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: penicillins / darvon / codeine attending: chief complaint: unresponsive, s/p intubation major surgical or invasive procedure: endotrachial intubation with mechanical ventilation picc line placement history of present illness: 70 year old female with a pmh significant for anklyosing spondylitis, htn, hld, and cad who was admitted to the icu secondary to unresponsiveness on , she was found to have hypercarbic respiratory failure. the patient had been discharged from after treatment for cap with azithromycin and levofloxacin. the patient also had been treated for c diff after her recent discharge, she was treated with flagyl. in this setting she developed a fever of 101.8 and tachypnea, in addition to fatigue and weakness. the patient then had mental status depression, slurred speech and confusion- ems was called and she was found to be hypoxic (88% on 100% nrb), she was intubated due to respiratory failure and brought to the er. in the er she was following commands and was extubated, she then slowly became unresponsive and hypoxic again and re-intubated (this time nasally due to kyphosis). she had some seizure activity as reported by er attending, and was given 2mg iv ativan. she was then admitted to the on . course: the patient was initially treated with vancomycin, meropenem and also on acyclovir for presumed cellulitis / sepsis versus pna. acyclovir and meropenem were discontinued on hd # 2, vancomycin was continued for total 8 day course, no + culture data (with the exception of 1+ gpcs in pairs on endotracheal sputum sample on ). she was intubated for a total of 6 days, she was then extubated on . due to sinus tachycardia small boluses of fluid were given (500cc x 2 on ) and metoprolol was started at 12.5mg po bid, amlodpine discontinue to allow more bp room to uptitrate metoprolol. currently the patient feels well, no sob, productive cough of yellow sputum following extubation. no orthopnea or pnd although has been sleeping nearly sitting up. has pedal edema which is new over past 2 weeks. last bm was formed and was 1 day ago. no n/v, good appetite, no abdominal pain. no other symptoms. no f/c/ns currently, rest of ros is negative. past medical history: anklyosing spondylitis chronic kidney disease hypertension hld coronary artery disease - mi in her 30s ("pulmonary" mi in setting of a bad cold) arthritis shingles - right flank social history: lives with husband, independent in . tobacco - none, quit 18 years ago. 3 ppd x 18 years. etoh - social. denies iv, illicit, or herbal drug use. family history: mother - multiple events (dvt and pe). father with mi in 50s, brother with mi in 30s. physical exam: vitals: t 98.7 bp 120/70 hr 92 rr 20 o2 95% on 2l, 85% on ra gen: nad, aox3 heent: mmm, op clear, jvp 12cm card: rrr, + s3, no murmurs pulm: diminished breath sounds at bases, good effort, no ronchi or rales abd: soft, nt, nd, no masses or organomegaly ext: wwp, 2+ pitting edema to thighs, also pitting edema of sacrum neuro: aox3, stregnth of ue bicep, tricep, grip, delt. strength le quad, hams, plantarflexion/dorsiflexion, abduction/adduction at hip, no saddle anesthesia. pertinent results: lower ext ultrasound: 1. no evidence of dvt. 2. fluid tracking along the intermuscular plane in the right popliteal fossa to the calf, could represent a ruptured cyst versus hematoma. ct head w/o contrast: no evidence of acute intracranial process; somewhat limited study. cxr: extremely low lung volumes persist. technically limited study makes it extremely difficult to determine whether an endotracheal tube is indeed present. no nasogastric tube is appreciated. large hiatal hernia is again seen. there may well be some patchy atelectasis at the bases on this extremely limited study. hct at discharge: 26.9 creatinine at discharge: 0.9 bicarbonate at discharge: 40 brief hospital course: 1. hypercarbic respiratory failure: at baseline, has poor reserve given ankylosing spondylitis and severe kyphosis as well as hiatal hernia. unclear what the precipitant was in this case. long-term, patient is dnr but okay to intubate. dr. , her pcp, continue discussions with patient and husband regarding goals of care. 2. clostridium difficile infection: plan to continue treatment through ; remained with little to no diarrhea during stay. 3. volume overload: significant anasarca post-icu. diuresed with iv lasix in-house and discharged with plans for stockings use daily. 4. question of seizure activity: witnessed in er in the setting of pco2 of 100. 5. sinus tachycardia: a chronic issue per old notes, likely related to restrictive lung disease. at discharge, hr in the 90s. 6. htn: discharged on propranolol and lisinopril; amlodipine was not restarted but could be in follow-up. medications on admission: home medications propanalol 10 mg po bid lisinopril 20 mg daily pravastatin 40 mg daily amlodipine 5 mg daily benefiber flagyl 500 mg transfer medications: acetaminophen prn famotidine 20 mg po daily lisinopril 20 mg po daily metoprolol tartrate 12.5 mg po bid albuterol 0.083% neb q6hrs prn metronidazole (flagyl) 500 mg iv q8h heparin 5000 unit sc tid @ view discharge medications: 1. propranolol 10 mg tablet sig: one (1) tablet po bid (2 times a day). 2. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 3. pravastatin 40 mg tablet sig: one (1) tablet po once a day. 4. benefiber (guar gum) oral 5. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 11 days: last day . disp:*33 tablet(s)* refills:*0* 6. oxygen home oxygen @ 2 lpm continuous via nasal cannula. conserving device for portability discharge disposition: home with service facility: homecare discharge diagnosis: hypercarbic respiratory failure clostridium difficile colitis anasarca anemia of chronic disease anklyosing spondylitis coronary artery disease discharge condition: hemodynamically stable with blood pressure 139/78 and heart rate in the 90s. o2 drops to 86% on room air with ambulation. discharge instructions: you were admitted with breathing failure requiring use of the ventilator. it is not entirely clear what caused the failure though things have improved since your admission to the icu. regarding your medications, we have stopped your amlodipine. the visiting nurses will check your blood pressure after discharge to ensure that it is not elevated. for the fluid accumulation, please wear stockings as directed. followup instructions: primary care physician appointment name: , when: wednesday, , 1pm location: center address: , , phone: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified septicemia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other convulsions chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene acute respiratory failure other specified cardiac dysrhythmias cellulitis and abscess of leg, except foot disorders of phosphorus metabolism intestinal infection due to clostridium difficile old myocardial infarction primary pulmonary hypertension kyphosis (acquired) (postural) disorders of magnesium metabolism oliguria and anuria edema ankylosing spondylitis 

Answer: The patient is high likely exposed to