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: latex gloves / aspirin / colchicine / antihistamine / quinolones / vasodilators,misc. classifier / loratadine / theophylline / opioids: morphine & related / cortisone / azithromycin / nsaids / demerol / sulfa (sulfonamide antibiotics) / barbiturates / celexa / penicillins / tetracycline / iv dye, iodine containing attending: chief complaint: tranfer from osh for diarrhea major surgical or invasive procedure: r picc placement lij placement history of present illness: from family and osh notes (no dc summary provided) 80 f with cad, chf, cva, ild, copd and multiple abdominal surgeries tranfer from osh for 2nd opinion of diarrhea. she had diverticulitis with colovesicular fistula in that required partial colonic resection and an ileostomy. in , she had the ileostomy reversed and since then, she has had worsening of her diarrhea. in fact, since , she has been admitted to osh 5 times for long hospital stays with extensive work up that has been negative so far. most recently, she was admitted to osh where workup again has been negative. she has been getting ivf; lasix held. the family requested a transfer to this morning for a 2nd opinion at a care center. of note this morning, she had flash pulm edema and was given 40mg iv lasix with +cc urine output. . she was transferred to on supplemental oxygen. on arrival to the floor, she required 6lnc and was saturating 88%. abg showed pao2 of 54. cxr was consistent with significant pulm edema. 40 mg iv lasix was given with 200cc uop. her saturation improved on hi flow venti mask saturating 95%. of note, her central line is not at the proper place in the xray. because of her hypoxia from chf and likely pna (leukocytosis, low grade fever, sputum, cough), she was transferred to the micu for further care. . at the osh, she was started on sucrulfate for gastritis, reglan for mild gastroparesis and nortyptilline. she was also kept on immodium standing at 4mg and psyllium. her surgeons felt that she had a "short colon". she underwent colonscopy and egd w/o diagnosis. past medical history: diverticulitis with colovesicular fistula with ?perf s/p colectomy and ileostomy, then reversed in gout hypothyroid asthma restritive lung disease cva (weak hand grip/hand numbness) cad (?h/o mi ) pafib hl htn chf social history: lifelong non smoker, no alcohol. was living independently but recently had been in hospital and rehab. son involved in care. family history: nc physical exam: vitals: hr 89 bp 127/51 sao2 96% fio2 100% gen: in distress, aox3 but drowsy heent: jvd to 10cm, no lad resp: tachpnea, supraclavicular retractions, difficulty speaking, abdominal breathing, diffuse crackles, no wheezes cvs: rrr, no mrg abd: soft, nt/nd, nabs ext: no edema pertinent results: 08:55pm blood wbc-17.8* rbc-3.87* hgb-11.8* hct-34.3* mcv-89 mch-30.4 mchc-34.3 rdw-14.4 plt ct-388 08:55pm blood neuts-78.1* lymphs-12.6* monos-5.8 eos-3.3 baso-0.3 08:55pm blood pt-17.8* ptt-35.6* inr(pt)-1.6* 08:55pm blood glucose-91 urean-5* creat-0.7 na-138 k-3.1* cl-98 hco3-30 angap-13 08:55pm blood alt-11 ast-21 ld(ldh)-297* ck(cpk)-49 alkphos-85 totbili-1.1 08:55pm blood ck-mb-notdone ctropnt-<0.01 probnp-1318* 03:40am blood ck-mb-notdone ctropnt-<0.01 04:18am blood probnp-2438* 04:25am blood probnp-4597* 08:55pm blood albumin-3.0* calcium-7.6* phos-3.2 mg-1.0* iron-17* 08:55pm blood caltibc-207* ferritn-136 trf-159* 03:22am blood vitb12-203* folate-8.7 03:22am blood tsh-18* 03:23am blood iga-281 06:41am blood vanco-17.6 04:27am blood vanco-19.2 03:23am blood ttg-iga-5 08:41pm blood type-art po2-54* pco2-42 ph-7.49* caltco2-33* base xs-7 12:00pm blood type-mix po2-96 pco2-64* ph-7.26* caltco2-30 base xs-0 . 04:16am blood wbc-18.6* rbc-3.45* hgb-10.2* hct-31.4* mcv-91 mch-29.5 mchc-32.3 rdw-14.6 plt ct-723* 03:59am blood neuts-79.6* lymphs-13.2* monos-3.3 eos-3.5 baso-0.3 05:41am blood pt-14.9* ptt-34.3 inr(pt)-1.3* 04:16am blood glucose-149* urean-15 creat-0.5 na-135 k-4.4 cl-100 hco3-26 angap-13 06:10am blood alt-17 ast-18 alkphos-105 totbili-0.3 04:16am blood calcium-8.6 phos-3.6 mg-2.2 . echo the left atrium and right atrium are normal in cavity size. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). left ventricular wall thicknesses and cavity size are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is low normal (lvef 50%). the estimated cardiac index is normal (>=2.5l/min/m2). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. aortic valve sclerosis. . ct ab/pelvis impression: 1. diffusely well-defined ground-glass opacity in the lungs with some of interspersed normal lung likely represent infection or ards. 2. areas of edema, one in the right upper quadrant inferior to the liver tip and the surgical anastomosis may represent focal fat necrosis. 3. additional edema in the pelvis superior to the foley catheter may represent fat necrosis or focal omental infarct. 4. unusual course of small bowel in posterior to the descending colon may be secondary to prior surgery or due to a internal hernia through congenital defect in sigmoid mesocolon (intersigmoid hernia). this does not appear to be at risk for incarceration given the long length under which the small bowel loops run posterior to the descending colon. 