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: sulfa (sulfonamides) / pentothal / codeine / wellbutrin / zosyn / meropenem attending: chief complaint: abdominal pain major surgical or invasive procedure: total abdominal colectomy and end ileostomy history of present illness: 61 morbidly obese female with multiple medical problems including dm, htn, dchf, copd. was recently discharged on after admission for hypoxic and hypercarbic respiratory failure after being found unresponsive at home by her husband, treated for with vanco/levo/zosyn, s/p trach after prolonged wean, course c/b arf and drug fever, transferred to on . readmitted yesterday after she was complaining of diffuse abdominal pain and had low grade fevers to 100.9. at on the morning of , she had altered mental status, and was more difficult to arouse. on exam she seemed to have significant right sided abdominal/flank pain. she was started on levoflox 250mg q48h when she began to spike fevers to 103 with a dirty u/a no culture was sent. blood cx post for staph and vanco iv was started yesterday. flagyl iv started yesterday after ct abd/pelvis which showed diffuse colitis (unchanged from previous exam. c. diff cultures came back positive today and medical tem was concerend that abdominla exam had changed overnight to include rebound tenderness. the patient has remianed hemodynamically stable throughout this admission thus far. past medical history: past medical history: relative immobility, spends a lot of time in bed hypertension diabetes obesity copd on home o2 2-3l at all times currently tobacco use obstructive sleep apnea on home cpap obesity hypoventilation syndrome diastolic chf (by c.cath ) social history: social history is significant for the current tobacco use (40-50 pk yr). there is no history of alcohol abuse, only occasional wine she lives at home with her husband. family history: there is family history of premature coronary artery disease- her father died in his 40s of an mi. physical exam: pe: 103.7 104 136/55 25 95% ac 500x14 peep 5 fluids nacl 200/hr uop >100/hr abx iv vanc/levo/flagyl started last night obese female mod distress ncat trach in place mottled skin with drug rash diffuse bilateral ronchi tachycardia gastrostomy tube in place abd obese ttp diffusely r>l with no tap tenderness but with gaurding and rebound stool guiac neg pertinent results: 12.7>-----<294 28.4 149 112 57 ---i---i---<153 4.2 25 3.4 ct : interval worsening of colitis extending from the ascending colon to the splenic flexure, with new area of involvement within the sigmoid colon. stool cx c.diff pos brief hospital course: the patient was initially admitted to the micu service. general surgery consulted for c.diff colitis. she was treated conservatively. however, over the next 48 hours her abdominal become worrisome and she developed arf and essentially became anuric. a kub at this time demonstrated free air. the patient was then taken to the operating room where she underwent a total abdominal colectomy with end ileostomy. she was noted to have 2.5 liters of purulent material in the abdomen in the or. post-op: the patient was transferred to the sicu for further resuscitation. neuro: pain was controlled and sedation minimized . cv: at this point her hemodynamics had begun to improve. she was quickly weaned off of pressors and required minimal fluid resuscitation. . pulm: she was eventually able to wean to minimal vent settings, but only tolerated trach collar for a few hours at a time. this is likely due to her pre-existing condition as well as severe illness she was recovering from. . gi/fen: she was placed on trophic tube feeds and advanced to goal which she tolerated. her stoma was functioning well at the time of discharge. . renal: renal was consulted for her arf. she began cvvhd after a hd line was placed. this was continued for about a week until enought volume had been taken off to adequately wean her vent settings. the cvvhd was stopped and she began making more urine, about 50-100cc per hour. her electrolytes and creatinine remained stable. renal recommended holding off on further dialysis for now. she did receive a few doses of lasix and seems to respond well to this. . heme: her hct was stable but slowly drifted down to 22 by discharge, she received one unit of prbc for this. . id: she was initially treated with cipro/flagyl/vanco. the iv vanco was for a coag neg blood cx. the flagyl was for the c.diff, and the cipro was continued for 7 days for coverage due to gross abdominal contamination. . endo: blood sugars controlled with sliding scale insulin. medications on admission: benadryl 50mg iv q6,triamcinolone cream tid,sarna,insulin ss bisacodyl,colace,levofloxacin 250mg q48,vancomycin x 1,albuterol ipratropium,fluticasone,tf's discharge medications: 1. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. 2. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical tid (3 times a day). 3. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 4. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation q4h (every 4 hours). 5. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 6-8 puffs inhalation q4h (every 4 hours). 6. fluticasone 110 mcg/actuation aerosol sig: four (4) puff inhalation (2 times a day). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection (2 times a day). 8. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 9. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 10. insulin regular human 100 unit/ml solution sig: insulin sliding scale injection asdir (as directed). 11. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 12. famotidine(pf) in (iso-os) 20 mg/50 ml piggyback sig: one (1) dose intravenous q24h (every 24 hours). 13. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: one (1) intravenous q8h (every 8 hours). discharge disposition: extended care facility: - discharge diagnosis: clostridium difficile colitis sepsis acute renal failure respiratory failure discharge condition: hemodynamics stable, still requiring some vent support but tolerating periods of trach collar. acute renal failure appears to be resolving. tolerating tube feeds. wound healing well with wound vac dressing. discharge instructions: diet: patient should continue on tube feeds for now. try pos if passes swallow evaluation, off ventilator, and tolerating pmv activity: oob as much as possible, aggressive pt wound: abdominal wound with large wound vac. wound appears healthy, should be changed every 3-4 days. ostomy: stoma healthy, putting out adequate stool, continue current management. antibiotics: flagyl should continue for a total of 14 days from day of surgery (end on ) followup instructions: please follow up with dr. in 2 weeks md, procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances venous catheterization for renal dialysis arterial catheterization replacement of gastrostomy tube injection or infusion of immunoglobulin ileostomy, not otherwise specified open total intra-abdominal colectomy diagnoses: obstructive sleep apnea (adult)(pediatric) tobacco use disorder acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified perforation of intestine sepsis chronic kidney disease, unspecified intestinal infection due to clostridium difficile morbid obesity dermatitis due to drugs and medicines taken internally hyperosmolality and/or hypernatremia chronic diastolic heart failure chronic respiratory failure tracheostomy status attention to gastrostomy other staphylococcal septicemia penicillins causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to