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: past medical history: 1. renal cell carcinoma, status post partial nephrectomy in . 2. idm. 3. hypertension. 4. neuropathy. 5. mrsa positive. 6. prostate cancer. admission medications: 1. lantus 46 units. 2. zocor 20 mg per day. 3. lopressor 37.5 mg b.i.d. 4. zestril 10 mg q.d. 5. aspirin 81 mg p.o. q.d. 6. protonix 40 mg p.o. q.d. 7. neurontin 300 mg p.o. q.i.d. 8. paxil 10 mg p.o. q.d. 9. ativan. 10. loperamide. allergies: penicillin. social history: no alcohol. the patient quit smoking tobacco 60 years ago. the patient is a former lawyer with three children. the patient is reported to have had home assistance for activities of daily living. physical examination on admission: on arrival, the patient had a temperature of 98, blood pressure 92/55, heart rate 69, respiratory rate 21, and oxygen saturation of 96%. the patient appeared in no apparent distress with a flattened affect. the physical examination was notable for a tense and distended abdomen which was tender to moderate palpation throughout. the patient was noted to have an area of gangrenous skin on the dorsum of his right scrotum with bilateral scrotal erythema and edema. laboratory data on admission: the patient had a white count of 18 with 71% neutrophils, 18% lymphocytes, 8% monocytes, and a hematocrit of 9.6. the patient's chem-7 was notable for a potassium of 6, creatinine 1.7, and a blood glucose of 179. his coagulation studies were normal. hospital course: on arrival in the emergency department, the patient was evaluated by the emergency department as well as the general surgery team. a cat scan of his abdomen revealed pancolitis without evidence of perforation. the patient had an x-ray of the abdomen which revealed no free air under his diaphragm with a paucity of bowel gas, particularly distally. an ultrasound of the scrotum revealed that his right epididymis looked thickened while his left epididymis was within normal limits. the patient had a right-sided hydrocele. the patient was started on broad spectrum antibiotic coverage with vancomycin, levaquin, and flagyl. blood cultures were drawn and stool was sent for testing for clostridium difficile toxin as well as ova and parasites. while in the emergency department, the patient was also evaluated by the urology service to rule out the possibility of fournier's gangrene. in view of the patient's clinical presentation and physical examination, he did not have the characteristic presentation of fournier's gangrene. the patient was admitted to the micu for further management. over the succeeding two days the patient was evaluated by the general surgery and gastroenterology services. after review of the patient's chart, x-ray, and history, the gastroenterology service was in the view that the patient would benefit from a colonoscopy. his white cell count by had increased to 30. findings on flexible sigmoidoscopy to 25 cm revealed that the patient had numerous pseudomembranes and relatively normal intervening mucosa which were all consistent with clostridium difficile pseudomembranous colitis. their recommendation was that vancomycin by mouth be added to the patient's treatment regimen. this was done. on , the patient's clinical situation appeared to be worsening with his white count elevated to 34 and with increasing abdominal distention. following an evaluation of the patient's status, it was decided that he needed an emergent colectomy with ileostomy for fulminant clostridium difficile colitis. the risks and the benefits of the procedure were explained to the patient and the patient agreed to proceed. surgery was performed that night. the patient underwent a total abdominal colectomy without complication. the patient's early postoperative course was complicated by hemodynamic instability requiring massive volume resuscitation and levophed supplementation as well as multiple ventilator changes to maintain adequate oxygenation. over the following days while in the unit, the patient was significantly fluid overloaded. he required paracentesis, during which approximately 3,400 milliliters of peritoneal fluid was drained as well as the placement of a chest tube on . the patient was ultimately extubated on . tube feeds were started. during the period until , the patient was slowly diuresed. he remained extubated. he was followed by the urology service with no worsening in his scrotal lesions. the patient's tube feeds by ng tube were advanced to goal. his ostomy began to produce stool. of note, a small portion of the patient's incision was opened distal to the umbilicus to allow for the patient's diagnostic and therapeutic peritoneal lavage. this part of the incision is currently packed with wet-to-dry dressings. following transfer to the floor, the patient was seen by the speech and swallow service and video swallow study performed on . the patient was noted to aspirate on thin liquids but tolerated thick liquids and his diet, therefore, was advanced. discharge plan was initiated. the patient's midline abdominal incision appeared to be healing well, although as previously noted there was a small portion distal to the umbilicus which continued to be packed and dressed. it is expected that the patient will be stable and be ready for discharge on . plans are to initiate a diet of nectar-thick liquids with ground solids. basic aspiration precautions will be maintained. the patient will be kept bolt upright for all meals. discharge condition: stable. discharge medications: 1. lansoprazole 30 mg p.o. q.d. 2. loperamide 2 mg p.o. q.i.d. p.r.n. 3. aspirin 81 mg p.o. q.d. 4. lisinopril 10 mg p.o. q.d. 5. simvastatin 20 mg p.o. q.d. 6. insulin by sliding scale. 7. miconazole powder t.p. p.r.n. 8. artificial tears p.r.n. 9. albuterol nebulizer q. six p.r.n. 10. ipratropium bromide q. six p.r.n. 11. metoprolol 7.5 mg p.o. b.i.d. 12. heparin 5,000 units subcutaneously b.i.d. 13. gabapentin 300 mg p.o. q.i.d. 14. paroxetine 10 mg p.o. q.d. 15. nph insulin 20 units at breakfast and dinner. follow-up: the patient is to follow-up with dr. following discharge. the patient is also to follow-up with his cardiologist as well as his primary care physician for coordination of further care. discharge diagnosis: fulminant clostridium difficile colitis. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances percutaneous abdominal drainage temporary ileostomy arterial catheterization rigid proctosigmoidoscopy diagnoses: unspecified pleural effusion diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes intestinal infection due to clostridium difficile personal history of malignant neoplasm of kidney acute myocardial infarction of unspecified site, subsequent episode of care 

Answer: The patient is high likely exposed to