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: fever, hypotension, diarrhea, r/o sepsis major surgical or invasive procedure: open left fourth and fifth transmetatarsal amputation of the toes left lower extremity arteriography and tibial angioplasty. angioplasty of left anterior tibial artery. left below-the-knee amputation. history of present illness: 47yo woman with h/o type ii diabetes mellitus, esrd on hemodialysis, cad, chf (ef 20%), pvd presenting with fever, hypotension, diarrhea, and left toe pain. the patient presented to ed on with left toe pain, and was discharged to home on a course of augmentin for concern of developing cellulitis and infected laceration. she continued to have sharp pain in her left foot. she did not complete the 7day course, however, developing worsening diarrhea and nausea after four days of antibiotics. diarrhea was more frequent than her baseline loose stools, and was nonbloody. she denies having had fevers or chills. she continued to take her coreg and imdur despite decreased po intake. she has had chronic diarrhea at baseline since starting hemodialysis in (mwf). she missed dialysis on monday of this week, but was dialyzed tuesday and wednesday. she presented to clinic today and was found to have temp of 101.7, pulse 104, and bp 86/62. she was referred to the ed for further evaluation. on presentation to the ed, t 102.9 hr 112 bp 104/66 rr 16 98%ra. her blood pressure dropped to 86/54, and she was treated with 3l ns. she continued to be hypotensive and was started on dopamine; however, he heart rate was 120s. a right ij was placed, and she was started on levophed. blood pressure stabilized at 110/64. she also received vancomycin, levofloxacin, and metronidazole. on review of records, baseline blood pressure for this patient ranges (80-100/60s). she also denies having had recent chest pain or tightness, shortness of breath, orthopnea, or pnd. at baseline she is able to walk from one room to another without becoming short of breath. . ros: significant for cough productive of yellow sputum. she denies headaches, dizziness, chest pain, tightness, palpitations, sob, orthopnea, pnd, abdominal pain. past medical history: 1. chf - ef 20-25% 2, h/o osteomyelitis 3. h/o vre bacteremia 4. hypertension 5. hypercholesterolemia 6. esrd from poorly controlled dm. 7. dm type 2- complicated by neuropathy, vascular disease, retinopathy, gastropathy, and renal insufficiency; she does not know her blood sugar ranges, although her a1c has been low at 5.8 mg/dl. 8. pvd- s/p ptca of r superficial femoral and posterior tibial arteries, complicated by vre bacteremia. s/p tma of r 5th metatarsal with prolonged healing; + claudication symptoms. 9. cad with ischemic cardiomyopathy- s/p mi in severe 3 vessel disease 1. selective coronary angiography of this right dominant system revealed diffuse three vessel disease. the lmca contained mild, diffuse disease. the lad contained moderate disease with total occlusion of the distal vessel. the lcx contained moderate diffuse disease and supplied the distal lad via collaterals. the rca contained severe, small vessel diffuse disease. 2. limited resting hemodynamics revealed a central aortic pressure of 133/74. tte : the left atrium is moderately dilated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is severe global left ventricular hypokinesis (ejection fraction 20-30 percent). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size is normal. right ventricular systolic function is borderline normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. there are no echocardiographic signs of tamponade. 10. hx of vre in bcx in - sensitive to linezolid. 11. osteoporosis social history: came to us from in . lives with her elderly husband. their children are in . very involved with her church and is devout . denies tobacco, alcohol, or illicit drug use family history: significant for diabetes, cad physical exam: pt deseased pertinent results: radiology final report ct head w/o contrast 7:57 am ct head w/o contrast reason: ? bleed medical condition: 47 year old woman with esrd/dm/cad, coagulopathy now unresponsive reason for this examination: ? bleed contraindications for iv contrast: none. non-contrast head ct scan history: end-stage renal disease, diabetes and coronary artery disease, coagulopathy, now unresponsive. technique: non-contrast head ct scan. comparison studies: none. findings: there is a 2.5 x 4.2 cm lesion in the right frontal lobe with hyperdense material, presumably hemorrhage, sedimenting in the dependent portion as well as hyperdense material marginating the lesion. this abnormality causes extensive compression of the right frontal . there is a moderately large quantity of blood sedimenting in the occipital horns. the fourth ventricle is filled with blood and grossly dilated as well. blood is also seen in the region of the vallecula, posterior to the medulla. finally, there is probably a small amount of blood within the posterior aspect of the third ventricle. though the scans are degraded by motion artifact, there is likely a small quantity of subarachnoid blood overlying the cerebral convexities bilaterally. there is no shift of normally midline structures. within the limitations of this study, no definite major vascular territorial infarction is noted. the right globe is shrunken and hyperdense, presumably