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: keflex / oxycodone attending: chief complaint: toxic megacolon s/p tac/end ileostomy, septic shock, ards, arf major surgical or invasive procedure: tac/end ileostomy at us guided paracentesis post-pyloric dobhoff thoracostomy tube palcement history of present illness: 56 m presented to on hypotensive to systolic of 50s, tachycardia to 140s and with a firm & distended abdomen. ct scan was perfomred and showed distended colon and small bowel with cecum & transverse colon measuring up to 9 cm id diameter. distention extended to rectosigmoid area wihtout obvious obstruction. patient taken emergently to or this am at osh - diffusely gangrenous colon identified without perforation. patient is s/p tac/end ileostomy/hartmann's pouch at . he remained intubated on pressors postop with maximal vent suppport. he has been transferred to for sicu-level care. on arrival to sicu, patient was on levophed at 0.25 mcg/kg/min. he had been on pitressin at osh, but this was d/c'd upon transfer. he is on, vanc, , flagyl for abx covergae. past medical history: gerd, htn, fibromyalgia, nephrolithiasis s/p appendectomy, l ureteral stent social history: no tobacco, no etoh, no ivda family history: parents with htn physical exam: a and o x 2 person/place v.s.s rrr no mrg lscta with coarse lung sounds at bases, productive cough. soft, nt, nd, abd wound pink, granulation no s/s of infection, ostomy with loose stool no c/c/e pertinent results: ct torso : diffusely dilated fluid-filled small bowel loops down to the rectus sheath tunnel may reflect postoperative ileus, though stenosis at the level of the tunnel is another diagnostic consideration. apparent flattening of smv mesenteric branches is of unknown etiology, but concerning in the setting of recent colectomy for gangrenous colon. bilateral predominantly upper lobe confluent lung consolidation is most consistent with the radiographic sequela of acute respiratory distress syndrome. enhancing small right hepatic lesions may represent hemangiomas, though mri should be pursued to further evaluate on a nonurgent basis once the patients acute clinical issues have resolved. leni's : no dvt ue u/s : l brachial vein thrombus ruq us : three hepatic lesions, two of which have a typical appearance for hemangiomas. the third has an atypical appearance, but may also represent a hemangioma. tiny gallbladder polyp. no gallstones and no signs of cholecystitis and no biliary dilatation. ct a/p : bilateral pleural effusions, right greater than left and ards. two nonspecific hypodense liver lesions as described on previous study. large stable renal cysts without evidence of hydronephrosis or pyelonephritis. status post total colectomy and ileostomy without evidence of suture line leak or upstream obstruction ct torso : diffuse multifocal bilateral airspace disease, worse in the superior segment of the left lower lobe since the prior consistent with pneumonia. circumferential bowel wall thickening involving the hartmann's pouch. moderate ascites throughout the abdomen. mild left-side hydronephrosis likely due to compression of the ureter between a focal area of fluid and the left psoas muscle. two probable hemangiomas in the right hepatic lobe. indeterminate 1.2 cm hypodensity in the lower pole of the left kidney. mri head : numerous t2 hyperintense lesions in the supratentorial white matter, without associated contrast enhancement, blood products, or diffusion abnormalities, which are nonspecific. diagnostic considerations include advanced chronic small vessel ischemic disease if the patient has longstanding diabetes or hypertension, demyelinating disease, other inflammatory/infectious etiologies, and vasculitis. no specific evidence of septic emboli. questionable signal abnormality in some of the superior cerebral sulci on flair images, which could be an artifact of technique, since the flare images have been acquired following intravenous gadolinium administration. ue us : no dvt 05:30am blood wbc-15.8* rbc-3.65* hgb-10.7* hct-33.3* mcv-91 mch-29.2 mchc-32.0 rdw-16.2* plt ct-583* 02:56am blood wbc-16.7* rbc-3.61* hgb-10.5* hct-32.3* mcv-90 mch-29.2 mchc-32.6 rdw-16.4* plt ct-627* 07:19pm blood wbc-1.6* rbc-4.31* hgb-13.0* hct-40.5 mcv-94 mch-30.1 mchc-32.0 rdw-15.4 plt ct-160 02:13am blood wbc-2.7*# rbc-3.74* hgb-11.9* hct-34.6* mcv-92 mch-31.7 mchc-34.3 rdw-15.6* plt ct-128* 02:56am blood neuts-79.2* lymphs-11.7* monos-4.6 eos-4.2* baso-0.3 02:34am blood neuts-80.9* lymphs-9.4* monos-5.4 eos-4.1* baso-0.3 07:19pm blood neuts-20* bands-24* lymphs-56* monos-0 eos-0 baso-0 atyps-0 metas-0 myelos-0 02:13am blood neuts-47* bands-15* lymphs-26 monos-9 eos-0 baso-0 atyps-0 metas-3* myelos-0 03:23am blood hypochr-normal anisocy-1+ poiklo-occasional macrocy-normal microcy-normal polychr-normal ovalocy-occasional stipple-occasional 07:19pm blood hypochr-normal anisocy-1+ poiklo-2+ macrocy-1+ microcy-normal polychr-normal ovalocy-occasional burr-2+ tear dr 05:30am blood plt ct-583* 02:12am blood plt smr-high plt ct-678* 02:12am blood pt-13.7* ptt-31.0 inr(pt)-1.2* 07:19pm blood pt-22.7* ptt-61.5* inr(pt)-2.1* 02:13am blood pt-21.5* ptt-61.2* inr(pt)-2.0* 07:19pm blood fibrino-457* 12:46pm blood esr-38* 05:30am blood glucose-118* urean-34* creat-0.9 na-142 k-4.6 cl-102 hco3-33* angap-12 02:56am blood glucose-83 urean-29* creat-0.8 na-141 k-4.1 cl-102 hco3-32 angap-11 07:19pm blood glucose-158* urean-49* creat-1.6* na-149* k-3.9 cl-119* hco3-21* angap-13 02:13am blood glucose-106* urean-52* creat-2.0* na-148* k-4.0 cl-117* hco3-22 angap-13 02:44am blood alt-42* ast-22 alkphos-171* totbili-0.4 07:19pm blood