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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath, altered mental status major surgical or invasive procedure: none history of present illness: patient is an 80 year-old patient with history of sjogren's syndrome, moderate mr, recent hospitalization for sepsis secondary to c. diff colitis complicated by hypercarbic respiratory failure requiring intubation, who is presenting from rehab with worsening dyspnea for one day. patient was discharged from yesterday () following hospitalization for c. diff colitis. patient had abg at rehab, which was 7.4/73/63. her vitals on transfer were 97.9 99 24 113/68 92% 2l. she reports shortness of breath associated with the cough. she denies chest pain. she denies nausea or vomiting. she denies abdominal pain. in the ed, initial vitals are 100.2 95 99/47 28 100% 4l nc. exam was notable for tachypnea with respiratory rates in the 30s. while in ed, blood pressure dipped to 80s, but improved on it's own. given the tachypnea, cough, and dyspnea, there was concern for pneumonia. patient received vancomycin and levofloxacin. cxr appeared improved from most recent cxr. patiwnt was started on bipap. patient underwent cta to evaluate for pe prior to leaving ed. on transfer vitals are, hr 93, bp 109/45, o2 sat 100% on bipap. on arrival to the micu, patient is wearing bipap, but wants it removed and does not want any other supplemental oxygen. she denies pain. she denies cough or shortness of breath. review of systems: unable to obtain, patient wearing bipap and is delerious. past medical history: anemia borderline cholesterol c. diff flatulence health maintenance heart murmur hypertension hypothyroidism mitral regurgitation osteoporosis pneumonia sinusitis sjogren social history: patient previously lived alone in an apartment and cares for herself. currently living at rehab after recent discharge. she does not use tobacco or alcohol. family history: long history of hypertension in her family. she does report that her father's family has a history of multiple cancers. she has a grandfather with a history of stomach cancer and an uncle with a history of throat cancer. she denies any history of colon cancers. father had stroke. no family h/o mi. mother had a heart valve replaced (pt not sure which one). physical exam: exam upon admission: general: awake, interactive, but delerious. not oriented to place or time, calling out, trying to get out of bed. cachetic, frail, elderly female. heent: sclera anicteric, dry mucus membranes. neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, ii/vi systolic murmur at apex. lungs: dull at bases bilaterally, breathing comfortably, no accessory muscle use. abdomen: soft, distended, non-tender, no rebound/guarding. bowel sounds present. flexiseal draining watery stool with blood in it. gu: foley in place foley ext: warm, 1+ dp pulses, diffuse edema neuro: cnii-xii intact, disoriented, inattentive discharge exam - unchanged from above, except as below: general: awake, sleepy but arousable to voice, nad gu: foley removed neuro: a&ox2 (name and date), ms has been waxing/, no focal defecits pertinent results: labs upon admission: 07:30am blood wbc-7.1 rbc-3.11* hgb-9.3* hct-30.3* mcv-97 mch-29.9 mchc-30.7* rdw-14.0 plt ct-424 07:10pm blood neuts-68.2 lymphs-21.8 monos-6.6 eos-2.4 baso-1.0 07:30am blood glucose-122* urean-20 creat-0.3* na-133 k-4.0 cl-92* hco3-39* angap-6* 07:10pm blood alt-32 ast-40 alkphos-129* totbili-0.2 07:10pm blood ctropnt-0.01 07:30am blood calcium-7.8* phos-2.4* mg-1.9 11:05pm blood type-art temp-36.7 tidal v-300 peep-5 fio2-50 po2-133* pco2-78* ph-7.37 caltco2-47* base xs-15 intubat-not intuba 07:16pm blood lactate-1.5 discharge labs: 06:30am blood wbc-4.9 rbc-2.67* hgb-8.2* hct-26.4* mcv-99* mch-30.8 mchc-31.2 rdw-15.0 plt ct-311 06:30am blood glucose-113* urean-6 creat-0.3* na-136 k-3.5 cl-95* hco3-37* angap-8 micro: -bcx x2 (ngtd) -ucx x2 - yeast, no bacterial growth -midline tip - ngtd -c. diff pcr - neg imaging: : cxr: impression: no significant interval change with bilateral pleural effusions with right pigtail catheter in the lower chest. possible small right apical pneumothorax. : ct-a impression: 1. no evidence of pulmonary embolism. 2. bilateral pleural effusions, small to moderate on the left, decreased since the most recent prior examination and trace on the right, markedly decreased compared to with pigtail catheter noted in place on the right. 3. ascites. brief hospital course: 80 year old woman, recently hospitalized for c. difficile sepsis and shock, re-admitted to micu from rehab with altered mental status, tachypnea and a mild respiratory acidosis. #hypoxia/hypercarbia: she initially required bipap and was admitted to the micu for monitoring of her respiratory status. she was able to be weaned from bipap on icu day 2 and remained on 2l nc at the time of discharge. cause of her respiratory symptoms is unclear, but may be due to hypoventilation from somnolence related to oversedation with zyprexa. zyprexa was held at the time of discharge. cta chest was negative for pe and showed no clear evidence of pneumonia. she was initially started on hcap antibiotics with vanc/cefepime which were stopped on hd 4 prior to discharge given that all cultures were negative and there was no consolidation on imaging. # delirium: likely multifactorial, but thought to be related to oversedation from zyprexa. there was no evidence of infection and antibiotics were quickly stopped as described above. ua was dirty, but ucx was negative x2 (grew only yeast) and she had no urinary symptoms. most of her mental status changes were probably related to her sedationg medications and hypercarbia at admission, which improved with bipap and holding her antipsychotics. # c