in the right lower extremity, status post venous ligation with veins left in situ by report. 7. status post cholecystectomy. 8. arthritis in both knees, status post steroid injections. 9. hard of hearing . family history: nc. physical exam: vitals - t 99.6, bp 166/46, hr 87, rr 30, o2 99% on nrb then 98% on hi-flow fm with fio2 of 0.6. weight 75.6kg gen - sleeping but arousable. not very interactive, but responds to name. heent - jvp elevated at 8-9cm while sitting 45 degrees. large neck. ng in place. cv - regular. no murmurs. pulm - rales noted 3/4 up bilaterally. abd - soft and mildly distended. non-tender. ext - warm with boots on. mild edema. neuro - sleepy but arousable. not cooperative with exam. . pertinent results: ---osh--- . 138 91 59 ----------- 206 4.6 37 2.0 . ca 9.0 . wbc: 18.6 hct: 29.7; mcv 83 plt: 606 . inr: 1.8 . ---admission--- . 140 92 58 ------------ 249 4.5 35 1.8 . ca: 9.5 mg: 2.4 p: 4.0 . wbc: 19.5 hct: 34.4 plt: 709 n:85.2 l:6.9 m:4.7 e:2.9 bas:0.4 pt: 18.8 ptt: 28.8 inr: 1.8 . cxr :cardiac size is top normal. bilateral pleural effusions are small on the left and moderate on the right. there is no pneumothorax. there is mild interstitial pulmonary edema. patient is post median sternotomy. ng tube tip is out of view below the diafragm. . ct head w/o contrast: no intracranial hemorrhage. paranasal sinus and left mastoid abnormalities seen as described above, in part post-surgical in origin. . tte: the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. the estimated right atrial pressure is 11-15mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). there is no ventricular septal defect. 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. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is a trivial/physiologic pericardial effusion. impression: normal lv systolic funciton. . mri/mra head : 1. no acute infarcts or signal abnormalities suggestive of osmotic demyelination. 2. mild generalized atrophy. 3. short segment stenoses of the a1 segment of the left aca and the right mca bifurcation, which likely represent atherosclerotic changes. . eeg : abnormal portable eeg due to the slow and disorganized background and bursts of generalized slowing. these findings indicate a widespread encephalopathy affecting both cortical and subcortical structures. medications, metabolic disturbances, and infection are among the most common causes. there were no areas of prominent focal slowing, but encephalopathies may obscure focal findings. there were no clearly epileptiform features brief hospital course: micu course: 82 year-old female with a history of cad, ckd, dm, afib who presented to an osh with mental status change in the setting of hyponatremia and hypertension who is now transferred to the after a power failure at the osh. . 1. mental status change: lp, mri without causation. pt is responsive, answering name and answering "in hospital" when asked orienting questions. eeg with diffuse encephalopathy. neurology team at felt that the decreased mental status is likely due to hypoxic damage in the septic, peri-intubation period. 2. respiratory failure: currently saturating well at 95% on face tent receiving fio2 35%. per sign-out from osh, patient was intubated from - with respiratory failure. appeared volume overloaded on admission. at pt has been diuresed about 500cc per day requiring lasix 120 mg iv bid. at most recent cxr , pleural effusions resolved, pt still has mild interstitial edema. wt today is 171 lbs. pt has also been responding to blood pressure control and aldactone. 3. c.difficile colitis: completed course of oral/pr vancomycin at and through . c. difficile negative x 3 here at . 4. atrial fibrillation: pt currently in sinus rhythm. continue beta blocker and coumadin. she is currently on coumadin 2 mg po daily for past 2 day (previously held) needs at least qod inrs 5. aspiration risk: due to decreased mental status. will need re-eval and feeding by ng tube until then. 6. chronic kidney disease: baseline creatinine 1.8. currenly at this baseline. 7. diabetes: on extremely high dose of lantus with januvia. please start januvia if available at rehab and if so be sure to titrate lantus dose - will likely need less. 8. heel wounds: please see attached wound care recs. code status is dnr/dni per family. medications on admission: (osh): 1. labetolol 300mg 2. norvasc 10mg daily 3. aldactone 100mg tid 4. diamox 250mg tid 5. bumex 5mg iv prn for weight (last given on ) 6. lipitor 40mg daily 7. imdur 60mg daily 8. coumadin 5mg 9. lantus 100 units qam + riss 10. januvia 100mg daily 11. iron iv 62.5mg daily 12. procrit 20,000 units weekly (last time ) 13. mag oxide 400mg daily 14. rocaltrol 0.5mcg daily 15. protonix 40mg daily 16. lovenox 1mg/kg 17. vancomycin 125mg po qid 18. vancomycin 1gram iv q36 hours discharge medications: 1. labetalol 300 mg tablet : one (1) tablet po bid (2 times a day). 2. atorvastatin 40 mg tablet : one (1) tablet po daily (daily). 3. warfarin 2 mg tablet : one (1) tablet po daily16 (once daily at 16). 4. ipratropium bromide 0.02 % solution : one (1) treatment inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 5. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. aldactone 100 mg tablet : one (1) tablet po once a day. 8. hydralazine 25 mg tablet : one (1) tablet po three times a day. 9. thiamine hcl 100 mg tablet : one (1) tablet po daily (daily). 10. furosemide 120 mg iv bid 11. calcitriol 0.25 mcg capsule : one (1) capsule po daily (daily). 12. insulin please see attached list: pt will receive insulin lantus in am and sliding scale throughout day. 13. januvia 100 mg tablet : one (1) tablet po once a day: qpm. discharge disposition: extended care facility: @ hospital discharge diagnosis: pneumonia c diff colitis (treated) acute on chronic diastolic heart failure hypoxic brain damage discharge condition: requires 35%fio2 by face mask to maintain o2 sat > 92%. on tube feeds. when asked name answers correctly '.' otherwise little communication. discharge instructions: return to er with shortnes of breath, increased oxygen saturation requirements, or other concerning symptoms. please check potassium and creatinine daily while on iv lasix. keep strict account of ins/outs with goal even to negative 500cc per day for next several days. please check inr qod for goal inr for atrial fibrillation. followup instructions: please follow up with neurology clinic within one month. call to make appointment. md procedure: spinal tap incision of lung enteral infusion of concentrated nutritional substances diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery unspecified pleural effusion congestive heart failure, unspecified atrial fibrillation acute on chronic diastolic heart failure aortocoronary bypass status percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia anoxic brain damage alkalosis intestinal infection due to clostridium difficile long-term (current) use of anticoagulants other encephalopathy diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled chronic respiratory failure 

Answer: The patient is high likely exposed to