5. multiple calcified mediastinal and hilar nodes likely represents sarcoid or less likely old granulomatous disease. . wrist xr impression: probable "post-traumatic cyst-like defect" in the scaphoid waist, suggesting underlying fracture. this should be correlated clinically and, if warranted for further management, might be further characterized by targeted mdct (with reformations). . cxr the left internal jugular line tip is at the superior svc. cardiomediastinal silhouette is unchanged. there is slight interval additional improvement in the parenchymal opacities that might represent a process of fluctuation of superimposed pulmonary edema giving the more involvement of the lung parenchyma than on for example or , although note is made that the improvement of the lung parenchyma may lag after clinical improvement. there is slightly more lucent area in the right suprahilar area that may represent either parenchyma or a pneumatocele that might be further observed on the subsequent studies. brief hospital course: 80 f with cad, chf, cva, ild, copd and multiple abdominal surgeries transfer from osh for 2nd opinion of diarrhea who was admitted to micu for hypoxia, now s/p intubation and extubation. patient??????s respiratory distress continued to decline since extubation and she was made comfort measures only and was made comfortable on morphine drip. antibiotics and steroids were discontinued. she passed away one day later. additional problem-based course: 1. respiratory distress etiology is unclear. initial event was likely related to pneumonia and ards. she had improved but then on developed a new wbc. her underlying lung disease diagnosis is unclear, although she likely has sarcoidosis. she was continued on cefepime (day 1=) and vanco (day 1=, therapeutic) until she was made cmo> . 2. afib: she alternated between afib w/ rvr and sinus rhythm. when in afib, was unable to rate control even w/ dilt and metoprolol. amio loaded toward the end of her hospital course as further rate control was precluded by hypotension. . 3. diarrhea: no clear etiology defined at her passing. stool volume much improved on vivonex but albumin did not improve. she was started on tpn several days prior to her death. has had extensive w/u without diagnosis. leading diagnosis is short gut ("short colon") although short colon does not typically cause diarrhea. infections have been repeated r/o. microscopic colitis is under consideration and biopsies are pending at osh. gastrin elevated, 5hiaa minimally elevated from osh; vip from osh pending. pancreatic insufficiency should also be considered. stool osm gap 66, more suggestive of a secretory diarrhea. ttg within normal limits; c.diff negative x2. . 4. wrist pain. xr c/w fracture but unclear timing. conservative management given poor prognosis. . 5. anemia: unclear etiology but likely multifactorial. no transfusions during her hospital course. . 6. gastritis/ gerd: continued ppi iv 7. cad: not on asa for unclear reason. continued plavix per outpatient regimen. - held simvastatin when extubated and not tolerating pos. . 8. hypothyroidism: tsh was 3.71 at osh and levothyroxine dose appears to have been decreased from 200mg to 100mg daily. continued levothyroxine. . 9.hypotension: brief episode when on precedex prior to extubation. now resolved. medications on admission: meds at home: plavix 75 cardizem 240 advair syntrhoid 200 imodium singulair 10 zocor 20 spiriva trazadone 50 oqhs prn lasix 40 . meds at osh: metamucil advair spiriva amlodipine 5 plavix 75 levothyoxine 100 singulair 10 simvastatin 20 dilt 240 omeprazole 20 heparin 5000 lactobacillus 1 reglan 10 qac sulcrafate 2 gram qhs notryptyline 25 qpm imodium tid discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a discharge condition: n/a discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: anemia of other chronic disease coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension unspecified septicemia unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia severe sepsis unspecified acquired hypothyroidism gout, unspecified atrial fibrillation sarcoidosis other b-complex deficiencies pulmonary collapse anxiety state, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus alkalosis old myocardial infarction postinflammatory pulmonary fibrosis pressure ulcer, lower back iron deficiency anemia, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits diarrhea chronic obstructive asthma, unspecified other and unspecified postsurgical nonabsorption delirium due to conditions classified elsewhere unspecified gastritis and gastroduodenitis, without mention of hemorrhage diverticulosis of colon (without mention of hemorrhage) gastroparesis pressure ulcer, stage ii personal history of methicillin resistant staphylococcus aureus methicillin resistant pneumonia due to staphylococcus aureus fracture, cause unspecified acquired absence of intestine (large) (small) closed fracture of carpal bone, unspecified 

Answer: The patient is high likely exposed to