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: aspirin attending: chief complaint: diarrhea major surgical or invasive procedure: placement of biv pacer history of present illness: mr. is a 87 yo male with pmh significant for cad s/p cabg, chf, af, s/p temporary pacemaker, and dm2. he presented to on with hypotension and diarrhea. she had empirically been started on vancomycin at and had been bolused with ivfs and then sent to ed. in the ed she was febrile to 101.8 and cxray suggested pulmonary edema. she was diuresed with acute drop in his blood pressure which then normalized on its own. he was transferred to the micu for closer monitoring. in the micu he was empirically started on vancomycin and zosyn. he continued to have diarrhea and stool culture was positive for c.diff. he was started on flagyl. patient has no complaints at this time. he continues to have loose bms, 3 today. he denies any sob, chest pain, abdominal pain, or any other concerning symptoms. . medications on transfer: insulin sc ipratropium bromide neb 1 neb ih q6h:prn sob albuterol 0.083% neb soln 1 neb ih q6h:prn sob, levothyroxine 25 micrograms po daily amiodarone 200mg po daily flagyl 500mg po tid atorvastatin 10mg po daily carvedilol 3.125mg po bid pantoprazole 40mg po q24h cyanocobalamin 100mcg po daily finasteride 5 mg po daily fluticasone-salmeterol (250/50) 1 inh ih spironolactone 12.5 mg po daily . allergies: asa . family history: nc . social history: currently residing at & rehabilitation center. previously lived by himself, though his son lived in a separate unit in the same house. retired, but previously worked delivering milk. widower. denies tobacco past or present, previous moderate etoh use, no ivdu. . . laboratory results: see below . relevant imaging: 1)cxray (): compared with , what appeared to have been interstitial pulmonary edema has now cleared considerably. . 2)echo (): the left atrium is markedly dilated. the right atrium is markedly dilated. overall left ventricular systolic function is moderately depressed. the right ventricular cavity is moderately dilated. there is mild global right ventricular free wall hypokinesis. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. . past medical history: 1. cad s/p cabg in 2. chf, last echo w/ef 30% 3. atrial fibrillation 4. s/p icd in ; upgrade to biv/icd in ; generator change in ; device and lead extraction on for mrsa bacteremia and temporary pacemaker on 5. history of idiopathic intrinsic lung disease - on 3l o2 at home 6. type 2 dm, diet controlled 7. bph 8. hx of gi bleed 9. hypothyroidism 10. right ear melanoma s/p exicision social history: used to deliver milk for job. lives by himself but son is in same house, widower, retired. denies tobacco past or present, previous moderate etoh use, no ivdu. family history: father>>tuberculosis physical exam: per admitting resident: gen: pleasant male, lying in bed, nad heent: mmm heart: nl s1/s2, no s3/s4, +systolic murmur lungs: ctab, scattered wheezes and crackles posteriorly abdomen: soft, non-tender, +distended but no guarding or rebounding extremities: + pitting edema, 2+ dp/pt pulses bilaterally pertinent results: 09:30pm urine color-yellow appear-clear sp -1.007 09:30pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 09:30pm urine rbc-* wbc->50 bacteria-few yeast-none epi-0 08:15pm glucose-101 urea n-60* creat-2.7*# sodium-134 potassium-5.1 chloride-89* total co2-29 anion gap-21* brief hospital course: 1)c. diff: patient presented with diarrhea, stool positive for c.diff toxin. started on flagyl for 14 days. stool toxin now negative, no diarrhea. . 2)hypotension: baseline in 90s-100s. monitor i/os closely. mentating well. . 3)arrhythmia: patient has history of mrsa bactermia secondary to pacemaker lead infection. he was treated with course of vancomycin and surveillance blood cultures remain negative. after removal of the old device and placement of temporary wire, a new bivicd was placed on . patient is on amiodarone and digoxin, as well as warfarin. target hr is less than 80 to allow for pacing. on 7-day-iv vancomycin. on heparin drip and warfarin, inr on discharge 1.8. . 4)chf: patient has history of systolic dysfunction. recent echo with ef~35%. cxray on admission consistent with pulmonary edema but improved with lasix he received in the ed. given his sub-optimal blood pressures he was diuresed cautiously. . 5)renal failure: baseline cr~1.4. elevated to 2.7 on admission; slowly improving now. . 6)sterile pyuria/bph: u/a with >50 wbcs but negative nitrite and leuks. asymptomatic. antifungal cream for penile thrush. outpat appointment with dr. (urology). send to rehab with foley. medications on admission: insulin sc ipratropium bromide neb 1 neb ih q6h:prn sob albuterol 0.083% neb soln 1 neb ih q6h:prn sob, levothyroxine 25 micrograms po daily amiodarone 200mg po daily flagyl 500mg po tid atorvastatin 10mg po daily carvedilol 3.125mg po bid pantoprazole 40mg po q24h cyanocobalamin 100mcg po daily finasteride 5 mg po daily fluticasone-salmeterol (250/50) 1 inh ih spironolactone 12.5 mg po daily discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 7. hexavitamin tablet sig: one (1) cap po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob, wheezing. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob, wheezing. 11. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 days. 12. carvedilol 6.25 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. spironolactone 25 mg tablet sig: 0.5 tablet po daily (daily). 14. insulin lispro (human) 100 unit/ml solution sig: per sliding scale subcutaneous asdir (as directed). 15. digoxin 125 mcg tablet sig: 0.5 tablet po mwf (monday-wednesday-friday). 16. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 17. vancomycin 1000 mg iv q 24h new icd. duration: 7 days ok to switch to po equivalent on d/c or per id recommendations. 18. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 19. heparin (porcine) in d5w 100 unit/ml parenteral solution sig: per protocol intravenous asdir (as directed). 20. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: c.diff colitis cad s/p cabg in chf atrial fibrillation s/p icd in ; upgrade to biv/icd in ; generator change in ; device and lead extraction on for mrsa bacteremia and temporary pacemaker on history of idiopathic intrinsic lung disease - on 3l o2 at home type 2 dm, diet controlled bph hx of gi bleed hypothyroidism right ear melanoma s/p exicision discharge condition: fair. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1500 cc . you were admitted with c.difficile colitis. for that, you are treated with an antibiotic (flagyl)for 15 days. please take all your medication as prescribed. please go to your follow-up appointments. please call your doctor if you have increased diarrhea, fever >101.0, chills or any other concerning medical problems. followup instructions: please have your pcp arrange followup with gi since you had blood in your stool. please call for an appointment with pcp: , . provider: clinic phone: date/time: 10:00 provider: . phone: date/time: 11:30 provider: , md phone: date/time: 1:00 provider: clinic phone: date/time: 10:00 procedure: implantation of cardiac resynchronization defibrillator, total system [crt-d] computer assisted surgery with fluoroscopy diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation aortocoronary bypass status systolic heart failure, unspecified other specified forms of chronic ischemic heart disease hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) hypotension, unspecified intestinal infection due to clostridium difficile unspecified disorder of kidney and ureter other nonspecific findings on examination of urine 

Answer: The patient is high likely exposed to