representing end-stage diabetic damage. conclusion: probable unclotted right frontal hemorrhage with extensive intraventricular hemorrhage, as well as hydrocephalus and subarachnoid hemorrhage. brain scan reason: brain hemmorrhage brain death radiopharmeceutical data: 24.7 mci tc-m neurolite; history: 47 year old woman with brain hemorrhage and absent gag and corneal reflexes on exam. findings: following injection of tracer, flow and static images of the brain were obtained in multiple projections showing no evidence of perfusion to the cerebral cortex. the perfusion abnormalities noted above are consistent with brain death. impression: no demonstrable intracerebral perfusion consistent with brain death. brief hospital course: 47yow with h/o tiidm, 3vcad, chf (ef 20-25%), esrd on hd presenting with fever, left toe pain, diarrhea, and septic shock. . admitted to the micu: . on admission hypotension was felt likely to be due to septic shock given concurrent fever, leukocytosis, infected toe. infection source likely necrotic left 4th/5th toes, concerning for osteomyelitis and bactermia. less likely gi source with diarrhea but lack of abdominal pain. . nstemi: likely demand ischemia in setting of hypotension in patient with known 3v disease. ecg showed lateral st-depressions. no heparin gtt was started as not likely due to plaque rupture. she was continued on asa, atorvastatin 80mg daily. carvedilol and lisinopril were held given hypotension. an echo was performed to evaluate for wall motion abnormalities, assess cardiac function. an echo on demonstrated interval improvement in left ventricular systolic function (40%) from prior studies (20-25%). . diarrhea: patient reports having diarrhea at baseline, but worsening this week. given concern for c.difficile, the patient was treated empirically with metronidazole. c diff studies have been negative. stool cultures negative. . esrd: the patient was continued on m,w,f hemodialysis untill death hospital course: . on pt received tma of her left 4th/5th digits. pt initially placed on levophed as above, switch to vasopressin . has now been off pressors for > 36 hours. initially pt placed on and zosyn. however, cultres have now grown out enterobacter and klebsiella, both sensitive to levofloxacin, as well as coag pos staph and entercoccus ( pending). been continued. per id, who has been following, flagyl added to regimen. pt has been afebrile since . . underwent angiogram with interventions x 2 to restore blood flow. plavix started. it was decided that pt foot was source of sepsis s/p tma. it was decided to to a bka. patient thenhad l bka and was transferred to the sicu for cont. fevers and sbp in 60's. patient was aaox3 until when she had acute worsening of mental status at 6:15am. a stat ns consult obtained. she was subsequently intubated for airway protection. on review of labs, pt 21.1, ptt 150, inr 2.0. unclear etiology as patient was only on sq hep and hep flushes for cls. patient was also on asa and plavix. stat head ct showed large 4-5 cm intraparenchymal right frontal bleed with bilateral intraventricular blood and in 3rd and 4th ventricles. initial exam after aforementioned event: physical exam: o: t: 99.3 bp: 96/52 hr: 99 r 14 99% o2sats vented cmv 14x500 fio2 100% peep 5 cvp 27 gen: lying in bed bleeding from right ear from bs, oozing from mouth, not awake. heent: pupils: l pupil sluggish 3mm -> 2.5mm eoms neck: supple lungs: breath sounds bilaterally. cardiac: tacyhcardic, regular rate. s1/s2. abd: soft, nt, bs+ extrem: left bka staples c/d/i, right toe resection staples c/d/i. hands warm, no cyanosis or edema. neuro: exam performed without sedation. patient intubated, not awake or alert. not responding to painful stimuli in all 4 extremities, left pupil sluggish 3->2.5mm and eye midline, no corneal reflex, no gag. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. reflexes: no dtrs . pt made cmo . pt deseased shortly after medications on admission: coreg 12.5mg imdur 60mg daily lipitor 80mg daily nephrocaps protonix 40mg daily neurontin 600mg qhs lisinopril 20mg daily calcium carbonate 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 combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube hemodialysis angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries arteriography of femoral and other lower extremity arteries amputation of toe transfusion of packed cells other amputation below knee procedure on single vessel diagnoses: other primary cardiomyopathies end stage renal disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion congestive heart failure, unspecified acute and subacute necrosis of liver unspecified septicemia hyposmolality and/or hyponatremia severe sepsis infection with microorganisms resistant to penicillins diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled intracerebral hemorrhage hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypotension, unspecified methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site long-term (current) use of insulin osteoporosis, unspecified septic shock atherosclerosis of native arteries of the extremities with gangrene other and unspecified coagulation defects diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy gastroparesis diabetes with peripheral circulatory disorders, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to