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) / hydantoins / trimethadione/paramethadione / phenacemide / barbiturates / primidone / gadolinium-containing agents / mysoline attending: chief complaint: cough major surgical or invasive procedure: none history of present illness: 76 yo m w/history of parkinson's disease, copd, afib, hearing loss, urinary retention w/indwelling foley, and recent admission for aspiration pneumonia comes to ed w/complaint of worsening cough and low grade temp. patient was admitted to - and treated w/a 2 week course of linezolid and zosyn which ended on . since then patient has had a worsening cough but reports no fever (nh reports temp - unclear how high). patient denies sob, chest pain, or any other symptoms. patient given vanco and zosyn in ed. ua not sent. . in the emergency department he was found to have low grade temp - 100, 100.2, tachycardic to 110, tachypnic to 40 and 93% on 3l. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias past medical history: -parkinson's disease -c. diff -- septic shock secondary to c diff colitis admitted to micu -picc line-associated and spontaneous dvts, s/p ivc filter & discontinuation of anti-coag b/c of brbrp/gi bleed -copd -severe degenerative disk disease -atrial fibrillation not on anticoag basal cell cancer scoliosis gerd htn sacral decubitus ulcer childhood encephalitis back pain from spinal stenosis bronchitis social history: single, never married. lives in b/c of disability from parkinsons. nephew is hcp & visits pt regularly, lives in new . family history: non-contributory physical exam: vitals: t: 99.5 bp: 99/58 p: 100 r: 24 o2: 98% 3l general: thin gentleman, pleasant, no acute distress heent: sclera anicteric, mm dry, oropharynx clear, poor dentition neck: supple, jvp not elevated lungs: bilaterally wheezes, decreased bs on l cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops noted abdomen: g-tube in place soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly. patient with erythematous rash over b/l flanks back/ext: b/l superior shoulder subluxation, severe scoliosis, +tremor, b/l arms contracted but able to relax, b/l le contracted. warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema noted. neuro: aox3, tremor noted. moves all 4 extremities, sensation grossly intact. pertinent results: 02:50am blood wbc-3.8* rbc-3.13* hgb-10.1* hct-30.7* mcv-98 mch-32.3* mchc-33.0 rdw-16.3* plt ct-124*# 02:50am blood pt-13.7* ptt-28.4 inr(pt)-1.2* 02:50am blood plt ct-124*# 02:50am blood neuts-62.9 lymphs-26.2 monos-9.9 eos-0.5 baso-0.5 02:50am blood glucose-99 urean-27* creat-0.7 na-140 k-3.9 cl-105 hco3-28 angap-11 02:50am blood ctropnt-0.02* 09:05am blood ck-mb-notdone ctropnt-0.01 02:50am blood ck(cpk)-63 09:05am blood ck(cpk)-59 02:59am blood lactate-1.1 k-3.8 12:13pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-sm 12:13pm urine rbc-* wbc-21-50* bacteri-few yeast-none epi-0-2 transe-<1 12:13pm urine color-yellow appear-hazy sp -1.029 . radiolographic images: radiology report chest (single view) study date of 3:00 am impression: slightly improved aeration at the left lung apex with decreased pleural effusion. no definite evidence of pneumonia. . chest ct : thoracic spine without focal osseous lesions. impression: 1) persisting dependent consolidation in the left lower lobe, likely from aspiration. 2) prominent elevation of the left hemidiaphragm without diaphragmatic defect. 3) two small 4- to 5-mm ground-glass nodules in the right middle lobe (3:32) which appear likely unchanged compared to the ct torso of , however followup in one year by ct is recommended. 4) only partially imaged on today's study is a approximately 4 cm apparent cystic mass anterior to the ivc at the level of the filter placement. this lesion is not well characterized on this study, though is most suggestive of a gi duplication cyst. it has not changed significantly from the ct of . 6) 2 cm indeterminate left renal lesion which is not well characterized by non-contrast ct. evaluation by mr is recommended if the patient is a potiental surgical candidate. otherwise, a 6 month follow-up ct could be performed. 