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: diarrhea. major surgical or invasive procedure: egd on . bronchoscopy on . hemodialysis history of present illness: the pt. is a 72 year-old male with a history of alcoholic cirrhosis complicated by chronic le edema and cellulitis who presented with a 4 to 5 day history of diarrhea and decreased p.o. intake. the pt. stated that he was in his usoh until of this year when he began to develop watery, non-bloody diarrhea after being treated with clindamycin for lower extremity cellulitis. at that time, he was empirically treated with flagyl for suspected c. difficile enterocolitis and his diarrhea abated. he subsequently experienced diarrhea again in under the same circumstances which also improved with flagyl. the pt. reported that the same sequence of events occurred again beginning 4-5 days prior to admission. the pt. stated that his diarrhea is watery and brown and primarily occurred after meals. he has not noticed any blood in his stools. he had been unable to tolerate p.o. for the past days and stated that any time the pt. would attempt to take p.o., he would experience copious diarrhea. the pt. admitted to a roughly 10 pound weight loss over this time period. the pt. denied fever or diaphoresis but did complain of chills during the past four days. he has also noticed increased redness and swelling of his lower extremities, more marked on the right. he had been unable to ambulate secondary to lower extremity pain. on ros, the pt. complained of a mild headache but denied chest pain, shortness of breath, nausea, dysuria. in the ed, the pt. was a total of 2 liters of iv fluid, 60g of kayexelate for elevated serum potassium and iv oxacillin for lower extremity cellulitis. an ultrasound of the pt's. rle was performed and was negative for dvt. he was admitted to the micu for dehydration secondary to presumed c. difficile enterocolitis. past medical history: -cirrhosis alcohol abuse c/b grade 1 esophageal varices, gastric varices and thrombocytopenia; has been abstinent since -chronic le edema and cellulitis as a result of cirrhosis -htn -normocytic anemia, thought to be cri, on aranesp injections -aaa, dx. in and measured 3.5x3 by u/s (stable as of ) -chronic constipation -bph, s/p turp in -agoraphobia -chronic renal insufficiency with a baseline cr. of 2 -lipomas -ed social history: the pt. lives at home with his wife and son. has been abstinent from alcohol since after a history of alcohol abuse. he has a distant history of tobacco use (quit 30 years ago). denied illicit drug use. family history: mother died of colon cancer in her 90's. physical exam: t: f p: 84 r: 18 bp: 110/32 sao2: 100% ra general: awake, alert, nad heent: perrl, eomi, mm dry, no lesions in op neck: supple, no jvd appreciated pulmonary: lungs cta bilaterally cardiac: rrr, s1s2, no m/r/g appreciated abdomen: soft, nt/nd, hyperactive bowel sounds, no masses or organomegaly appreciated extremities: 2+ pitting edema of lle with pretibial erythema and 2+ dp pulse; 4+ pitting edema of rle with marked pretibial erythema and skin breakdown, 1+dp pulse neurologic: alert and oriented x 3. no asterixis noted. skin: skin changes over ble as described above. otherwise, hemangiomas noted over trunk. pertinent results: labs on admission: 06:00am wbc-17.3*# rbc-3.67* hgb-11.9* hct-34.8* mcv-95 mch-32.5* mchc-34.3 rdw-16.5* 06:00am plt count-61* 06:00am hypochrom-normal anisocyt-normal poikilocy-2+ macrocyt-normal microcyt-normal polychrom-normal ovalocyt-2+ burr-1+ 06:00am neuts-68 bands-24* lymphs-1* monos-5 eos-0 basos-0 atyps-0 metas-2* myelos-0 06:00am cortisol-56.7* 06:00am glucose-95 urea n-83* creat-5.5*# sodium-127* potassium-5.4* chloride-97 total co2-14* anion gap-21* 06:00am albumin-3.3* calcium-8.5 phosphate-4.9*# magnesium-1.7 06:00am alt(sgpt)-22 ast(sgot)-43* ld(ldh)-239 alk phos-65 amylase-35 tot bili-2.6* dir bili-1.1* indir bil-1.5 06:00am lipase-24 06:00am haptoglob-36 07:40am fibrinoge-227 07:40am pt-20.8* ptt-41.0* inr(pt)-2.7 08:04am lactate-4.7* 09:30am urine color-yellow appear-clear sp -1.013 09:30am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 09:30am urine rbc-0 wbc-0-2 bacteria-occ yeast-none epi-0 brief hospital course: mr. was a 72 yo male with alcoholic cirrhosis, admitted to the with c diff colitis, rle cellulitis, acute on chronic renal failure, enterobacter bacteremia, and anion gap metabolic acidosis. he was stabalized in the , called out on , and progressively developed acute on chronic hepatic insufficiency. hepatic failure thought to be due to chronic liver disease in setting of chronic infection. he developed a hepatorenal syndrome and underwent hemodialysis but became acutely hypotensive. he was transferred to the . a family meeting was held, and the patient was made dnr/dni with emphasis on confort measures. he expired at 20:48 with his family present. during his hospitalization the following problems were addressed: 1. acute on chronic renal failure and hypovolemia: the pt presented with severe volume depletion secondary to the history of severe diarrhea. he was aggressively hydrated with iv fluids over the course of the first two hospital days. iv fluids were discontinued