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: dizziness, diarrhea major surgical or invasive procedure: attempted svc thrombectomy/venoplasty history of present illness: 55 year-old female with a history of esrd secondary to hypertensive nephropathy, transitioning from hd to pd, svc syndrome clots on anticoagulation, recent line infection with e.cloacae on ceftazidime admitted with hypotension and diarrhea found to have c.diff colitis now somewhat improved on po vanco and iv flagyl. the patient was admitted to the micu on hypotension in the ed. in the micu, the patient was fluid repleted, given peripheral dopamine, and ruled out for mi. renal is following and managing her hd and pd. . patient was recently hospitalized at enterobacter bacteremia, and began treatment with ceftazidime at hd and empirically in peritoneal diasylate with plans for 3 week course starting (last day would be ). she states that she began having very frequent liquid diarrhea after discharge from the hospital with slight blood, mucous in stool. reports dizziness and a presyncopal episode, especially with standing over past 2 weeks. pt was seen by dr. on and had stool culture sent at that time that was negative, no c. diff was sent. . she has denied abd pain, sob, chills, cp. states appetite has been normal, no n/v. reported her dry weight at 78kg, was 78kg at hd prior to hd on monday. gets hd m and f at in . on other days does pd at home, reports using extra diasylate day prior to admission as she was concerned that she was retaining water because her face was "puffy." reports her normal bps 100-120s. has noted her bps have been low, has been holding her lisinopril and taking half dose of her atenolol. . past medical history: -esrd on hd: proliferative glomerulonephritis. ? hx of lupus on steroids several years ago. diagnosed in ( 1:160) -bilateral total knee replacement in -cad -rheumatic fever -htn -left shoulder oa -left rotator cuff tear -hyperparathyroidism -iron deficiency anemia -hypercholesterolemia -hysterectomy; fibroids -bilateral knee replacements -herpes zoster prior history with resulting post-herpetic neuralgia right side social history: lives with housemates in . worked as social worker for dss, currently not working. smoked pack per day x 30 years, now down to 1-2 cigarettes a day. former cocaine user. last drink 1/. denies recent cocaine use. denies ivdu. family history: father myocardial infarction in his 40s. uncle with a myocardial infarction in his 40s. brother with a myocardial infarction in his 40s. there is no family history of connective tissue disease. sister with . uncle with prostate ca. physical exam: vitals: t: 96.7 bp:90/67 p:85 r:20 sao2:94% on ra general: awake, alert, nad, pleasant, appropriate, cooperative. heent: ncat, perrl, eomi, no scleral icterus, mmm, no lesions noted in op. periorbital edema. neck: thick, supple, + jvp. multiple prior line placement scars. pulmonary: lungs cta bilaterally, no wheezes, ronchi or rales chest: rsc hd tunneled line, no expressible fluid. dressing c/d/i, non-tender. b/l breast edema r>l cardiac: rr, nl s1 s2, no murmurs, rubs or gallops appreciated abdomen: soft, nd, normoactive bowel sounds, no masses or organomegaly noted. mimimally ttp in llq. no rebound or guarding. pd catheter in place, c/d/i, non-tender. extremities: + dependent upper extremity pitting edema b/l. no le edema. skin: no rashes or lesions noted. neurologic: alert, oriented x 3. able to relate history without difficulty. cranial nerves ii-xii intact. normal bulk, strength and tone throughout. no abnormal movements noted. no deficits to light touch throughout. no nystagmus, dysarthria, intention or action tremor. pertinent results: 02:10pm plt count-584* 02:10pm neuts-67.6 lymphs-14.9* monos-8.6 eos-8.3* basos-0.7 02:10pm wbc-8.7 rbc-3.09* hgb-9.4* hct-30.4* mcv-99* mch-30.6 mchc-31.0 rdw-15.5 02:10pm probnp-5588* 02:10pm estgfr-using this 02:10pm glucose-87 urea n-25* creat-9.7*# sodium-136 potassium-4.3 chloride-97 total co2-27 anion gap-16 02:22pm lactate-2.4* 02:22pm comments-green top 08:28pm lactate-2.2* . ct abdomen/pelvis (): 1. there is expansion and hyperdensity involving the right gluteus musculature, consistent with an acute hematoma. 2. diffuse anasarca, with marked edema of the subcutaneous tissues. intra-abdominal fluid is likely related to peritoneal dialysis. 3. mild interval increase in nodes about the right inguinal region. 4. left renal cyst, with a questionable thin rim of enhancement posteriorly. mri is recommended to exclude a solid component in this lesion. brief hospital course: 55 year-old female with esrd, transitioning from hd to pd, svc syndrome clots on anticoagulation, recent line infection with e.cloacae, admitted with hypotension and diarrhea found to have c.diff colitis, treated with oral vancomycin, subsequently developed r. gluteal bleed likely from heparin gtt, transfused 2 units, hct stable since, to be placed on warfarin and discharged. . . ## functional svc syndrome: patient's face and upper extremities are diffusely anasarcic due to svc clot, thought to be from indwelling catheter. ir attempted multiple times to perform venoplasty and alleviate the clot in some manner, but was unsuccessful, and concluded that further intervention would not be warranted in light of hd catheter presence. additionally, given that the patient was on heparin gtt for most of these procedures, she developed a spontaneous r. gluteal bleed seen via ct scan. heparin was discontinued, and the patient received 2 units of prbc's through dialysis catheter, and another 2 units two days later. hct has been stable since. . ## asthma: patient had an episode of shortness of breath with expiratory wheezes on exam. desaturated to 90-92 percent on ra, lower than baseline of 97-100 percent on ra. given albuterol nebulizers which alleviated the problem, will be discharged on this medication. . ## hypotension/syncope: pt had hypotension and syncope, was fluid responsive, on dialysis, no events after initial episode since, patient had all antihypertensive medications held. . ## c.diff colitis: pt. admitted for colitis and treated successfully with 14 day course of po vancomycin. no fevers once on abx, and cultures have since been negative to date. . ## esrd: was in a period of transition from hemodialysis to peritoneal dialysis, unable to dialyze peritoneally adquately, so patient had her hd catheter continually in place and is having a prolonged transition period. ir replaced old hd catheter, which may have been source for svc clot, with new one on . the patient also had a ct scan of the abdomen and pelvis which showed a small atrophic cyst of the l. kidney which may warrant a future mri. . ## osa: cpap was in use throughout stay. . ## h/o gnr bacteremia: blood cultures were monitored, patient was placed on ceftazidime and finished course with no blood culture growth to date. . ## depression: continued celexa . ## anemia: continued epo and iron infusions with dialysis. . ## post-herpetic neuralgia: continued gabapentin . ## cad: no active symptoms or ecg changes during this admission. . ## gerd: continued ppi medications on admission: 1. