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: low blood sugar major surgical or invasive procedure: rij central line placement history of present illness: 70 year-old female with history of diabetes, htn, mrsa foot infection, recent c. diff, who presents with hypoglycemia. she initially had viral symptoms of cough, decreased po's, and found to have low bg's to 60's. she was given 1 amp d50 for bg 23--> 158 in the ed. patient found by nf resident to have profound asymptomatic episodes of hypoglycemia, which were attributed to likely decreased clearance of glyburide. she was given an additional amp d 50 +apple juice and toast at mn for a bg of 49 and two hours later a full amp of d 50 + juice and crackers for a bg of 45. at 4am she was found w/ persistent low bg of 25 and was started on d5 1/2 ns at 100cc/hr. at that time, she still had no symptoms and was mentating appropriately. at 6am her bg was 28, w/o symptoms, and was started on d10 gtt at 100/hr. at 7:30 am , resident was called for unresponsivess. pt found to be unresponsive to sternal rub, bg of 26, so she was transfered to the medical icu for closer monitoring. ros: + weakness, cough w/ whitish sputum, + sob, + chronic le edema no fevers, no chest pain, no melena or bright red blood per rectum past medical history: right femur fx s/p orif (: tripped over commode), htn, hyperlipidemia, dmii, peripheral neuropathy, obesity, ibs (chronic constipation, abdominal pain and intermittent diarrhea), crohn's disease, chronic lbp/sciatica (osteoporisis, djd/oa, spinal stenosis), depression/anxiety, panic disorder, parotid gland tumor s/p resection, s/p multiple falls, h/o herpes zoster, s/p ccy, b/l cataract removal. * pertinent studies: pmibi (): no ecg changes or anginal symptoms. impression: normal persantine stress study with a small defect in the high anterior portion of the lateral wall, likely artifactual. ef of 65% social history: she lives with her daughter, who is very involved with her care. she had 11 children, and one passed away. she was a homemaker. she quit smoking 20 years ago and had between py. she uses etoh rarely (<1x/month). family history: her mother had dm. she knows nothing of her father. sister died of at 60. physical exam: vitals- 96% on ra, t 99.4, bp 85/40, hr 77 nsr gen- obese, lethargic, minimally responsive to sternal rub-->opens eyes heent- perrla. membranes moist pulm- clear to auscultation. occ wheezes cv- rrr. normal s1/s2. no m/r/g abd- soft, nt/nd ext- r foot heel ulcer, clean and dry. no pus or bleeding neuro- not able to follow commands. pertinent results: echo : 1. the left atrium is mildly dilated. the left atrium is elongated. 2.there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3.right ventricular chamber size is normal. right ventricular systolic function is normal. 4.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 5.the mitral valve leaflets are moderately thickened. no mitral regurgitation seen. 6.there is mild pulmonary artery systolic hypertension. 7.there is no pericardial effusion. microbiology: klebsiella pneumoniae | ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ <=1 s ciprofloxacin--------- =>4 r gentamicin------------ <=1 s imipenem-------------- <=1 s levofloxacin---------- =>8 r meropenem-------------<=0.25 s nitrofurantoin-------- 128 r piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s chest x-ray: () left lower lobe pneumonia and small effusion. brief hospital course: 1)hypoglycemia: patient had to be transferred to the icu immediately since she remained hypoglycemic despite getting d50 and d10w ivf on the floor and found to be unarousable. in the icu, she continued to stay hypoglycemic initially requiring q1hr fingersticks. ivf was eventually changed to d20 to maintain minimum glucose level. she was initially unarousable when hypoglycemic but improved over the course. she was also hypotensive requiring central line placement and pressor (levophed) transiently. she had low random cortisol level, so she also received stress dose steroids to maintain adequate bp. she was initially on vanco, levofloxacin, and flagyl for presumed sepsis. urine culture from admission grew levo-resistant klebsiella. cxr also showed lll pneumonia. the cause of persistent hypoglycemia was thought to be combination of prolonged effect of glyburide in a setting of acute on chronic renal failure, sepsis with adrenal insufficiency, and decreased po intake. once transferred to the floor, her glucose level remained stable. she was not re-started on glyburide. 2)uti: urine culture from admission grew levo-resistant klebsiella. initially, the antibiotic was switched to bactrim as it was sentitive, but was later switched to cefpodoxime to also cover for lll pneumonia. 3)pna: cxr from revealed lll pneumonia. she was started on 7 day course of cefpodoxime to cover for both pna and levo-resistant uti. 4)hx of c.diff: pt had a recent hx of c.diff in . she was started on brief 7 day course of cefpodoxime for uti/pna. if she develops diarrhea at home, she needs to seek medical attention for possible c.diff re-infection. 5) renal insufficiency: acute on chronic renal failure. creatinine on admission was 1.6 (up from baseline of 1.4). likely pre-renal etiology. creatinine was 1.1 on discharge after ivf hydration. 6) pain control: oxycodone 30mg q6 po prn + oxycontin 30mg . lidocaine patches medications on admission: oxycodone hcl 5 mg po q6h prn gabapentin 300 mg po bid clonazepam 1 mg po qhs doxepin hcl 100mg qhs tizanidine hcl 4 mg qhs atorvastatin calcium 20 mg po daily diphenhydramine hcl 25 mg po hsprn fluoxetine hcl 20 mg po daily hctz 25 mg daily pantoprazole 40 mg q24h mesalamine 800 mg tablet po tid glyburide 10mg po bid bisacodyl 10 mg tablet po daily prn elidel 1 % cream 1 tsp topical daily prn psoriasis docusate 100 mg po bid clonazepam 0.5 mg po tid prn olanzapine 10 mg po hs aspirin 325 mg tablet po daily lisinopril 2.5 mg daily pioglitazone hcl 30 mg po daily cyanocobalamin 50 mcg daily discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. clonazepam 1 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 3. doxepin hcl 50 mg capsule sig: two (2) capsule po hs (at bedtime). 4. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 5. fluoxetine hcl 20 mg capsule sig: two (2) capsule po daily (daily). 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. mesalamine 400 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po tid (3 times a day). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. olanzapine 10 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 11. cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). disp:*90 tablet(s)* refills:*3* 12. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical qd (). 13. pioglitazone hcl 30 mg tablet sig: one (1) tablet po daily (daily). 14. gabapentin 100 mg capsule sig: three (3) capsule po bid (2 times a day). 15. oxycodone hcl 10 mg tablet sustained release 12hr sig: three (3) tablet sustained release 12hr po q12h (every 12 hours). 16. oxycodone hcl 5 mg tablet sig: six (6) tablet po q6h (every 6 hours) as needed for pain. 17. cefpodoxime proxetil 200 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: 1. klebsiella urosepsis 2. adrenal insufficiency 3. hypoglycemia 4. dm2 5. renal failure 6. obesity 7. pneumonia discharge condition: stable discharge instructions: please see your pcp 2-3 weeks of discharge. followup instructions: provider: , md where: phone: date/time: 10:40 procedure: arterial catheterization umbilical vein catheterization diagnoses: urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia severe sepsis diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease regional enteritis of unspecified site pneumonitis due to inhalation of food or vomitus diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled osteoporosis, unspecified ulcer of heel and midfoot 

Answer: The patient is high likely exposed to