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: wheat starch attending: chief complaint: decreased urine output, hypotension major surgical or invasive procedure: l subclavian central line history of present illness: mr. is an 86 year old male with chronic overflow incontinence and diabetic neurogenic bladder who was recently discharged to on for urinary incontinence. he returned to the ed for poor urine output, with foley in place and lethargy. of note pt also on narcotics, neurontin and antidepressants. bladder scan at nh showed no residual urine. pt sent to ed for further evaluation. . ed course: initial vs t 97.9 bp 81/49 hr 97 95%ra, a bladder scan revealed no urine in the bladder with the foley functioning normally with flushing. ua consistent with uti and a lactate of 3.6. the patient was given cefepime. his sbp was initially in the 80s subsequently rose to the 90s but back down to 80s despite 4lns. pt admitted to icu for urosepsis, closer monitoring despite dnr/dni status. per pcp ok for central lines and pressors. ed unsucessful at placing central line, 3 attempts, r-ij, scv-failed. . ros: pt confused, answered yes to all questions, poor historian despite history taken in spanish. past medical history: #. pseudomonas, enterobacter cloacae uti #. neurogenic bladder with overflow incontinence chronically catheterized #. gram + sepsis #. cervical spondylolisthesis with myelopathy #. neurodegenerative disorder #. h/o cva with right sided hemiparesis #. dm-2 #. chronic anemia #. seizure disorder on dilantin #. schizo-affective disorder #. history of dvt #. hypothyroidism #. left leg ischemic gangrene with ulcerations s/p left aka for gangrene in course c/b sepsis #. celiac disease #. chf-?ef #. dementia #. b12 deficiency social history: -spanish speakin only, nursing home resident. family situation unclear, called numbers-both disconnected. per social worker, no family members available. had step children involved in care years ago but they left for and have never returned. he has no health care proxy and no family/relatives. family history: unable to assess physical exam: vs: t 97.0 hr 81 bp 79/42 rr 18 95% 2lnc gen: confused elderly gentleman lying comfortably in bed heent: dry mm, eomi, perrl, adentulous, r sided facial droop resp: ctabl, no crackles or wheezing cv: reg nml s1, s2, no m/r/g abd: soft nd/nt +bs ext: l aka, stumpt without lesions, rle-+ pitting edema, b/l thigh edema, scrotal edema neuro: confused, oriented to self only, unknown baseline ms, follows some commands pertinent results: micro: 8:00 pm blood culture set #2. aerobic bottle (pending): anaerobic bottle (final ): reported by phone to at 2140 on .. staphylococcus, coagulase negative. isolated from one set only. sensitivities performed on request.. . 6:33 am urine urine culture (preliminary): gram negative rod(s). 10,000-100,000 organisms/ml.. . 6:33 am urine source: catheter. **final report ** urine culture (final ): gram negative rod #1. ~4000/ml. gram negative rod #2. ~/ml. second morphology. . 8:34 am stool consistency: soft source: stool. **final report ** clostridium difficile toxin assay (final ): reported by phone to lansom carolin 8:20am. clostridium difficile. feces positive for c. difficile toxin by eia. . lactate 04:12pm 7.4 05:13pm 7.9* 07:21pm 5.8* 02:00am 3.0* 11:04pm 3.6 brief hospital course: ap: 86 yo m with neurogenic bladder and chronic indwelling catheter presenting with poor po intake, low uop, uti consistent with urosepsis given elevated lactate, poor uop, hypotension and source. . 1)urosepsis/shock: overflow incontinence from neurogenic bladder, chronic indwelling catheter presents with multiple drug resistant uti, hypotension refractory to ivf. he was initially treated with cefepime given previous sensitivities, add vanco given h/o gram + sepsis and refractory hypotension. his foley was changed, urine cultures here grew gnr, he had blood cultures with coag neg staph. he had diarrhea which was c-diff posisitve. he was treated for c-diff with flagyl, his abx course was changed from cefepime to meropenem based on sensitivities, his vanco iv was d/c'd and continued on po flagyl for c-diff. his lactate was elevated and increased to 7.4 on despite 11l ivf. his pressors were changed from neo to levophed for persistently elevated lactate despite ivf, echo did not show wall motion abnormalities which suggested infectious process as opposed to cardiogenic shock. patient's lactate continued to rise without any improvement with maximal therapy. given his overall poor prognosis, decision was made to make patient cmo on medical grounds. patient passed away on at 8am. attending was notified. no post-mortem was performed since patient had no next of . medications on admission: medications: discharge medications -pantoprazole 40 mg daily -hexavitamin once cap daily -docusate 100mh po bid -calcium carbonate 500 mg po bid -tramadol 25 mg po tid -ferrous sulfate 325mg daily -levothyroxine 75 mcg daily -fluoxetine 20 mg daily -penicillin v potassium 500 mg q 8 hours through -furosemide 20 mg daily -mirtazapine 7.5mg qhs -acetaminophen 325 mg po q6hr prn -gabapentin 600mg po bid -cefpodoxime 200 mg po daily through -dilantin 200mg po bid . nh meds: -vit b12 injections qmonth -prozac 20mg daily -lasix 20mg daily -levoxyl 150mcg daily -kcl 20 meq daily -prilosec 20mg daily -colace 100mg -neurontin 600mg -oyst-cal-1gm -dilantin 300mg -cefpodoxime 200mg until -pen vk 500mg tid until -mirtazapine 7.5mg hs -mom -tylenol 650mg prn -oxycodone 5mg q8hrs discharge disposition: expired discharge diagnosis: c. diff colitis urosepsis cardiac arrest discharge condition: n/a discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: acidosis urinary tract infection, site not specified congestive heart failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled other b-complex deficiencies septic shock intestinal infection due to clostridium difficile late effects of cerebrovascular disease, hemiplegia affecting unspecified side celiac disease epilepsy, unspecified, without mention of intractable epilepsy dehydration above knee amputation status infection and inflammatory reaction due to indwelling urinary catheter schizoaffective disorder, unspecified neurogenic bladder nos 

Answer: The patient is high likely exposed to