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: aspirin / penicillins / sulfonamides / biaxin / levaquin / cefzil / motrin / erythromycin base attending: chief complaint: abdominal pain major surgical or invasive procedure: intubation & mechanical ventilation central venous line placement x 2 picc line placement hemodialysis catheter placement cvvh radial a-line placement paracentesis tracheostomy bronchoscopy history of present illness: 42 y/o lady with cvid, hepc, type 1 dm, distant ibd > 20 yrs ago last flare, recent cryptospordial infection presented to osh with worsening abdominal pain, nausea and vomitting. she was recently discharged on after admission with severe pancolitis and small ileocolic intussiception wihtout evidence of obstruction. the surgical service was consulted but saw no acute indication for surgery and followed the patient with serial abdominal exams. initially she was placed on vancomycin, cefepime and flagyl which was then changed to flagyl only to complete a two week course. she was also found to have strep pneumo in her bcx on , unclear source. she was asked to be on iv ceftriaxone for a 14 day course per id recommendation. her peritoneal tap showed 1500 wbc, 850 rbc, 27% poly and 70% macro. gram stain and culture were negative. acid fast smear was negative but culture is pending. her stool studies have been negative. patient went to osh with abdominal pain, nausea and vomitting. patient received vancomycin there per verbal signout. in ed her vitals were t 101.8 (r), hr 113 bp 85/52 rr 38 97% ra. her sbp improved to ? 150s with ivf. she received 6.5 l of ns in total in ed. patient was agitated and not oriented. she was intubated so that further workup could be done. she received fentanyl, etomidate, succinyl choline, and versed in ed. she also received 2 gram of cetriaxone, 2 gram of ampicillin and 4.5 gram of zosyn. patient also received acetaminophen and lactulose in ed. past medical history: 1) type 1 diabetes: followed by , difficult to control. frequent admissions for ams from hypoglycemia. 2) common variable immuno-deficiency: treated with ivig q2 weeks, last ?? at . assoc w/ recurrent infections - multiple pneumonias, recurrent utis. 3) h/o aseptic meningitis 4) asthma 5) cbp ?? 6) chronic hcv: dx 11/. most recent vl 7,980,000 iu/ml. bx showed significant fibrosis but no cirrhosis. followed by dr. . also w/ portal hypertension, sbp on last admission. 7) cryptosporidium: followed by dr. in id. dx , started on nitazoxanide until , then changed to flagyl. 8) ? inflammatory bowel disease (uc): dx , tx w/ prednisone x3 years, then stopped. only other episode ~, not currently on any treatment. 9) migraine headaches 10) anxiety / depression 11) h/o cocaine abuse, reported tox screen positive in 12) s/p ccy 13) s/p lap appy 14) s/p c-section 15) carpal tunnel syndrome s/p surgery on right hand social history: lives with fiancee and daughter, smokes pack per day, denies any alcohol since , formerly used iv drugs but none since . family history: no family history of diabetes. multiple family members with anemia. mother has hypercholesterolemia and diverticular disease, father has peripheral vascular disease. physical exam: gen: intubated and sedated heent: perrl, mmm, ot tube in place heart: s1s2 rrr, ii/vi midpeaking systolic murmur in rusb>lusb lungs: ctab in anterior lung fields abdomen: hypoactive bs, soft, mildly distended ext: warm, + ble pitting edema neuro: limited by sedation pertinent results: 06:31am plt count-173 06:31am calcium-7.9* phosphate-2.4* magnesium-1.5* 06:31am alt(sgpt)-111* ast(sgot)-260* ld(ldh)-299* alk phos-229* tot bili-2.7* 12:43pm ptt-106.3* 06:31am wbc-8.9 rbc-2.96* hgb-9.6* hct-28.5* mcv-96 mch-32.5* mchc-33.7 rdw-18.5* 06:31am wbc-8.9 rbc-2.96* hgb-9.6* hct-28.5* mcv-96 mch-32.5* mchc-33.7 rdw-18.5* 09:15pm plt count-184 12:43pm ptt-106.3* 06:31am alt(sgpt)-111* ast(sgot)-260* ld(ldh)-299* alk phos-229* tot bili-2.7* 06:31am calcium-7.9* phosphate-2.4* magnesium-1.5* brief hospital course: 42 y/o lady with cvid, hepc, type 1 dm who presented with abdominal pain, nausea and vomitting. # sepsis: upon arrival to the micu, she was hypotensive and required three pressors. in the setting of severe sepsis, she was given xigris. it was discontinued after 24 hours due to a prolonged ptt > 150. id was consulted. she was given igg in the setting of her known cvid. she was initally treated with vancomycin and meropenem as broad-spectrum coverage. vancomycin was changed to linezolid given history of vre, but then discontinued a few days later after cultures negative. she received igg given her underlying cvid. patient gradually improved and pressors were weaned to levophed and vasopressin. she was treated with a 7-day course of meropenem for a ? of rll pneumonia. she was treated for c. diff with po and pr vancomycin as well as iv flagyl. all micro data at our institution remained ngtd, but positive c. diff toxin was reported by osh. pressors were weaned off. repeated imaging of the abdomen revealed stable bowel wall thickening, no pneumotosis. tube feeds were attempted on multiple occasions but failed due to high residuals. # respiratory failure: patient was intubated in the setting of sepsis and subsequently developed ards. she initially required paralysis to maintain ventilator synchrony, as well as frequent recruitment maneuvers. an esophageal balloon was placed due to high peep requirement. a tracheostomy was performed at bedside on intubation day #4. patient was eventually transitioned to pressure support with gradual reduction of fentanyl and versed. # acute renal failure: patient developed a metabolic acidosis with worsening renal function, rising creatinine, and oliguria on ~. etiology of arf was felt to be atn in the setting of sepsis and hypotension. renal was consulted for urgent initiation of cvvh. acidemia was corrected with cvvh, and urine output eventually resumed. cvvh was continued, with vasopressin, to remove ~ 20 liters of fluid which patient retained following her resuscitation. hd catheter was successfully removed on with stable urine output and creatinine back to patient's baseline ~0.8. pt resumed cvvh on for rising bun and concern for uremia. # thrombocytopenia: platelets nadired to ~ 20k. hematology was consulted. low fibrinogen, elevated inr, and thrombocytopenia were suggestive of dic in the setting of sepsis vs. underlying liver disease. fibrinogen 173 at time of admission; thus fibrinogen nadir at ~100 represented a drop from baseline. hit antibody negative. drug-induced thrombocytopenia is also a consideration with possible offending agents including linezolid, ppi, caspofungin. ttp-hus less likely given lack of microangiopathic findings on the peripheral blood smear. patient was transfused 2 units platelets in preparation for a procedure and subsequently platelet count remained > 100k and upward trending. . # anemia: patient received multple blood transfusions periodically to maintain hematocrit > 25. hemolysis labs reflected a low haptoglobin, elevated ldh, though no schistocytes are apparent on peripheral blood smear, making ttp unlikely. blood loss was associated with mucosal oozing as above, given probable dic. direct coombs antibody negative. # type i diabetes: patient initially presented with dka in the setting of sepsis. she was treated with an insulin gtt. the insulin gtt was then discontinued and anion gap reopened at the same time patient developed a metabolic acidosis. insulin gtt was then restarted with d10 infusion as glucoses were in the target 100-150 range. eventually insulin infusion was transitioned to continuous infusion in tpn. glucoses were noted to be labile. # line infection: on , patient developed fevers, hypotension, and tachycardia. her cvl, picc, and hd catheter were all discontinued and patient was pan-cultured. hd catheter tip culture grew vre, although this organism was never isolated from blood cultures. patient was treated with a 14-day course of daptomycin (day 1 = ). . after extensive discussions with the family patient and no improvement in mental status alongside multi organ failure the decision wa made to transition care to comfort measures and the patient subsequently expired. medications on admission: cholestyramine-aspartame 4g tid clotrimazole troches lantus discharge medications: none discharge disposition: expired discharge diagnosis: clostridium difficile sepsis acute renal failure diabetic ketoacidosis thrombocytopenia anemia cirrhosis discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus injection or infusion of immunoglobulin infusion of drotrecogin alfa (activated) diagnoses: anemia, unspecified pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified cirrhosis of liver without mention of alcohol acute and subacute necrosis of liver chronic hepatitis c with hepatic coma severe sepsis atrial fibrillation asthma, unspecified type, unspecified cocaine abuse, unspecified acute respiratory failure defibrination syndrome pneumonitis due to inhalation of food or vomitus septic shock intestinal infection due to clostridium difficile other ascites infection and inflammatory reaction due to other vascular device, implant, and graft pneumococcal septicemia [streptococcus pneumoniae septicemia] ulcerative colitis, unspecified ventilator associated pneumonia diabetes with ketoacidosis, type i [juvenile type], uncontrolled other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms common variable immunodeficiency 

Answer: The patient is high likely exposed to