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: patient recorded as having no known allergies to drugs attending: chief complaint: hypotension major surgical or invasive procedure: endotracheal intubation x 2 central venous line picc line pleurocentesis arterial line dc cardioversion history of present illness: ms. is a 77yo female with pmh significant for copd on 4l nc, htn, anemia, and recent pubic ramus fracture who was recently in the micu for hypoxia, hypotension and thought to have urosepsis. at that time, she was stared on broad spectrum antibiotics (vancomycin/cefepime) and narrowed to cefpodoxime on discharge, to complete a 7-day course. she was discharged to rehab on . at rehab on , she was found by family members to be lethargic, somnolent, and tachypneic. she was transferred to for further evaluation. in the ed, initial vitals were t:97.9 bp:70/38 hr:73 rr:16 o2sat:97% on ra. for the hypotension, she was given 5 litres resuscitative crystalloid and a left ij central line was placed, after unsuccessful attempt at right ij. patient was also found to have abdominal tenderness and an abdominal ct scan was ordered, and per our wet read, showed dilated colon, with stool throughout. she was given vancomycin and piperacillin-tazobactam x 1 dose after blood and urine cultures were sent. she was then transferred to micu. past medical history: 1)pubic ramus fracture 2)syncope 3)copd on 4l at home 4)iddm 5)hypertension 6)anemia (followed by hematologist) social history: patient lives with husband, recently discharged to a rehab one day prior. no current tobacco, alcohol, or ivda. family history: nc physical exam: vitals t 97.1 bp 103/46 hr 70 rr 19 o2 sat 94% on 4 l nc gen: awake, responsive to commands, breathing comfortably heent: mucous membranes dry heart: rrr, no audible m,r,g lungs: ctab, diminished breath sounds bilaterally abdomen: soft, distended, tympanic sounds throughout with percussion, tender to palpation diffusely, no rebound or guarding extremities: 1+ bilateral edema pertinent results: 04:35am blood wbc-13.2* rbc-3.32* hgb-9.6* hct-31.0* mcv-93 mch-28.8 mchc-30.9* rdw-18.0* plt ct-338 03:44am blood wbc-17.4* rbc-3.13* hgb-8.6* hct-30.2* mcv-97 mch-27.6 mchc-28.6* rdw-17.4* plt ct-409 03:59am blood wbc-13.7* rbc-3.09* hgb-8.6* hct-29.1* mcv-94 mch-27.9 mchc-29.6* rdw-17.9* plt ct-435 01:30pm blood neuts-91* bands-2 lymphs-5* monos-2 eos-0 baso-0 atyps-0 metas-0 myelos-0 01:30pm blood pt-14.1* ptt-34.1 inr(pt)-1.2* 04:35am blood glucose-137* urean-46* creat-1.7* na-146* k-3.9 cl-105 hco3-28 angap-17 03:44am blood alt-14 ast-18 ck(cpk)-61 alkphos-133* amylase-11 totbili-0.2 03:44am blood ck-mb-4 ctropnt-0.09* 01:30pm blood calcium-7.4* phos-6.3*# mg-1.9 01:30pm blood tsh-23* 01:30pm blood t3-41* free t4-0.85* 01:34pm blood glucose-136* lactate-1.2 na-139 k-5.1 cl-99* calhco3-26 relevant imaging: 1)ct abd/pelvis (): 1. subacute fractures of the left superior and inferior and right superior pubic rami with evidence of interval callus formation. findings were discussed with dr. at 10 pm on . 2. no acute intra-abdominal process is identified. 3. interval improvement of airspace process at lung bases bilaterally. stable small pleural effusions 2)cxray (): there is persistent left retrocardiac opacity, accompanied by basilar atelectasis and small effusion; pneumonic consolidation cannot be excluded. right basilar subsegmental atelectasis is unchanged, but there is no new focal airspace process elsewhere. there is some upper zone pulmonary vascular redistribution, but no overt edema. right hilar prominence is unchanged, corresponding to known dilated right pulmonary artery. there is a suggestion of gas-distended bowel loops in the upper abdomen, but no definite free subdiaphragmatic gas. . ecg : wide complex tachycardia, likely atrial flutter with 2:1 conduction and aberrancy. right bundle-branch block. compared to the previous tracing of atrial flutter is similar. . cxr : wide complex tachycardia, likely atrial flutter with 2:1 conduction and aberrancy. right bundle-branch block. compared to the previous tracing of atrial flutter is similar. . tte: impression: normal biventricular cavity sizes with preserved global biventricular systolic function. pulmonary artery systolic hypertension. right ventricular