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: reglan / bee sting kit attending: chief complaint: brbpr major surgical or invasive procedure: colonoscopy s/p -cap electrocautery picc placement tunneled dialysis catheter replacement central venous catheter placement - l subclavian abdominal angiography intubation history of present illness: 69 esrd on hd presents with brbpr starting yesterday. had 9-10 episodes small amounts initially then up to 1 cup with small clots yesterday evening; last episode 11:15am today. no lightheadedness, syncope, abd pain, chest pain. last admitted to this hospital for lgib. colonoscopy at that time showed diverticulosis and hemorrhoids. egd showed no bleed. . on labs, had serum k greater than 10. ekg showed pr prolongation and widened qrs. got kayexalate, ca, insulin, dextrose and ekg changes improved. k decreased to 8. attempts to place temp hd line failed. plans for ir guided placement tunneled line tomorrow am secured by renal fellow. over last week she has had difficulty with hd due to a clot in her tunneled line. her husband notes increased lethargy and disturbance with sleep-wake cycle. no dyspnea, orthopnea, pnd, or fevers. . got levofloxacin for aymptomatic bactiuria in esrd patient. past medical history: htn esrd on hd dm-2 mwf lgib pvd s/p r aka s/p r fem- bypass (), l bypass () hypothyroidism paf depression gerd social history: prior to stay at rehabiltiation center since rt. bka, the patient lived with her husband. she is a former , denies etoh or drug use family history: non-contributory physical exam: vs: bp 150/70, hr 50 nsr, rr 12, spo2 100% 2liters n/c gen: lethargic neuro: mae, responds to pain, cannot arouse, gag present lungs: crackles 25% up, occasional expiratory wheeze, good aeration cv: s1/s2, , no m/r/g abd: obese, soft, non-tender to palpation, no mass ext: r aka, left heel ulcer, dp faint, warm and dry pertinent results: : cxr: indication: multiple line attempts. there has been interval removal of a left subclavian vascular catheter. a preexisting right subclavian catheter is unchanged in position, and there is no evidence of pneumothorax. a nasogastric tube is then placed, terminating within the stomach. there is otherwise no significant change since the recent radiograph of several hours earlier. . : tagged rbc scan: no abnormal areas of tracer uptake. . : head ct: there is no evidence of acute intra- or extra-axial hemorrhage. there are multiple areas of periventricular white matter hypodensity that may represent chronic small vessel ischemic disease. no hydrocephalus or shift of normally midline structures. basal cisterns appear patent. there are air-fluid levels in the sphenoid sinus. there is slight mucosal thickening of left maxillary sinus . : tagged rbc scan: got tracer, but refused imaging. . : tagged rbc scan: abnormal focus of tracer activity is present in the right upper quadrant that is felt to most likely to localize to the hepatic flexure of the large bowel. however relatively little distal movement of tracer limits the confidence of this localization and a possibility that is felt to be less likely to bleeding in the duodenum. addendum: additional delayed images were obtained 7 hours after tracer injection. tracer is seen within the hepatic flexure and extending antegrade into the transverse colon, and descending colon with an appearance consistent with active bleeding at this site. . eeg: : background: in the very brief portions of the record with the patient awake, rare rhythms as fast as hz were seen of low to moderate voltage while hz rhythms predominated biposteriorly. the anterior-posterior voltage gradient was preserved. no focal, lateralized, or discharging abnormalities were seen. hyperventilation: not performed. intermittent photic stimulation: no activation of the record. sleep: the patient appeared to be in stages i, ii, and occasionally iii throughout the overwhelming majority of this record. vertex activity was seen symmetrically in stage ii. cardiac monitor: no arrhythmias noted. impression: possibly abnormal due to the excessively drowsy record obtained which, in the absence of medication or sleep deprivation, might indicate an early encephalopathy. no definitive discharging abnormalities were seen, however. . : angiography - abdominal: impression: nonselective aortogram, selective gastroduodenal arteriography, selective arteriography via the third order branches of the sma and second order branch into the ileocolic artery demonstrated no active bleeding. no intervention was performed. . colonoscopy: red blood was seen in most of the colon all the way to the hepatic flexure. no blood was seen in the cecum. an adherent clot was seen at the hepatic flexure. the clot was washed off with active oozing seen from likely an angioectasia or dieulafoy's. 2 1 cc epinephrine 1/ injections were applied for hemostasis with success. -cap electrocautery was applied for hemostasis successfully. petechial-like lesions were noted in the cecum and hepatic flexure. . 