diff colitis: recently admitted for c. diff colitis with sepsis. repeat c diff pcr was negative during this hospitalization. she continued to have high volume stool output and flexiseal is in place for skin ulceration. id was curbsided regarding vanco course given that she received a few days of hcap antibotics and her po vanco was changed to 125mg q6h for 7 days after stopping iv vanc/cefepime (d7 will be ). flexiseal in place at discharge. # anemia: patient with guaiac positive stools this admission, new from past admission. felt to be secondary to sloughing and mucosal oozing secondary to c diff. normal lactate on admission and benign abdominal exam. hct has been variable recently, but fairly stable, although still markedly below her baseline of low to mid 30s. # bilateral pleural effusions: noted to have bilateral pleural effusions last hospitalization in setting of massive fluid resuscitation, right pleural pigtail catheter removed this admission in the micu. she is still volume overloaded on exam, but her bicarb remained elevated, and she was not given any further diuresis. the elevated bicarb is also be partially due to compensation from her respiratory acidosis. # volume overload: she has some diastolic dysfunction and has 2+ mr . she continues to appear total body overloaded, likely in setting of volume resuscitation on prior admission for sepsis, but with contraction alkalosis currently, so further diuresis was held as above. consider further diuresis once hypercarbia improves and bicarb trends down. # hypothyroidism: continued on levothyroxine 50 mcg daily # hypertension: patient was previously on lisinopril which was held since last admission in setting of sepsis and relative hypotension. she remained normotensive # gerd: patient previously on omeprazole last hospitalization, which was stopped after c. diff came back positive, and she was transitioned to h2 blocker for gi prophylaxis but this was stopped again when she became delirious last hospitalization. she remains off h2 blocker at discharge because of concern that it may be contributing to her ams. # code status this admission: full # transitional issues: -foley was removed and she has not voided as of discharge, may need foley replaced if she is unable to void -would restart diuresis when bicarb trends down -continue po vanco 125mg q6h through -please follow hct daily given melanotic stools, should resolve as her c. diff resolves -midline removed -pigtail catheter removed this admission -f/u pending bcx, catheter tip cx medications on admission: medications at rehab: fluticasone 50 mcg nasal spray 1-2 puffs prn levothyroxine 50 mcg dialy acetaminophen 650 mg q4h prn pain polyvinyl alcohol 1.4% drops every 4h prn dry eyes heparin line flush humalog insulin sliding scale miconazole nitrate 2% powder, 1 application tid prn rash ondansetron 4 mg iv q8h prn nausea olanzapine 2.5 mg po daily and qhs prn anxiety/insomnia vancomycin 500 mg q6h planned through discharge medications: 1. fluticasone 50 mcg/actuation spray, suspension sig: 1-2 puffs nasal twice a day as needed for allergies. 2. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for fever or pain. 4. polyvinyl alcohol 1.4 % drops sig: one (1) drop ophthalmic every four (4) hours as needed for dry eyes. 5. insulin lispro 100 unit/ml solution sig: sliding scale units subcutaneous three times a day: 150-200 - 2 units; 201-250 - 4 units; 251-300 - 6 units; 301-350 - 8 units; 351-400 - 10 units; over 400 - 10 units and md. 6. miconazole nitrate 2 % powder sig: one (1) application topical three times a day as needed for rash. 7. vancomycin 125 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days: last dose on . 8. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection three times a day. 9. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation every four (4) hours as needed for shortness of breath or wheezing. 10. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation every six (6) hours as needed for shortness of breath or wheezing. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnoses: altered mental status hypoxia secondary diagnoses: clostridium difficule discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: dear ms. , it was a pleasure taking care of you during your admission to for hypoxia/hypercarbia and altered mental status. your mental status improved once we stopped your zyprexa and your breathing improved. we looked for an infection but were not able to find a clear source. you received a few days of antibiotics while your cultures were pending. you will continue po vanco for an additional 7 days. the following changes were made to your medications: change vancomycin 125mg by mouth every 6 hours for 7 days (last dose ) start albuterol neb every 4 hours as needed for sob/wheezing start ipratropium neb every 6 hours as needed for sob/wheezing stop zyprexa followup instructions: you will have an appointment made with your pcp, . , prior to discharge from rehab. department: div. of gastroenterology when: monday at 11:15 am with: , md building: ra (/ complex) campus: east best parking: main garage department: medical specialties when: friday at 11:50 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: non-invasive mechanical ventilation diagnoses: anemia, unspecified mitral valve disorders unspecified pleural effusion unspecified essential hypertension unspecified acquired hypothyroidism candidiasis of other urogenital sites acute respiratory failure osteoporosis, unspecified blood in stool intestinal infection due to clostridium difficile drug-induced delirium mixed acid-base balance disorder other fluid overload sicca syndrome other antipsychotics, neuroleptics, and major tranquilizers causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to