cavity enlargement. mild-moderate mitral regurgitation. dilated ascending aorta. brief hospital course: brief hospital course: ms. is a 77yo female with pmh as listed above who presented with hypotension. she was treated broadly initially for sepsis, and it was determined that the likely source was c.difficile colitis. her toxin b was eventually positive. she had respiratory failure in the setting of septic shock. she had persistent hypotension while intubated, and required vasopressors. she completed a two week course of antibiotics for her c.dif colitis. she developed diffuse anasarca from volume resuscitation. it became difficult to mobilize her fluids because she was felt to be intravascularly dry. eventually, a lasix drip was started, and she was successfully extubated. she was also noted to be severely hypothyroid (her replacement medications had been stopped for some reason prior to admission). she was started on iv synthroid after consultation with endocrinology. in addition to her fluid overload state, she was very weak. she was receiving enteral nutrition during most of her stay, but remained very weak. she also had a pleural effusion that was tapped and was transudative after analysis. it was felt to be due to volume resucitiation and diastolic heart failure. the fluid reaccumulated. she also developed a gi bleed, which was felt to be due to an upper source, and gi was consulted. they recommended supportive care, and that an urgent endoscopy / colonoscopy would not alter her course. once she was extubated, she had an acute event of possible aspiration vs. flash pulmonary edema that lead to her being re-intubated. she had difficulty weaning off of the ventilator due to profound weakness and volume overload. then, she developed a tachyarrhythmia - atrial fibrillation and atrial flutter. her bp was very sensitive to this rhythm, and she required dc cardioversion. she was loaded on amiodarone and esmolol, and she once again developed this tachy rhythm. given that she had then completed an iv load of amiodarone, dc cardioversion was done again, and she returned to sinus bradycardia with a good bp. given that her heart had become somewhat unstable, and there was very little progress in weaning her from the ventilator, family discussions were held regularly to discuss goals of care. then, at a meeting one day prior to her death, the decision was made by her daughter and hcp, as well as her husband, to gather family and to terminally extubate her. this was done on 6/ 27/ 08 at 6pm, and she expired with her entire family at her bedside very peacefully by 6:20pm. she remained on dvt prophylaxis during the stay. other issues, such as pain control for her hip fracture, were adequately addressed. she was given insulin, bronchodilators, mouth care, pressure ulcer prophylaxis. medications on admission: #. heparin sc #. procrit 40,000 units tuesday, saturday #. vitamin c 500mg po bid #. nph insulin 10 units qhs #. lispro 2 units with meals #. senna #. docusate 100mg po bid #. oxycodone 2.5mg po q4h prn #. albuterol nebs #. tiotropium #. fluticasone #. asa 325mg po daily #. simvastatin 40mg po daily #. vitamin b12 mcg daily #. lactulose #. levothyroxine 200 mcg daily #. zinc sulfate 220mg po daily #. bisacodyl 10mg prn #. furosemide 40mg daily discharge medications: na discharge disposition: expired discharge diagnosis: c.dif sepsis respiratory failure cardiogenic shock atrial fibrillation copd anemia diastolic heart failure, acute acute renal failure osteoporosis discharge condition: deceased discharge instructions: na followup instructions: na procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances other electric countershock of heart thoracentesis diagnoses: unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases atrial flutter chronic kidney disease, stage iii (moderate) acute respiratory failure cardiogenic shock septic shock intestinal infection due to clostridium difficile morbid obesity paralytic ileus other diseases of lung, not elsewhere classified acute diastolic heart failure hemorrhage of gastrointestinal tract, unspecified hypovolemia septicemia due to anaerobes hyperosmolality and/or hypernatremia ulcer of heel and midfoot other postablative hypothyroidism 

Answer: The patient is high likely exposed to