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: dyspnea major surgical or invasive procedure: none history of present illness: yo male with pmh cad s/p nstemi, recent pna, gib, who p/w hypoxia. pt recently d/c'd from on s/p nstemi which was medically managed and lll pna, was d/c'd to nh where he remained in stable condition where he completed 10-day course of levoflox, with plans for d/c home today, when he developed sob and dizziness, along with anxiety and chest discomfort. symptoms similar to past presentation in early with nstemi, sent to for further eval. on arrival to ed, anxious and shaking/tremulous, and c/o mild sob. noted to be 94% on ra, febrile at 100.4, vs otherwise stable with bp 97/45-118/41. labs notable for wbc 20,000 and lactate 2.2. cxr showed increased lll consolidation. concern for pna, got ctx 1 gram iv and azithro 500mg po, along with asa 325 and lopressor 5mg iv. then dropped bp to 83/37, got ivf with some improvement. got total of 5 liters of ivf, with bp's still borderline per ed staff (?80s-110s), femoral line was placed and started on iv levophed. also got ceftaz for additional abx coverage. placed on nrbm eith o2 sats 100%. . pt without any c/o. his dizziness has resoleved, and his breathing feels better than earlier. he does c/o feeling tired and general fatigue. large, loose bm earlier today, no other h/o diarrhea, and no abd pain or nausea. . in terms of his recent hospital admission, he was admitted on with dizziness, "room spinning", found to have nstemi which was managed medically. briefly in icu where he was stable. managed on heparin/integrelin, along with asa/statin/bb, he declined cath. noted to have gib on anti-coagulation, seen by gi, declined endoscopy, started empirically on protonix. noted to have cough with ?lll infiltrate. he was tx for ?pna with azithro & ctx x 3 days, then transitioned to levoflox, d'c'd on levoflox for 10 days of tx. past medical history: 1. nstemi managed medically 2. meneire's disease 3. h/o syncope, s/p pacemaker placement 4. bph, s/p prostate surgery 5. lower back surgery years ago 6. rbbb 7. cataracts, s/p surgery 8. hard of hearing social history: he is married, lives in ; was at rehab through today following hospitalization. + cigs ( one pck every 36 hours) x many years + wine every night family history: noncontributory physical exam: pe: vs t=100.4 p=82 bp=87/43 r=20 o2 sat=98% 4l gen: elderly male lying in bed, alert and arousable, hard of hearing, speaking in full sentences in nad heent: perrla (right surgical pupil), eomi, sclera anicteric; op clear with dry mucus membranes neck: no lad. no jvd. cv: rrr s1s2, distant heart tones. lungs: decreased bs at bases. rales in lll, otherwise clear. abd: +bs. soft, nt, nd. ext: no edema. dp 1+ neuro: grossly intact pertinent results: . microbiology: blood culture: pending. urine culture: <10,000 organisms. stool: c. difficile positive. . imaging: cxr: heart size and mediastinal contours are stable. increased opacity in the left lower lobe may represent consolidation. there are calcified bilateral pleural plaques consistent with prior asbestos exposure. . ** admit labs ** wbc-20.5*# hct-37.7* mcv-88 neuts-82* bands-9* lymphs-6* monos-3 eos-0 basos-0 atyps-0 metas-0 myelos-0 plt count-221# . glucose-126* urea n-20 creat-1.0 sodium-135 potassium-4.2 chloride-101 total co2-24 anion gap-14 ctropnt-0.05* ck-mb-2 lactate-2.2* ============= studies: cxr increasing left lower lobe opacity, which may represent consolidation versus asymmetric edema. . r picc placement impression: right-sided picc line with tip overlying the cavoatrial junction. brief hospital course: year old male with cad s/p nstemi, gi bleed, recent pneumonia, who was recently discharged to rehab following an nstemi which was medically managed and left lower lobe pneumonia for which he completed a course of levofloxacin, who presented with shortness of breath and hypotension, found to have a worsening left lower lobe consolidation. his hospital course was significant for the following problems: . #. hypoxia/sob/hypotension: his initial presentation with dyspnea, leukocytosis, and a cxr showing worsening lll consolidation was concerning for a pneumonia. given his recent hospitalization and nursing home stay there was concern for a hospital/nursing home acquired organism and he was broadly covered with vancomycin and zosyn. his hypotension was treated with aggressive fluid resuscitation and levophed which he required until . levaquin was considered a "failure" due to his worsening pneumonia so he was continued on vancomycin and zosyn which he was completed on . . #. c. difficile colitis: pt tested positive for c. difficile on and was started on oral metronidazole. he continued to have diarrhea but it was not considered a failure because he was still on iv antibiotics for his pneumonia. he should continue flagyl for a total of one week after stopping the antibiotics (until ). if his diarrhea continues, he should be started on po vancomycin, 125 mg po qid. . #. rhythm: pt had several episodes of atrial fibrillation with rapid ventricular response in the icu. he was restarted on his lopressor at the low dose of 12.5mg . when the team attempted to titrate the beta blocker up, he became hypotensive to the 70s. he was then loaded with digoxin and had no further episodes of atrial fibrillation. he continued to have several brief runs of nsvt that were asymptomatic. he was never shocked given his wishes for no resuscitation. . #. cad: pt had a recent admission for a nstemi. his ekg on this admission was stable as were his cardiac enzymes. he was continued on aspirin. his lasix and beta-blocker were initially held given his presentation with hypotension but metoprolol was restarted. . #. chf: pt noted to be volume overloaded on exam and on cxr. lasix however was held hypotension. it was restarted at a small dose and he tolerated it. the dose of laxis can be titrated up to the pt's home dose of 20mg daily (as tolerated). . #. gastrointestinal bleed: pt had a gi bleed during his last hospitalization in the setting of anticoagulation for his nstemi (heparin/integrilin). he had an small episode of brbpr but his hematocrit remained stable during this admission. . #. dizziness: he has a history of meniere's disease for which he was previously on meclizine. during the hospitalization he occasionally complained of dizziness, but it subsequently resolved. . #. code: dnr/dni medications on admission: lipitor 80 mg po qd asa 325 mg po qd proscar 5 mg po qd lopressor 12.5 mg po bid colace 100 mg po bid protonix 40 mg po bid lasix 20 mg po qd discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. insulin regular human 100 unit/ml solution sig: as directed injection asdir (as directed). 5. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 7. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 8. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 9. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day) as needed. 10. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 11. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily). 12. pantoprazole 40 mg iv q12h 13. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary diagnosis: hospital acquired sepsis c. difficile colitis secondary diagnosis: discharge condition: stable discharge instructions: please report to the nearest emergency department if you have fever, chills, nausea, vomiting or worsening diarrhea. . there has been a change in your medications. if your diarrhea does not get better in 1 week after discharge, you dto be started on an orl medication called vancomycin (as directed in discharge summary). . you will need to continue working with physical therapy to improve your strength. followup instructions: provider: clinic phone: date/time: 9:00 . provider: call to schedule a appointment with dr. . phone: . date/time: to be scheduled md, procedure: venous catheterization, not elsewhere classified infusion of vasopressor agent diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery tobacco use disorder congestive heart failure, unspecified unspecified septicemia severe sepsis atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) blood in stool septic shock intestinal infection due to clostridium difficile cardiac pacemaker in situ dehydration m?ni?re's disease, unspecified acute myocardial infarction of unspecified site, subsequent episode of care 

Answer: The patient is high likely exposed to