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: patient recorded as having no known allergies to drugs attending: chief complaint: hypotensive and stent fallen out of ostomy major surgical or invasive procedure: sunday, colonoscopy history of present illness: 60 year old female who is well known to our service status post left colostomy and sigmoid resection on . she had a prolonged hospitalization complicated by renal failure, ostomy retraction and wound infection. she was discharged to rehab on . she presents with episodes of hypotension and syncopal events and the colostomy stent falling out on . the colostomy stent was pulled out on when she was changing the ostomy appliance. she was told to come in to get it replaced on the but she could not due to previous obligations. she left the rehab due her mother being critically ill on . she has also had a couple of episodes of passing out. she says that she never has any loss of consciousness but her son is responsibly concerned. she denies any nausea or vomiting. denies fever, chills or night sweats. she has a wound vac in place over her midline incision. she has had no ostomy output since the . she has not urinated since the night prior to admission. past medical history: pmhx: htn, chronic back pain, morbid obesity, chronic constipation narcotics, immobility secondary to degenerative disk disease resulting in weak (l)le. . pshx: multi-level laminectomy and followed by fusion, repair of large incarcerated ventral hernia with mesh sublay complicated by wound infection requiring incision and drainage, debridement and vac placement , pilonidal cyst excision complicated by persistent drainage , tubal ligation. social history: widow. 45 pack-year smoking history. quit smoking one year ago. denies alcohol or illicit substance use. family history: non-contributory. physical exam: vital signs: t 96.2 hr 82 bp 94/57 rr 18 o2 sat 100% ra general: no acute distress neuro: awake, alert, cooperative with exam, normal affect, oriented to person, place and date. lungs: clear to auscultation bilaterally cardiac: regular rate and rhythm, s1/s2 abdomen: soft, nondistended, minimally and diffusely tender, ostomy is retracted with fibrinous exudate, able to pass finger through ostomy and feel stool which is brown. midline incision had a wound vac in place which was removed with no evidence in infection, some fibrinous material with good granulation tissue. rectal: normal tone, no gross blood, with incision of on old pilonidal which had good granulation tissue. pertinent results: 07:00pm blood wbc-10.7 rbc-2.84* hgb-8.3* hct-26.3* mcv-93 mch-29.2 mchc-31.6 rdw-14.6 plt ct-495* 03:46am blood wbc-11.1* rbc-2.74* hgb-8.0* hct-24.7* mcv-90 mch-29.1 mchc-32.3 rdw-14.5 plt ct-484* 02:31am blood wbc-7.8 rbc-2.64* hgb-7.8* hct-24.1* mcv-91 mch-29.7 mchc-32.6 rdw-14.4 plt ct-415 07:00am blood wbc-11.3* rbc-2.96* hgb-8.6* hct-27.6* mcv-93 mch-29.1 mchc-31.2 rdw-14.2 plt ct-440 07:00pm blood pt-14.4* ptt-30.9 inr(pt)-1.2* 02:52am blood pt-15.3* ptt-32.2 inr(pt)-1.3* 03:04am blood plt ct-515* 07:00am blood plt ct-440 03:42pm blood glucose-146* urean-37* creat-2.8*# na-138 k-3.8 cl-105 hco3-20* angap-17 05:00pm blood glucose-143* urean-28* creat-1.7* na-138 k-3.5 cl-105 hco3-24 angap-13 03:20am blood glucose-95 urean-18 creat-1.1 na-143 k-3.7 cl-106 hco3-27 angap-14 02:31am blood glucose-91 urean-15 creat-1.1 na-141 k-3.4 cl-105 hco3-30 angap-9 03:04am blood vanco-9.3* 03:20am blood vanco-30.2* 06:32am blood vanco-24.6* 03:19am blood type-art temp-37 po2-76* pco2-41 ph-7.24* caltco2-18* base xs--9 intubat-not intuba 05:24pm blood type-art po2-76* pco2-36 ph-7.42 caltco2-24 base xs-0 intubat-not intuba 6:40 pm blood culture **final report ** blood culture, routine (final ): no growth. 10:25 pm urine site: catheter **final report ** urine culture (final ): no growth. 