alt-62* ast-146* ld(ldh)-339* ck(cpk)-5091* alkphos-25* amylase-48 totbili-0.6 03:09pm blood lipase-33 02:02am blood ggt-134* 02:13am blood ck-mb-86* mb indx-2.0 ctropnt-0.01 07:19pm blood ck-mb-124* mb indx-2.4 ctropnt-<0.01 05:30am blood calcium-9.7 phos-3.8 mg-2.2 02:44am blood albumin-2.9* 07:19pm blood albumin-1.0* calcium-6.1* phos-5.7* mg-2.0 02:13am blood albumin-1.9* calcium-7.1* phos-4.9* mg-2.0 03:55am blood caltibc-88* ferritn-695* trf-68* 02:02am blood triglyc-99 03:09pm blood ammonia-19 04:18am blood osmolal-332* 03:09pm blood tsh-5.4* 07:09am blood cortsol-30.1* . mrsa screen (final ): no mrsa isolated . ova + parasites (final ): no ova and parasites seen. brief hospital course: 10 /22 - mr. was admitted to the sicu on after being transferred from with multi organ system failure after total abdominal colectomy. he remained in critical condition with sepsis and ards for the first week in the icu. he was placed on broad spectrum iv antibiotics and was gradually weaned off vasopressors. he continued to spike high fevers despite no positive cultures (aside from yeast in sputum). wound treated with wound vac. pt was treated with fluconazole for yeast pt was also started on tpn pt with brachial thrombosis on ue u/s. until . paracentesis of abdominal ascites, tte without vegetations, continued fevers to 103.8. wound vac dc'd. coag negative bacteremia secondary to + cathter tip. enteral feeds started , continued fevers to 105 requiring aggressive cooling. percutaneous tracheostomy placed urology consulted for hydronephrosis of the left ureter- no indication for intervention. ct scan showed worsening lll pna. thoracostomy tube placement for pleural effusion drainage. cont fever, agitation. ngt . lp performed with elevated opening pressure. tee performed, no vegetations noted. trach collar tolerated mental status improving as patient weaned off sedatives and started on precedex and fentanyl. mri performed showing diffuse parenchymal changes. tagged wbc scan with ? loculated ascites in rlq. anca negative. : us of renal artery without ras, ct abd pelvis, with ? right kidney mass and renal calculus gi consulted for ? sigmoidoscopy/ ileoscopy. fevers improved. afebrile deferred scope , abx dcd tolerated trach collar x 24 hours. doboff replaced. intermittent agitation. speech and swallow eval for passy muir valve. pt transferred to the floor. . general surgery mr. returned to the floor. physical therapy continued to work the the patient. pt's dobboff was self d/c'd. speech and swallow evalutated the pt and he failed video swallow. a new dobboff was placed and tube feeds were restarted at goal. trach care was continued per protocol. . he will be d/c'd to rehab. pt again discontinued his doboff tube and refused replacement. a bedside swallow demonstatrated no choking or evidence of aspiration with ensure. as discussed with dr. pt may use ensure supplementation and take nectar thickened liquids. the patient was confused at times but oriented x 2 person, place. easily reoriented. he will follow up with dr. in 1 week. medications on admission: home meds: zocor 10 mg daily, prilosec 20 mg daily, amitriptyline 100 mg daily, cymbalta 60 mg daily, lisinopril 10 mg daily, toprol xl 25 mg daily discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic q2h (every 2 hours) as needed for dry eyes. 3. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for orsal hygeine. 4. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for rash. 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 7. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily) as needed for depression. 8. amitriptyline 10 mg tablet sig: one (1) tablet po hs (at bedtime). 9. methadone 5 mg tablet sig: one (1) tablet po once a day: please titrate down as needed. 10. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 11. heparin flush (10 units/ml) 1 ml iv prn line flush temporary central access-floor: flush with 10 ml normal saline followed by heparin as above daily and prn. 12. hydromorphone (dilaudid) 0.25 mg iv q3h:prn pain 13. saline flush 0.9 % syringe sig: one (1) injection twice a day. discharge disposition: extended care facility: discharge diagnosis: septic shock, arf, ards s/p tac for c diff colitis discharge condition: stable. tolerating tube feed at goal rate. pain well controlled. discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: please continue to apply wet to dry dressings twice a day and as needed to abd wound. . monitoring ostomy output/prevention of dehydration: -keep well hydrated. -replace fluid loss from ostomy daily. -avoid only drinking plain water. include gatorade and/or other vitamin drinks to replace fluid. -try to maintain ostomy output between 1000ml to 1500ml per day. -if ostomy output >1 liter, take 4mg of imodium, repeat 2mg with each episode of loose stool. do not exceed 16mg/24 hours followup instructions: 1. please call dr. office, , to make a follow up appointment in weeks. md, procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances percutaneous abdominal drainage temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus arthrocentesis diagnoses: esophageal reflux unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis acute respiratory failure pneumonitis due to inhalation of food or vomitus bacteremia septic shock intestinal infection due to clostridium difficile other ascites hyperosmolality and/or hypernatremia ventilator associated pneumonia hydronephrosis acute vascular insufficiency of intestine calculus of kidney myalgia and myositis, unspecified ileostomy status acute venous embolism and thrombosis of deep veins of upper extremity 

Answer: The patient is high likely exposed to