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: this is a 71 yr old female admitted to on for tunneled sc hd catheter placement to continue hd treatment for esrd. the pt has a long and complicated pmh including: copd/mv dependant since , #8 portex tracheostomy, esrd c hd on m-w-f, chf, c.diff colitis, vre infection, mrsa colonization, pvd, htn, paf, anemia, recurrent asp pna, gib, adenocarcinoma s/p resection of , in place receiving tf's, dementia. the pt lives @ rehab. b/l necrotic toes. sm erythema/ stage one pressure ulcer on coccyx c notable bony prominences palpated. the pt is a dnr (no cpr, no electricity). allergies include; caffeine, , caffeine, butalbital, barbituarates, xanthines. the pt is a frail & cachetic appearing woman who appears older than actual age. gu: a new l sided sc tunneled hd cath was placed on . hd was performed on c 1.6 liters of ultrafiltrate removed. the pt received 1gm iv vanco during this treatment and also received a 15,000 unit dose of epogen. foley cath d/c'ed this am c less than 10ml urine output for past 48 hrs. the pt is net input approx 600ml for los. foley cath d/c'ed this am. cv: hemodynamically stable and afebrile. nsr c no ectopy. no edema appreciated on exam. am labs @ baseline. all blood c&s ngtd. resp: cpap/ps 10/5 c 50% in place c nl sats, rr, resp effort on bed rest. sm to mod amounts of thick tan sec per trach. iv zosyn in place for asp pna. gi: pt cont to tol fs nutren renal c 20gm beneprotein @ target rate of 35ml/hr via c low residuals noted. pt cont to be incontinent ofloose brown stools that are guaic negative. abd is soft c +bs appreciated. ms: pt appears relatively comfortable lying in bed when left alone but becomes distressed when direct pt care is provided. pt does respond to verbal stimuli and follows simple commands. pt mouthed the word "no" when asked if she was in pain this am. pt mouthed the word "yes" when asked if she was itchy, subsequently 25mg po benadryl was provided via . pt re-oriented to person/place/time/care rationale to assist c nl cognition. soc: son currently visiting @ bs and kept up to date c poc/status. the pt remains a dnr. son aware that the pt is going back to rehab @ 11:00 today. nursing report called to rehab macu this am. page 2 d/c plan completed/signed and placed in front of pts chart. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis diagnoses: pneumonia, organism unspecified end stage renal disease unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease intestinal infection due to clostridium difficile other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of malignant neoplasm of large intestine infection and inflammatory reaction due to other vascular device, implant, and graft atherosclerosis of native arteries of the extremities with gangrene mechanical complication of other vascular device, implant, and graft gastrostomy status chronic respiratory failure tracheostomy status dependence on respirator, status 

Answer: The patient is high likely exposed to