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: heparin agents / ceftriaxone attending: chief complaint: kinked hd line major surgical or invasive procedure: ir evaluation of hd line history of present illness: 66yof esrd-hd sle, multiple failed vascular accesses, hx dvt/pe, hit+, h/o cva, tardive dyskinesia, transferred from for question clogged hd line and concern for infection at line site. pt was discharged after having hd line changed for fungemia (previous line tip positive for yeast) with plan to continue 4 weeks of caspofungin as per id recs. in ed, vital signs stable, sbp 180, exam baseline. guiac negative brown stool, cxr with no acute pathology, ekg unchanged. renal evaluated pt, hd line locked with heparin or picc line with heparin given her hit+ history. hct found to be 19, down from baseline - renal suggested 1u prbcs slowly. blood cultures sent. transferred to micu in stable condition. past medical history: 1. s/p cva (, with left facial drop) 2. hit ab + (, s/p treatment with argatroban and coumadin, pf4+ in ) 3. ttp (s/p plasmapheresis *10) 4. esrd on hd (first hd, , hd three days/week) 5. vre septic thrombophlebitis in ij () s/p linezolid) 6. c. difficile colitis with h/o failed flagyl 7. sle (diagnosed ) 8. htn 9. acd (baseline hct from , 26---37) 10. bowel and bladder incontinence 11. peripheral vascular disease 12. diverticulosis 13. peptic ulcer disease 14. s/p billroth ii gastrectomy () 15. gout 16. etoh abuse 17. depression 18. s/p hysterectomy 19. h/o pe social history: pt worked as a nurse for in , but is currently retired. she came from prior to this admission. her husband passed away 3 years ago. she has a son and two daughters, and ; daughter is her hcp. son lives locally with his wife, and they are supportive. she smoked for 8 years, cigs/day, but quit ~40 years ago. she quit etoh ~1 year ago, with previously heavy use. she denies illicit drug use. pt states that she can obtain support from her relatives and friends. family history: non-contributory; daughter has scleroderma physical exam: t 96.6 bp 147/70 hr 92 rr 22 98%ra gen: cachectic woman with tardive dyskinesia movements (but able to communicate) and constant scratching pruritus skin: r sclavian dialysis catheter nontender, no erythema; wwp, no rashes/lesions/discolorations heent: ncat, anicteric, no conjunctival suffusion, perrla, eomi, mmm, op clear; marked repetitive facial contractions with rhythmic movements and tongue involvement neck: supple, no thyromegaly//carotid bruits, no jvd (difficult to examine as pt in constant motion) pulm: ctab cv: mildly tachycardic, nl s1 and s2, no m/r/g abd: scaphoid, +bs, soft, nt/nd, no masses or organomegaly ext: no c/c/e, warm, 2+ dp pulses bilat neuro: a&o x 3; able to answers questions but severely dysarthric, tardive dyskinesia w/ constant motion cn iii-xii intact throughout; sensory and motor intact throughout; reflexes 2+ throughout; coordination intact pertinent results: 06:15pm glucose-79 lactate-0.8 na+-136 k+-3.9 cl--100 tco2-30 06:15pm hgb-6.6* calchct-20 05:30pm glucose-84 urea n-22* creat-6.4*# sodium-140 potassium-4.0 chloride-104 total co2-30 anion gap-10 05:30pm alt(sgpt)-8 ast(sgot)-22 ld(ldh)-243 ck(cpk)-25* alk phos-195* tot bili-0.4 05:30pm lipase-14 05:30pm phosphate-3.2 magnesium-1.8 05:30pm haptoglob-129 brief hospital course: on admission the patient was thought to have a clotted hd line. she was evaluated in ir where the line was found to be kinked, not clotted. the line was unkinked. she was also admitted with a hematocrit of 19. she was given one unit of prbc's and her repeat hematocrit was 29. this was thought to be an erroneous lab value. her coumadin had been initially held in this setting, and was restarted. medications on admission: 1. pantoprazole 40mg qd 2. vancomycin 125 mg po q6hr 3. warfarin 2.5 mg qd 4. clonazepam 0.5 mg tid 5. diphenhydramine hcl 25mg q6 prn 6. hydroxyzine hcl 25mg q6 prn 7. metoprolol tartrate 25mg 8. benztropine 1mg tid 9. b complex-vitamin c-folic acid 1 mg capsule qd 10. amlodipine 2.5 mg qd 11. calcium acetate 667 mg two tabs daily 12. caspofungin discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. vancomycin 125 mg capsule : one (1) capsule po q6h (every 6 hours). 3. clonazepam 0.5 mg tablet : one (1) tablet po tid (3 times a day). 4. diphenhydramine hcl 25 mg capsule : one (1) capsule po q6h (every 6 hours) as needed. 5. hydroxyzine hcl 25 mg tablet : one (1) tablet po q6h (every 6 hours) as needed. 6. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). 7. benztropine 1 mg tablet : one (1) tablet po tid (3 times a day). 8. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 9. amlodipine 5 mg tablet : 0.5 tablet po daily (daily). 10. calcium acetate 667 mg capsule : one (1) capsule po bid (2 times a day). 11. caspofungin 70 mg recon soln : fifty (50) mg intravenous q24h (every 24 hours) for 12 days. 12. picc line care per protocol discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: - complication of hd line - candidemia - c. difficile colitis secondary: - systemic lupus erythematosis - rheumatoid arthritis - ckd stage v on hemodialysis - infected av fistula - cva, left facial drop and dysarthria - pf4 antibody positive - likely false positive - ttp rx plasmaphersis x 10 () - rul pulmonary embolism - bilateral dvt - s/p ivc filter - right ij vre septic thrombophlebitis - idiopathic tardive dyskinesia - hypetension - anemia, ckd and chronic disease - peripheral vascular disease - bowel and bladder incontinence - gi bleed, work-up negative - gout - etoh abuse - depression - peptic ulcer disease - s/p billroth ii gastrectomy () - s/p hysterectomy discharge condition: stable discharge instructions: you were admitted with a kinked hemodialysis catheter. we had you evaluated by interventional radiology and they fixed this problem. . we made the following changes to your medications: 1. we have held your coumadin for your current inr of 3.4. please check your inr and restart coumadin when it is in the therapeutic range (2.0-3.0). you may require a lower dose of coumadin, as your inr of 3.4 occurred in the setting of a dose of 2.5mg po daily. . please follow up as indicated below. . please return to the emergency department if you develop any concerning symptoms such as fevers or blood in your stool or emesis, as well as any shortness of breath, chest pain, abdominal pain, or other concerning symptoms. followup instructions: 1. your next hemodyalisis session is wednesday . 2. provider: , md phone: date/time: 1:30 . 3. provider: , md phone: date/time: 1:00 procedure: hemodialysis diagnoses: systemic lupus erythematosus anemia in chronic kidney disease end stage renal disease unspecified essential hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease intestinal infection due to clostridium difficile rheumatoid arthritis other candidiasis of other specified sites unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure mechanical complication of other vascular device, implant, and graft unspecified drug or medicinal substance causing adverse effects in therapeutic use subacute dyskinesia due to drugs 

Answer: The patient is high likely exposed to