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: history of present illness: this is a 70-year-old woman admitted on for nausea, vomiting shortly after her course of cefuroxime. was empirically treated with flagyl for presumed clostridium difficile. multi-difficile toxins were negative times three. her fevers, leukocytosis, and diarrhea did improve after starting flagyl, and she finished a 14-day course of flagyl three days prior to admission. evening prior to admission patient started having diarrhea, small amounts of brown stool initially soft and then liquidy; had three bouts of bowel movements yesterday prior to admission and day of admission had at least five bowel movements prior to coming to the emergency room. she described diffuse cramping abdominal pain that improved after each bowel movement. she reports no p.o. intake on day of admission and minimal p.o. intake day prior. in the emergency room patient was given flagyl, ceftriaxone, vancomycin, and 3 liters of intravenous fluids and started on sepsis protocol. past medical history: 1. hypertension. 2. renal cell cancer status post partial nephrectomy in . 3. gout. 4. depression. 5. status post total abdominal hysterectomy/bilateral salpingo-oophorectomy in for atypical ovarian cells in a biopsy. 6. chronic obstructive pulmonary disease. 7. asthma. 8. osteoarthritis. 9. history of deep venous thrombosis; positive superficial femoral deep venous thrombosis in admission. allergies on admission: 1. bactrim. 2. tetracycline. 3. erythromycin. medications on admission: 1. dilaudid p.r.n. 2. ambien p.r.n. 3. heparin. 4. ipratropium nebulizer. 5. protonix. 6. albuterol nebulizer. 7. clonazepam. 8. celexa. 9. allopurinol. 10. ciprofloxacin. 11. flagyl. 12. acetaminophen. family history: has a brother who has sprue. mom and brother have diabetes. father with glomerular nephritis. social history: she is from ; has been in the united states for 15 years; retired speech therapist. no tobacco or smoking history. she lives by herself with home vna. physical examination on admission: temperature 102.9, pulse 100 to 104, blood pressure 90 to 100/40s, respiratory rate 16 to 25, sats 97% on 3.5 liters of oxygen, central venous pressure is 3 to 5. in general, she is a well appearing, elderly woman in no acute distress. heent is moist oropharynx. skin is warm throughout. chest is clear to auscultation without wheezes, rubs, or rales. cardiovascular: tachycardiac; normal s1, s2; no murmurs. abdomen is soft; minimal bowel sounds; nondistended; diffusely mild tenderness to palpation. extremities: no edema and warm. guaiac negative in the emergency room. laboratory data on admission: white count 22.5 with 85% neutrophils, 9% bands, 5% lymphocytes, hematocrit 37.3, platelets 308, pt/ptt of 15 and 25.5, inr of 1.5. urinalysis was negative except for specific gravity of 1014, large blood, greater than 50 red blood cells, 0 to 2 white blood cells, a few bacteria, 0 to 2 epithelials. chemistry with sodium of 133, potassium 4.1, chloride 96, bicarbonate 24, bun 32, creatinine 2.4 (baseline creatinine is about 1.5), and glucose 153. ldh 154, alt 14, ast 15, alkaline phosphatase 52, calcium 8.6, magnesium 2.7, phosphorous 1.2, lactate was 4.3. blood cultures are pending. urine cultures pending. clostridium difficile toxin pending. chest x-ray: no infiltrate or effusion. ct abdomen with basilar atelectasis, tract pleural effusions bilaterally, diffuse thickening of the large bowel beginning in the rectum incorporating the sigmoid as ascending, transverse, and descending colon, appendix was dilated to 9 mm with wall thickening, small amount of mesenteric inflammation in the cecal area, pancolonic wall thickening has increased since prior study. hospital course: this is a 70-year-old woman with hypertension, history of renal cell cancer status post partial nephrectomy, status post recent admission with presumed clostridium difficile colitis and flagyl course who re-presented after completion of flagyl course with occurrence of c. difficile colitis. 1. sepsis: patient initially under sepsis protocol. hydrated aggressively but remained persistently hypotensive. started on intravenous levophed to help support blood pressure. was on that for 48 to 72 hours with tetrazole. eventually weaned off. pressures and blood pressure remained stable. patient was empirically started on broad-spectrum antibiotics under sepsis protocol, and these were eventually weaned down as her c. difficile toxin returned positive and patient was just continued on p.o. vancomycin and intravenous flagyl while in the intensive care unit. eventually, as she was transferred to the floor off pressors and started on clears, patient was started on p.o. flagyl and her p.o. vancomycin was discontinued. 