7) severe scoliosis. 03:00am blood wbc-5.2 rbc-3.00* hgb-9.6* hct-30.1* mcv-100* mch-32.0 mchc-32.0 rdw-15.9* plt ct-117* 03:00am blood plt ct-117* 03:31am blood glucose-158* urean-27* creat-0.6 na-145 k-3.4 cl-110* hco3-29 angap-9 02:50am blood ck(cpk)-63 09:05am blood ck(cpk)-59 02:45am blood ck(cpk)-56 02:50am blood ctropnt-0.02* 09:05am blood ck-mb-notdone ctropnt-0.01 02:45am blood ck-mb-notdone ctropnt-<0.01 03:00am blood calcium-8.2* phos-2.0* mg-1.9 09:27pm blood type-art po2-192* pco2-44 ph-7.43 caltco2-30 base xs-4 12:13pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.0 leuks-sm 12:13pm urine rbc-* wbc-21-50* bacteri-few yeast-none epi-0-2 transe-<1 urine culture 12:13 pm urine source: catheter. **final report ** urine culture (final ): gram negative rod(s). ~8ooo/ml. 3:29 am mrsa screen nasal swab. **final report ** mrsa screen (final ): positive for methicillin resistant staph aureus. c diff 1:48 pm stool consistency: loose **final report ** clostridium difficile toxin a & b test (final ): reported by phone to , r.n. on at 0350. clostridium difficile. feces positive for c. difficile toxin by eia. (reference range-negative). portable cxr reason for examination: hypoxia and tachypnea. portable ap chest radiograph was compared to . there is no significant change in the very high position of left hemidiaphragm with slightly improved aeration of the remaining not atelectatic part of the left upper lung. the right costophrenic angle was not included in the field of view but the imaged portion of the right lung demonstrates no significant abnormalities. significant thoracolumbar scoliosis is unchanged. the patient is after insertion of ivc filter. the presence of motion artifact degrades the quality of the study making the precise diagnosis of the fine details impossible. if clinically warranted repeated radiograph is recommended. brief hospital course: 76 yo male with parkinsons disease, copd, chronic indwelling foley, and recent aspiration pneumonia, admitted with worsening cough and fever, transferred to the micu for tachypnea. 1. cough: patient with underlying copd. not hypoxic on presentation to floor. unclear whether could be unresolved pna, recurrent aspiration pneumonia, viral uri w/exacerbation of copd symptoms. completed 14d course of linezolid/zosyn 1 week prior to admission. cxr difficult to interpret given of elevated hemidiaphragm. patient was treated with albuterol and ipratropium nebulizers. he was treated with prednisone for copd exacerbation (day 1 = ). this should be continued for a 10 day course prior to being tapered. patient was briefly placed on vancomycin and zosyn for concern for pneumonia. this was continued from until . this was stopped as pneumonia seemed unlikely as the patient was not improving on antibiotics. . 2. fever: patient had low grade temps in ed. possible sources lung vs urine (indwelling foley). abdomen benign. urine showed uti, treated with 7 day course of ciprofloxacin. final day of antibiotics is . patient also found to be c diff positive on . he was treated with po vancomycin and iv flagyl. -please follow up blood cultures as they were pending on discharge. . 3. anemia: hct at baseline, has history of gi bleeds. patient had active type and screen, but never required transfusion. . 4. atrial fibrillation: patient was continued on amiodarone, per outpatient regimen. not anticoagulated secondary to history of gi bleeding. . 5. c. dificile colitis: patient tested positive for c. diff toxin. given history of septic shock with c. diff 6 months ago, placed patient on empiric abx with oral vancomycin and iv flagyl without history of diarrhea. will continue for 7 days after the cessation of antibiotics for urinary tract infection (will end ). . 