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: lisinopril attending: chief complaint: gi bleed major surgical or invasive procedure: none history of present illness: pcp: hpi: 47 yo male with esrd on hd, dm, cad, addison's, presents with fevers, hypoglycemia and coffee ground emesis from hospital. he left 10 days ago after admission for hyperkalemia, hypoglycemia and fever. found to have c. diff and ?line infection (though blood cultures negative). he was treated empirically with ctx/vanco/flagyl. he went home, then brought back to (/05) unresponsive with hypoglycemia ( of 11), fever with 1/2 mssa from line, given vancomycin, tequin, was dialyzed then left ama on . on in the evening his was 30 and he was brought back to widden febrile with coffee ground emesis, guaiac + stool, hyperglycemic, transferred to . in the er he was given vanco iv, flagyl 500 iv, decadron 10, tylenol, 2 units ffp. lp equivocal but 1 wbc. ng lavage with minimal coffee grounds that cleared with ~250 cc. past medical history: iddm diagnosed at age 29, hx of retinal hemorrhage, peripheral neuropathy, nephropathy, charcot esrd on hd q tues/thurs. awaiting transplant from sister cad s/p nstemi in 8/. recent mibi w/ no reversible flow defects. echo done shows lvh, nl ef. htn hypercholesterolemia hypothyroidism addison??????s disease diagnosed at age 29 anemia of chronic disease chronic le edema s/p recent medial tibial plateau/proximal fibula fracture c. diff colitis s/p flagyl finished mid- social history: no tob, etoh, illicits, he is single w/ no kids and lives in . he was a former clerk/supervisor but is currently on disability. family history: father died age 50 due to cancer mother died age 60 due to breast cancer 4 brothers, 3 sisters: 2 siblings w/ dm physical exam: temp: 101.2, hr:82, bp:137/85, rr:22, o2:97% ra gen: nad. somnolent. a/o x 3 heent: pearla. eomi cv: rr. no m/r/c pulm: mild crackles at left base. abd: distended. soft non-tender. no hsm ext: trace edema b/l, chronic appearing, non-pitting neuro: motor at all flex/ex. : gi to lt b/l. cnii-xii gi. rectal: guaiac + brown stool pertinent results: wbc:15.5 (n:77, l:8.0, e:12), hct:33.8, plt:238 131 90 25 ------------<281 4.3 25 5.0 inr:2.1 tn:0.44, ck:77 ca:9.7, phos:1.5, mg:1.4 ammonia:16 csf: prot 157, gluc 202, wbc:3, rbc:1, opening pressure of 29 serum/urine tox (-) u/a: large blood, nit (-), prot 500, gluc:1000, ket:50, le:mod, wbc:>50, rbc:, epi:0-2 lact:3.5 ct head: no bleed cxr: mild cardiomegaly and mild pulm edema ecg: nsr at 80 bpm, nl axis. lvh with slight j-pt elevation in v2-v3 with peaked t waves somewhat more than prior. depressions with twi in v5-v6. brief hospital course: 48 y.o. diabetic male with esrd on hd, addison's disease, hematemesis and high fevers with relative hypotension. his blood cultures drawnn several days prior at grew 1 out of 4 bottles staph warneri (coagulase negative staph) from his hd catheter. he had already been on vancomycin and this was continued. he received one dose of levoquin and flagyl while in the emergency room but this was stopped. his blood glucose was 390 in the setting of his infection and he had a small amount of ketones in his blood. however he was not acidotic. he received stress dose steroids given his addison's disease and was placed on an insulin drip for tighter control in the setting of his sepsis and brittle type 1 diabetes. blood and urine cultures were drawn from his line and peripheral blood and grew nothing. lp was performed because he was moderately confused and had a high opening pressure of 29, elevated protein, but no wbc to suggest infection. csf gram stain and cultures were sterile. he deferveced by hospital day 2 and was quickly weaned from his stress steroids to his basal replacment dose. it was felt that the likely source was his line, though renal consult feels that the cultrues were probably contamination. his line was not pulled plans are made to continue the vancomycin for 4 weeks with end date = . surveillance cultures will need to be drawn 7 days after his vanco is stopped. vanco should be 1g qhd, with random levels drawn weekly to maintain a concentration of 15-20. his levels should be checked at least every other day to ensure a goal serum concentration of 15-20 and to avoid toxicity. . in regards to his hematemesis, an ng lavage revealed coffee ground emesis that cleared with lavage. no frank blood was visualized. his hematocrit was stable. he underwent an egd that showed a normal duodenum and esophagus, however the large degree of food left in the stomach precluded adequate visualization of that organ. gi consult felt that his symptoms were likely related to a stress ulcer in the setting of acute illness and recommended he was safe for outpatient egd. since he experienced such labile blood glucose while npo for the procedure, and the fact that he had no other symptoms while maintaining an adequate and unchanged hematocrit, the egd was not performed while here and can be pursued later. for the food findings in his stomach he was started on reglan for likely gastroparesis. it was felt that he might also experienced better blood sugar control with better