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 2. cinacalcet 30 mg tablet sig: two (2) tablet po daily (daily). 3. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 4. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). 5. lanthanum 500 mg tablet, chewable sig: two (2) tablet, chewable po tid w/meals (3 times a day with meals). 6. sevelamer hcl 800 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. lorazepam 0.5 mg tablet sig: one (1) tablet po daily (daily) as needed for anxiety. 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*1* 10. paricalcitol paricalcitol 6.5 mcg iv qhd 11. ferric gluconate ferric gluconate 125 mg iv qweek at hd 12. ceftazidime ceftazidime 1 g iv 3x/week (mo,we,fr) duration: 3 weeks with start date 13. outpatient lab work please check inr at next hd session 14. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 15. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed). 16. ferric gluconate 125 mg iv qweek at hd 17. cpap cpap with 2l o2 auto cpap range 4-20 diagnosis: osa 18. coumadin 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge medications: 1. cinacalcet 30 mg tablet sig: two (2) tablet po daily (daily). 2. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 3. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). 4. lanthanum 500 mg tablet, chewable sig: two (2) tablet, chewable po tid w/meals (3 times a day with meals). 5. sevelamer hcl 800 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. nursing care -heparin flushes prn hd catheter per protocol -peritoneal dialysis care as per peritoneal protocol 9. lorazepam 0.5 mg tablet sig: one (1) tablet po every six (6) hours as needed for anxiety. disp:*20 tablet(s)* refills:*0* 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po once (once) as needed for dyspepsia . 11. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: inhalation every six (6) hours. disp:*1 inhaler* refills:*3* 12. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed. disp:*90 tablet(s)* refills:*0* 13. paricalcitol 6.5 mcg iv qhd 14. ferric gluconate 125 mg iv qweek with hd 15. potassium chloride 7.5 meq iv prn please add to 2.5l pd bag (3 meq/liter). 16. cpap cpap with 2l o2 auto cpap range 4-20 diagnosis: osa 17. warfarin 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: primary: end stage renal disease, dialysis dependent superior vena cava syndrome clostridium difficile colitis enterobacter cloacae bacteremia secondary: hypertension discharge condition: stable, still with r. gluteal pain on motion, eating and drinking without complaint. discharge instructions: you were admitted to the hospital for management of your diarrhea. you were found to have a bacteria named c.diff in your colon which was causing your diarrhea. you were treated for this infection with antibiotics. you also had the clot in your upper chest looked at and operated on by interventional over 3 times, without any success. what they were able to do is replace your old hemodialysis catheter line with a new one. however, given that you were on the anticoagulant medication heparin, you had a spontaneous bleed into your r. buttock area. we stopped the heparin, and gave you 2 units of blood via your hemodialysis catheter. since that time, your blood count has stabilized. given your history of having this clot, we are placing you on an anticoagulant called coumadin and you will be discharged on that medication. you will need to be followed up in a coumadin clinic to monitor your blood levels and in a hematology oncology clinic. because you were very dehydrated when you came to the hospital, your blood pressure was very low and you resultingly received copious fluids. because you do not make urine, this additional fluid caused a worsening of your svc (superior vena cava) syndrome. in order to remove this fluid, you had daily hemodialyisis with overlapping peritoneal dialysis. because of low blood pressures and a longterm goal of converting to pd alone, hd was stopped while pd was continued several times per day -- you are now to have hd and pd at different times during the week. if you have any severe shortness of breath, chest pain, lightheadedness, sudden and instoppable bleeding, please call your primary care provider and come to the emergency department. followup instructions: -provider: phone: date/time: 9:30 -provider: phone: date/time: 10:45 -provider: , md phone: date/time: 1:20 -please follow up your coagulation studies (inr) with your primary care provider visiting nurse should draw them for you, you simply need to have him/her fax them to your pcp. inr will also be checked at dialysis, so if you cannot fax the results to your pcp, should also be done at dialysis. -please make an appointment with the hemostasis and clinic as soon as you can: ( procedure: hemodialysis venous catheterization for renal dialysis peritoneal dialysis angiocardiography of venae cavae angiocardiography of venae cavae angiocardiography of venae cavae diagnoses: end stage renal disease obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery pure hypercholesterolemia depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypotension, unspecified compression of vein intestinal infection due to clostridium difficile osteoarthrosis, unspecified whether generalized or localized, site unspecified iron deficiency anemia, unspecified dehydration herpes zoster with other nervous system complications hemorrhage, unspecified asthma, unspecified type, with (acute) exacerbation primary hyperparathyroidism 

Answer: The patient is high likely exposed to