2. clostridium difficile colitis: patient with diffuse pancolitis on the ct consistent with positive stool studies. the gastroenterology team was aware and following patient but had no plans for a colonoscopy at this time. patient will follow up with gastroenterology, dr. , as an outpatient and because of recurrence of c. difficile colitis after recent completion of course. patient will go on a long, slow taper to treat and prevent recurrence of her c. difficile. otherwise, patient was initially on total parenteral nutrition while in the intensive care unit because she had been on bowel rest. this was weaned off after 72 to 96 hours and patient was started on clears and advanced from clears to a brat to a low residue, lactose-free diet. patient is to avoid lactose products for the next two to three weeks, as was advised, to help prevent recurrence of her diarrhea secondary to loss of absorptive ability. 3. hypoxia: initially patient had a 3 to 4 liter oxygen requirement. the patient had a chest x-ray which was unchanged from previous one with no evidence of failure, just bilateral atelectasis at the bases. eventually as patient was more ambulating and her atelectasis improved and patient no longer required oxygen, patient did receive p.r.n. atrovent nebulizers as needed to help with opening her airways but otherwise was stable. 4. acute and chronic renal failure: patient's baseline creatinines ran 1.5 to 1.8 and after hydration under sepsis protocol, patient's creatinine returned to baseline and otherwise remained stable. patient had good urine output, continued renally dosed medicines, and avoid nephrotoxin. 5. deep venous thrombosis: patient with known right superficial femoral vein clot on last admission. was on heparin drip while in the intensive care unit and then transitioned back to her coumadin dose. at time of discharge her inr was 2.5. patient will have her inr checked as an outpatient by vna two days after discharge and then can follow up with her primary care physician in seven to 10 days to have her inr rechecked. otherwise, patient's deep venous thrombosis was stable and no other further issues. 6. hypertension: patient had previously been on cozaar and dyazide on her previous admission but were held because of her acute renal failure and hypotension. as her blood pressure started to elevate here and was otherwise stable and her acute renal failure resolved back to her baseline, patient was restarted on her cozaar at low doses which can be titrated up as needed. her diuretics were still held with concern for hydrational status at present. once diarrhea has completely resolved, can restart the dyazide as an outpatient. 7. depression: this was stable during her stay. she was continued on her home regimen of celexa and p.r.n. clonazepam. 8. gout: this was stable and asymptomatic during this admission. continued on renally dosed allopurinol. discharge diagnoses: 1. sepsis. 2. clostridium difficile colitis. 3. hypoxia. 4. acute and chronic renal failure. 5. deep venous thrombosis. 6. depression. 7. hypertension. disposition: discharged to home with services. discharge condition: good; patient ambulating with assistance of a walker; patient not requiring oxygen and tolerating p.o. without difficulty. discharge instructions: 1. patient is to follow up with her primary care physician in seven to 10 days to have her inr checked. patient will have her inr checked in two days' time and results will be called to her primary care physician's office from vna. 2. patient is to follow up with gastroenterology, dr. , in two weeks' time. discharge medications: 1. tylenol 325 to 650 p.r.n. 2. allopurinol 150 mg p.o. q. day. 3. celexa 10 mg p.o. q. day. 4. clonazepam 0.5 mg p.o. b.i.d. p.r.n. 5. pantoprazole 40 mg p.o. b.i.d. 6. losartan 25 mg p.o. q. day. 7. coumadin 2.5 mg p.o. q. day. 8. flagyl 500 mg, one, p.o. t.i.d. for three weeks, then one tab p.o. b.i.d. for one week, then one tab p.o. q. day for one week, then one tab q. o.d. for two weeks, then stop. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified acute kidney failure, unspecified unspecified septicemia sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease intestinal infection due to clostridium difficile personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to