6. urinary tract infection: patient with +urinary culture from chronic indwelling foley. treated with ciprofloxacin with course for complicated uti (10 days, end on ). medications on admission: -aspirin 81 mg po daily via peg @ 0953 -med trazodone 50 mg po hs:prn via peg @ 0953 -med lactinex *nf* 1 packet g-tube disolve in h2o @ 0953 -med amiodarone 200 mg po daily via peg @ 0953 -med carbidopa-levodopa (25-100) 1 tab po tid via peg @ 0953 -med ipratropium bromide neb 1 neb ih q6h @ 0953 -med omeprazole 20 mg po daily via peg @ 0953 -med simvastatin 20 mg po hs via peg @ 0953 -med nystatin cream 1 appl tp please apply to flanks, under l arm, l back @ 0953 -med milk of magnesia 30 ml po daily prn constipation @ 0953 -med acetaminophen 650 mg po q4h:prn pain via peg @ 0953 -med albuterol 0.083% neb soln 1 neb ih q2h:prn congestion @ 0953 -med hyoscyamine so4 (time release) 0.125 mg po q4h:prn congestion @ 0953 -guaifenesin ml po q6h:prn cough discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. trazodone 50 mg tablet : one (1) tablet po hs (at bedtime) as needed. 3. lactinex 100 million cell granules in packet : one (1) packet po twice a day: dissolve in h2o. 4. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 5. carbidopa-levodopa 25-100 mg tablet : one (1) tablet po tid (3 times a day). 6. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 8. simvastatin 10 mg tablet : two (2) tablet po hs (at bedtime). 9. nystatin 100,000 unit/g cream : one (1) appl topical (2 times a day): please apply to flanks, under l arm, l back . 10. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po daily prn () as needed for constipation. 11. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed for pain. 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q2h (every 2 hours) as needed for congestion. 13. hyoscyamine sulfate 0.375 mg capsule, sust. release 12 hr : one (1) capsule, sust. release 12 hr po q4h (every 4 hours) as needed for congestion. 14. guaifenesin 100 mg/5 ml syrup : 5-10 mls po q6h (every 6 hours) as needed for cough. 15. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 16. prednisone 20 mg tablet : three (3) tablet po daily (daily) for 4 days: last dose on . 17. ciprofloxacin 500 mg tablet : one (1) tablet po q12h (every 12 hours) for 3 days: last dose on . 18. vancomycin 125 mg capsule : one (1) capsule po q6h (every 6 hours) for 10 days: last dose on . 19. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback : one (1) intravenous q8h (every 8 hours): last dose on . 20. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary: chronic obstructive pulmonary disease bronchospasm and atelectasis c. dificile colitis urinary tract infection secondary: atrial fibrillation parkinson's hypertension discharge condition: stable, responding well to bipap machine. no current episodes of diarrhea. discharge instructions: you were admitted to the medical intensive care unit because you were breathing very quickly and it was determined that you may have had both a pneumonia and a chronic obstructive pulmonary disease exacerbation. also, you were found to have a urinary tract infection from your chronically indwelling foley catheter -- hence we placed you on antibiotics and switched your foley catheter. in addition, you were found to be positive for c. dificile toxin and were placed on antibiotics for this pathogen which causes diarrhea and which you had been infected with in the past. you were also placed on a machine to help you breathe more easily. we have started you on 3 new antibiotics, ciprofloxacin (which you will continue for 3 more days), vancomycin (which you will continue until the ), and flagyl (which you will also continue until the 11th). you were also begun on a medication called prednisone, which you will continue for 5 more days. if your symptoms worsen in any way please return to the hospital. in particular, please return back to the hospital if you begin to have severe shortness of breath or begin to feel lightheaded or dizzy. followup instructions: please follow up with your primary care physician 1 - 2 weeks after discharge. md procedure: non-invasive mechanical ventilation diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation obstructive chronic bronchitis with (acute) exacerbation pulmonary collapse paralysis agitans acute and chronic respiratory failure intestinal infection due to clostridium difficile retention of urine, unspecified dehydration acute bronchospasm 

Answer: The patient is high likely exposed to