peristalsis by mathcing his glycemic load with po intake with his humalog scale. . his sugars were labile while on stress steroids and npo status. these evened out by regularization of his diet and cessation of stress steroids. he is very sensitive to insulin and should not be treated aggressively for hyperglycemia. he was continued on his lantus with his insulin gtt and quickly weaned off the gtt to a humalog sliding scale. he was followed by the service while here. . his c. diff toxin was positive, however he did not have any symptoms. we feel that this is indicative of persistent toxin shedding but does not indicate on going infection. he will need to continue flagyl until 7 days after he stops vancomycin to prevent c. diff colitis from reoccuring with end date = . . his blood pressure remained at this usual 160-200 systolic. his hydralazine was increased to 50mg qid from 25mg qid with some mild improvement. renal is attempting to challenge his "dry weight" of 64kg and he underwent additional ultrafiltration sessions to accomplish this. his legs remained swollen in between sessions. he had no evidence of pulmonary edema and was asymptomatic at his blood pressures of 220 systolic. he had a brief episode of atrial tachycardia in the 150's that was not atrial flutter during the acute phase of his sepsis. this resolved with treatment of his sepsis and did not recur. medications on admission: meds at time of discharge from on : vanco 125 po q6 lantus 20 sc hs labetolol 200 qid clonidine 0.2 tid calcium 100 tid lipitor 20 daily norvasc 10 daily fludrcort 0.05 hydrocort 25 qam hydrocort 5 qpm m, th, sun hydrocort 10 qpm w/sat hydrocort 15 qpm tues/fri cholecaciferol 400 daily neurontin 300 daily hydral 25 qid protonix 40 daily levothyrox 50 daily asa 81 daily humalog scale discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 3. gabapentin 300 mg capsule sig: one (1) capsule po q24h (every 24 hours). 4. fludrocortisone 0.1 mg tablet sig: one half tablet po q 12h (every 12 hours). 5. labetalol 200 mg tablet sig: two (2) tablet po tid (3 times a day). 6. diltiazem hcl 60 mg tablet sig: one (1) tablet po qid (4 times a day). 7. clonidine 0.2 mg tablet sig: one (1) tablet po bid (2 times a day). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 9. hydrocortisone 20 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 10. hydrocortisone 5 mg tablet sig: one (1) tablet po qmon/thurs/sun (). 11. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day): stop date = (7 days after stopping vanco). 12. hydrocortisone 5 mg tablet sig: three (3) tablet po qtues/friday (). 13. hydrocortisone 5 mg tablet sig: two (2) tablet po qwed/sat (). 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 15. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 16. metoclopramide 10 mg tablet sig: 0.5 tablet po qidachs (4 times a day (before meals and at bedtime)). 17. sevelamer 800 mg tablet sig: one (1) tablet po tid (3 times a day). 18. hydralazine 50 mg tablet sig: one (1) tablet po q6h (every 6 hours). 19. insulin glargine 100 unit/ml solution sig: thirty two (32) units subcutaneous at bedtime. 20. insulin lispro (human) 100 unit/ml solution sig: see sliding scale units subcutaneous four times a day: sliding scale. 21. vancomycin 1,000 mg recon soln sig: one (1) intravenous qhd: please check levels to ensure not toxic serum concentration. goal 15-20. discharge disposition: extended care facility: on - discharge diagnosis: coag negative staph wernari line sepsis addison's disease hyperglycemia hypertension end stage renal failure discharge condition: stable, good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 2 liters . continue taking your antibiotics as outlined in the discharge summary. . do not eat too many carbohydrates as outlined by the physicians. watch that you aren't given too much insulin for sugars in the 400's as you respond very well with subcutaneous treatment. follow the sliding scale you are discharged with. followup instructions: provider: , md phone: date/time: 9:30 provider: , transplant social work date/time: 10:30 provider: , dpm phone: date/time: 3:40 see your endocrinologist within 7 days of being discharged. continue with your hemodialysis sessions tues, thurs, sat. follow up with your podiatrist and orthopedic surgeon as they have planned with you. md procedure: spinal tap incision of lung other endoscopy of small intestine hemodialysis insertion of other (naso-)gastric tube diagnoses: acidosis anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere pure hypercholesterolemia urinary tract infection, site not specified unspecified acquired hypothyroidism infection with microorganisms resistant to penicillins aortocoronary bypass status polyneuropathy in diabetes sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin intestinal infection due to clostridium difficile old myocardial infarction infection and inflammatory reaction due to other vascular device, implant, and graft hematemesis diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled other staphylococcal septicemia arthropathy associated with neurological disorders 

Answer: The patient is high likely exposed to