03:35pm glucose-55* urea n-83* creat-7.7* sodium-139 potassium->10.0 chloride-98 total co2-26 03:35pm alt(sgpt)-45* ast(sgot)-30 ck(cpk)-597* alk phos-185* amylase-62 tot bili-0.2 03:35pm wbc-6.7 rbc-3.62*# hgb-12.3# hct-38.5# mcv-106* mch-33.9* mchc-31.9 rdw-17.7* 03:35pm neuts-58.8 lymphs-20.9 monos-7.5 eos-9.7* basos-3.2* 03:35pm plt count-146* 03:35pm albumin-4.1 03:35pm ck-mb-17* mb indx-2.8 ctropnt-0.35* 04:55pm urine blood-lg nitrite-neg protein-500 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-mod 04:55pm urine rbc-* wbc->50 bacteria-many yeast-none epi-0 brief hospital course: this is a 69 yo female with dm2 and esrd on hd admitted with gib and hyperkalemia. the patient's hyperkalemia was attributed to missed hemodialysis. she received kayexalate, calcium, bicarb, and insulin in the ed. ekg showed qrs complex narrowing post-treatment. she was urgently dialyzed, but was sent to angiography and was diagnosed with a hd catheter clot. tpa was instilled without effect and the patient underwent dialysis catheter change. during her hospitalization she received dialysis per renal team. . the patient had a history of multiple pior admission for gi bleed. she began to have guaiac positive dark stool in the icu. she underwent tagged rbc scan from , which showed possible r hepatic flexure diverticuli. angiogram on was negative. the patient was hesistant to undergo any further procedures for several days. general surgery was consulted and felt that the pt was a poor surgical candidate. finally on she consented to and underwent colonoscopy. she had cauterization and capping of bleeding vessel. her hematocrit was monitored q8 hours. she received daily blood transfusions to keep her hct >30 (due to nstemi as below). she remained hemodynamically stable. she also received ppi therapy. she was kept npo and received nutrition by tpn. on discharge her hct had remained stable and she was tolerating a low-residue diet. . in the icu she ruled in for an nstemi by elevated ck/mb and tropt, likely stress from gi bleed. no anticoagulation was given due to gi bleed. serial ekg showed no changes. she was continued on low dose , lipitor, and metoprolol 25mg po tid. she will need to arrange outpatient cardiology follow-up. . she was diagnosed with an esbl klebsiella uti () and underwent 7 days treatment with meropenem. her icu course was also complicated by icu delirium with a nl eeg, tsh, b12, and folate. she also had a seizure (episode of laterally deviated eyes and tense muscles while returning from hd, attributed to lowered seizure threshold with combination of meropenem and haldol. haldol, morphine, and benzos were held and the patient's mental status returned to baseline by . . the patient's outpatient avandia was held for her diabetes. she was placed on q6h fingersticks with humalog sliding scale. . she was incidentally found to have 50% stenosis of svc. she has no signs or symptoms at this time. she has been given the contact information for dr in ir to disucss changing her hd line. . for prophylaxis the patient received ppi, venodyne boot, and her home synthroid and paxil. pt was consulted and worked with the patient. sw was also consulted for coping issues. medications on admission: paxil 20mg po qd levothyroixine 125 mcg po qd lipitor 20 mg qd calcium acetate 667 mg tid vit c 500mg b-complex-vitc-folate zinc 220 qd neurontin 300 qd after hd 81 po qd colace 100 prn lansoprazole 30 qd psyllium wafer nph 40/10 ; no sliding scale for meals discharge medications: 1. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 2. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 3. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. atorvastatin 40 mg tablet sig: one (1) tablet po hs (at bedtime). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 10. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily): on hd days. 11. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 12. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 13. insulin lispro (human) 100 unit/ml solution sig: one (1) unit subcutaneous asdir (as directed): per sliding scale. discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. lower gi bleed, s/p bicap 2. klebsiella uti 3. nstemi 4. esrd on hemodialysis 5. diabetes mellitus type ii 6. hypertension discharge condition: good, with stable hematocrit discharge instructions: you are discharged to rehabilitation facility where you should continue your medications as prescribed. please tell the physicians there or contact your primary care physician if you experience blood from your rectum, black tarry stools, lightheadedness, dizziness, chest pain, fevers, chills, night sweats or other concerns. please keep all your follow-up appointments. you should discuss the dialysis catheter replacement and svc stenosis with dr at (. followup instructions: you have a follow-up appointment with your primary care physician . on , :45am. . you should follow-up with cardiology for the heart attack that you had. please call to make your appointment. . you have follow-up with gastroenterology arranged as below: provider: , md phone: date/time: 10:00 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances hemodialysis injection or infusion of thrombolytic agent venous catheterization for renal dialysis aortography endoscopic destruction of other lesion or tissue of large intestine transfusion of packed cells diagnoses: end stage renal disease subendocardial infarction, initial episode of care esophageal reflux unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot compression of vein other complications due to other vascular device, implant, and graft accidents occurring in other specified places kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure diverticulosis of colon with hemorrhage atherosclerosis of native arteries of the extremities with ulceration other specified disorders of liver 

Answer: The patient is high likely exposed to