7:44 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. brief hospital course: patient was admitted to the sicu for hypotension. she required levophed for a matter of days to maintain normal maps. the pressors were able to be weaned over the matter of days. during this time she received substantial fluid resuscitation. she developed non-oliguric renal failure. renal team was following, was unclear of the etiology but believed it may have been a combination of pre-renal azotemia from dehydration and malnutrition, as well as some type of rta or interstitial nephritis, possibly from large doses of nsaids. her renal failure resolved by the time of transfer to the floor. she was tolerating a regular diet and her ostomy output began to improve with mag citrate and a bowel regimen. she also was noted to have a lesion on her right calf, that appeared to be a pressure ulcer of some sort with some blood under the skin, with a small area of necrotic tissue presumably from pressure necrosis. this was managed conservatively. she had some cellulitis which did resolve with antibiotics, but it was not believed that the patients septic physiology was due to this. it was still unclear what caused her septic physiology, but it did improve prior to discharge to the floor. . foley was discontinue in the floor, no problems voiding. on the floor patient was stable, asymptomatic, vital signs within normal limits, creatinine values continue to be normal and ostomy out up for 24h was 870. at this point she is doing so good, we consulted physical therapy for discharge recommendations. physical therapy work with her and recommended discharge to rehabilitation center for further management. medications on admission: 1. albuterol sulfate prn wheezes 2. colace 100 mg po bid 3. escitalopram 30 mg po daily 4. hydrochlorothiazide 25 mg po daily 5. hydromorphone 2- 4 mg po q 3-4 prn pain 6. regular insulin sliding scale 7. metoprolol tartrate 25 mg po bid 8. miconazole powder 9. protonix 40 mg po daily 10.miralax 17 grams po daily 11.senna 8.6 mg po bid discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed for yeast infection. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. tablet(s) 3. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 4. oxycodone 40 mg tablet sustained release 12 hr sig: two (2) tablet sustained release 12 hr po q8h (every 8 hours). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. sodium chloride 0.65 % aerosol, spray sig: sprays nasal tid (3 times a day) as needed for dry nose. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. diazepam 5 mg tablet sig: two (2) tablet po q12h (every 12 hours) as needed for leg spasm. 10. escitalopram 10 mg tablet sig: three (3) tablet po daily (daily). 11. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 10 days. 12. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation every 4-6 hours as needed for cough. 13. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po once a day: hold for sbp < 100. 14. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day: hold for sbp < 100 or hr < 60. 15. miralax 17 gram powder in packet sig: one (1) po once a day as needed for constipation. 16. insulin sliding scale regular q 6h glucose insulin dose 0-70 mg/dl proceed with hypoglycemia protocol 71-119 mg/dl 0 units 120-159 mg/dl 4 units 160-199 mg/dl 6 units 200-239 mg/dl 8 units 240-279 mg/dl 10 units 280-319 mg/dl 12 units > 320 mg/dl notify m.d. discharge disposition: extended care facility: manor discharge diagnosis: 1. severe dehydration 2. status post ex lap sigmoidectomy, end colostomy () for complicated diverticulatis 3. retracted colostomy 4. acute renal failure 5. fecal impaction discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:out of bed with assistance to chair or wheelchair discharge instructions: continue to ambulate several times per day, and drink adequate amounts of fluids. follow up ostomy out up. please inform your doctor if no ostomy out up for > 2 days or substantial decrease from base line. please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. followup instructions: dr. please call to schedule an appointment in 1 moth. ( procedure: venous catheterization, not elsewhere classified colonoscopy diagnoses: hypocalcemia acute kidney failure, unspecified unspecified septicemia severe sepsis cellulitis and abscess of leg, except foot pressure ulcer, other site morbid obesity accidents occurring in other specified places personal history of noncompliance with medical treatment, presenting hazards to health dehydration mechanical complication of colostomy and enterostomy pressure ulcer, unspecified stage chronic ulcer of other specified sites other impaction of intestine surgical operation with formation of external stoma causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to