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: fever, hematuria, hypotension major surgical or invasive procedure: egd history of present illness: 87 y/o male w/ multiple medical problems including untreated colon cancer (found on colonoscopy , declined surgery at the time), bph, afib, diastolic heart failure and chronic right sided pleural effusion who presents with fevers/chills and urinary retention from rehab. patient was without specific symptoms except for continued complications with urinary catheter that again stopped draining on but improved with manipulation. also with worsening dysuria over the past couple of days, but has had dysuria/suprapubic discomfort over the last 2 months ever since a traumatic foley placement. had fever to 101 day prior to presentation with chills, as well as more fatigue than usual. also relates black stools for the last 10-11 days, multiple times per day, no brbpr, no lh or dizziness. also was started on iron recently. social etoh, no nsaid, no nausea/emesis/hematemesis or abdominal pain. no uri sxs, cough, shortness of breath, chest pain, rashes or new skin lesions. per patient reason for transfer was sbp around 89 in the setting of fever. in ed vitals 100.1, 71, 90/50, 18, 90% ra, 93% on 4-5l. foley not draining well and when flushed had some blood clots. coudet #20 inserted and 375cc of dark red urine noted. received 1l ivfs and bp responded in high 90's. hct 25 from baseline around 30 and given 1 unit prbcs. rectal exam guaiac positive. total ins 1075, total outs 500. tylenol 1gm po, levoquin 750mg iv, ceftriazone 2gm iv. past medical history: colonoscopy : >polyp in the transverse colon (polypectomy) - adenoma >polyps in the sigmoid colon (polypectomy)- colonic mucosa with focal hyperplastic features >polypoid, ulcerated mass in the hepatic flexure (biopsy) - superficial fragments of colonic mucosa with ulceration, marked acute inflammation, and highly atypical glands, suspicious for carcinoma. past history: # colon mass during colonoscopy for guaiac positive stools in . pathology was worrisome for carcinoma. although the patient was offered resection by dr. , he declined # hematuria/bph - traumatic foley insertion and manipulation lead to urosepsis and subsequent urinary retention # sick sinus syndrome and bifascicular block s/p pacemaker # paf - on amiodarone, not on coumadin d/t concern for malignancy # h/o svt # atrial flutter status post ablation - not on anticoagulation d/t concern for malignancy # anemia - on arenesp and iron # echo : mild-to-moderate mitral regurgitation, ra and la # bph s/p turmp # b/l edema with skin changes # hard of hearing # hx of guiaic positive stools/gi bleeding # osteoarthritis # osteoporosis # subclinical hypothyroid state as per record # renal insufficiency # right pleural effusion - found on ct on for increasing doe. and thoracentesis c/w transudative. workup during last admission revealed rv diastolic dysfunction. concern was for pe as etiology, but unable to get cta d/w arf and v/q not helpful. not anticoagulated due to h/o gib, pleurodesis not an option d/t transudative. # tibial talar dislocation with comminuted distal tib fib fracture status post surgery # hx syncope in , unclear etiology social history: was living alone, now at rebab. former smoker with 35-pk-yrs, quit 50-55 yrs ago. social etoh. family history: brother had marrow stem cell transplant at age 82 sister died from heart attack. also had an unknown cancer. mother died from an unknown cancer. neice has unknown cancer. physical exam: tmax: 36.3 ??????c (97.3 ??????f) tcurrent: 36.3 ??????c (97.3 ??????f) hr: 70 (70 - 72) bpm bp: 89/53(62) {89/53(62) - 100/57(68)} mmhg rr: 15 (13 - 15) insp/min spo2: 93% heart rhythm: sr (sinus rhythm) height: 72 inch awake, alert and oriented heent: no jaundice lungs: cta cvs: regular abd: soft, nt, bs+, no hsm ext: trace edema brief hospital course: the patient is an 87 y.o.m. with multiple medical problems including untreated colon cancer, bph, chronic foley, afib, diastolic heart failure and chronic right sided pleural effusion who presents with fevers/chills, hypotension, and urinary retention from rehab. # hypotension - believed by icu team to be secondary to preseptic physiology secondary to uti and melena. resolved after volume resuscitation and treatment of uti. # gib -patient with melena on presentation. egd revealed a single non-bleeding erosion in the antrum of the stomach. # urinary retention - etiology from traumatic foley placement during admission in , followed by urology and dr. as an outpatient. foley currently draining well without clots after manipulation overnight. continue bph meds. outpatient urology f/u. #uti) urine culture no growth but patient with symptoms of uti and equivocal u/a in setting of hypotension with indwelling foley and thus was presumptively started on abx by ed and icu. will complete 7 day course of abx. c. difficile colitis) patient developed during his hospitalization. flagyl po for 14 days total. # ckd - currently at baseline. cr 1.1 #colon ca) patient underwent colonoscopy on that revealed pseudomembranous colitis, two polyps and his earlier colonic mass at the hepatic flexure. per gi, there is concern for future risk of obstruction from mass. patient now appears more interested in discussing surgical options. patient to f/u in dr. clinic. oncology service noted no role for solitary chemo given size of mass. medications on admission: amiodarone 200 mg daily aspirin 81 mg daily toprol-xl 25 mg daily terazosin (hytrin) 10 mg daily lasix 40 mg daily keflex 500 q12h proscar 5 mg daily discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. furosemide 10 mg/ml solution sig: two (2) ml injection daily (daily). 3. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 4. terazosin 10 mg capsule sig: one (1) capsule po once a day. 5. proscar 5 mg tablet sig: one (1) tablet po once a day. 6. cefpodoxime 100 mg po bid for 2 more days (d/c on am of ) 7. flagyl 500 mg po tid for 12 more days. 8. medication change note: given recent melena, holding patient's prior asa 81 mg ec po qd. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: uti clostridium difficile diarrhea and colitis heart failure, diastolic discharge condition: vital signs stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 2000cc/day return to ed if having bleeding from rectum, fevers, difficulty breathing. followup instructions: patient to f/u with dr. , colorectal surgery clinic, ., . . dr. office called, message left for his administative assistant. patient to schedule f/u with pcp 2 weeks. procedure: other endoscopy of small intestine colonoscopy transfusion of packed cells diagnoses: unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia unspecified septicemia unspecified acquired hypothyroidism atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) sepsis chronic kidney disease, unspecified osteoporosis, unspecified intestinal infection due to clostridium difficile retention of urine, unspecified hemorrhage of gastrointestinal tract, unspecified benign neoplasm of colon unspecified intestinal obstruction chronic diastolic heart failure infection and inflammatory reaction due to indwelling urinary catheter malignant neoplasm of hepatic flexure 

Answer: The patient is high likely exposed to