once the pt. was able to tolerate p.o. fluids. pt presented with a serum creatinine that was elevated well above baseline on admission. this rapidly improved with the administration of iv fluids, suggesting a prerenal azotemia on admission. pt's renal function worsened when he developed acute on chronic hepatic insufficiency, likely due to worsening prerenal azotemia. the renal team was following. despite colloid (prbc) and sodium bicarbonate, pt's renal function continued to decline on the floor with worsening uremia. on pt was started on midodrine and octreotide. he was transferred to the for hemodialysis. during hemodialysis he became acutely hypotensive. dialysis was discontinued and he was transferred to the for further care. 2. c. difficile colitis: the pt. was started on po metronidazole on admission. his diarrhea subsequently abated over the course of the first hospital day. stool sent for c. difficle toxin assay confirmed the diagnosis. pt was maintained on po metronidazole with repeat stool sample negative for c. dif on . however, he continued to have diarrhea whenever he ate, possibly functional or related to abx use. 3. lower extremity cellulitis: the pt. presented with significant edema, erythema and tenderness of his right lower extremity. he was started on iv oxacillin which was continued for the first two hospital days. however, the pt's. cellulitis worsened on this regimen. over concern for possible community-acquired mrsa cellulitis, iv vancomycin was begun on the third hospital day. as there continued to be no improvement, an mri of the lower extremities was performed over concern for possible abscess or osteomyelitis. there was no evidence of abscess on mr, just non-specific edema. on the floor, in the setting of his worsening renal function, pt's iv vancomycin was continued and dosed daily by level. 4. enterobacter bacteremia: the pt. was noted to have bottles positive for enterobacter. accordingly, he was placed on ceftriaxone and levofloxacin. he remained afebrile for the duration of the micu stay and he never developed signs or symptoms suggestive of sepsis or sbp. he was maintained on iv levofloxacin and cefepime on the floor, the latter to cover for ?pseudomonas from his cellulitis. 5. hypoxia: pt was noted to have bilateral pleural effusions and mild fluid overloaded, likely due hepatic and renal failure. ivfs were stopped. pt remained stable on 3l of oxygen by nasal canula on the floor, but desaturated on transfer to the . 6. hemoptysis: the pt. experienced an episode of hemoptysis on hospital day 5. the initial concern was for variceal bleeding and he was intubated for airway protection, started on octreotide, and given ffp and platelets. egd showed nonbleeding varices. bronchoscopy showed some blood but no bleeding source suggestive of aspiration. it was ultimately felt that he was suffering from epistaxis secondary to oxygen therapy via nasal cannula. he was extubated after 24 hours and did not experience any further episodes. 7. acute on chronic hepatic insufficiency: pt has a history of alcoholic cirrhosis. the etiology of his acutely worsening liver function is unclear, but likely due to infection. the liver team followed, and advised that the pt's liver disease portended a poor prognosis. a paracentesis on drained 500cc of fluid which had saag supporting portal hypertension, as suspected, and ruling out sbp. his total bili continued to rise in the setting of renal insufficiency. he was maintained on sq vitamin k. on transfer to the the patient was jaundiced with total bilirubin 17. mental status quickly deteriorated over the afternoon. 8. aaa: stable at 3.5cm. 9. swallowing: a video swallow found a small amount of penetration identified with thin liquid and pill, otherwise no aspiration. 10. the patient was transferred to the on after decompensating into end stage hepatic failure and renal failure on the floor, intolerant of hemodialysis. a family meeting was held, and the patient was made dnr/dni with emphasis on comfort measures. he expired at 20:48 with his family present. medications on admission: -atenolol 25mg po daily -aranesp 50mcg sc qweek -lasix 40mg po daily, recently d/c'ed -moexipril 7.5mg po daily -spironolactone 100mg po daily, recently d/c'ed discharge medications: --- discharge disposition: expired discharge diagnosis: deceased discharge condition: deceased discharge instructions: ---- followup instructions: ---- procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other endoscopy of small intestine insertion of endotracheal tube fiber-optic bronchoscopy hemodialysis percutaneous abdominal drainage transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: acidosis thrombocytopenia, unspecified acute and subacute necrosis of liver alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome acquired coagulation factor deficiency other pulmonary insufficiency, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cellulitis and abscess of leg, except foot bacteremia intestinal infection due to clostridium difficile diarrhea epistaxis hypotension of hemodialysis other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms 

Answer: The patient is high likely exposed to