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. diabetes mellitus. 2. peripheral vascular disease. 3. status post cva. 4. history of right ......... mrsa. 5. history of chf with an ef of 40-45%. 6. history of vre. 7. history of copd. 8. hypertension. 9. glaucoma. 10. cri. 11. peripheral vascular disease. 12. duodenal ulcer. 13. history of anemia of chronic disease. 14. esophageal dysmotility. 15. history of vre uti. physical exam: temperature was 95.4, blood pressure was 100/40, pulse of 61, respiratory rate was 14. patient was saturating at 88% on room air and then 100% on 3 liters of oxygen. fingersticks was ranging from 32-207. generally: he was alert and oriented times three in no acute distress, somnolent, but arousable. heent examination is normocephalic, atraumatic. extraocular movements are intact. moist mucous membranes. no jvd. heart is regular rate and rhythm with no murmurs, clicks, or gallops. right ij is clean, dry, and intact. pulmonary: positive bibasilar crackles at bases. abdomen had good bowel sounds, soft, nontender, and nondistended with midline surgical scar clean, dry, and intact. extremities are free of any clubbing or cyanosis with 3+ bilateral pitting edema. neurologic examination is alert and oriented times two, somnolent, but arousable. difficult to examine, but nonfocal examination overall. cranial nerves are intact. hospital course by systems: 1. acute altered mental status: this is felt secondary to hypoglycemia as well as uti. patient was treated for both conditions and his mental status returned to baseline. 2. id: patient had uti and was treated with levofloxacin for a total of 14 days, which he is to continue a course once discharged from the hospital. patient also had a urine sent, which was significant for greater than 100,000 yeast. it was felt that given his tenuous condition, that patient should be treated with fluconazole. hence, he received a three-day treatment for the yeast in his urine. 3. colitis: again, patient's colitis was felt to be secondary to ischemia. conservative management was recommended. patient was hence, maintained on levo and flagyl to complete a 14-day course. gi was following the patient initially, and felt that repeat scopes were currently not indicated. patient did have guaiac-positive stools, but his hematocrit remained stable. in total, patient received 1 unit of packed red blood cells with good response. his hematocrits ranged in the 30s. 4. hypothermia: again felt likely secondary to infected state. patient's temperatures returned to by time of discharge. 5. acute renal failure: felt secondary to atn in the setting of ct scan. patient was maintained on fluid restriction actually and prn diuresis for a goal of negative 1 liter until euvolemia was achieved. patient's creatinine returned to baseline by the time of discharge. patient maintained good urine output without complications. patient was changed to 40 mg of lasix one p.o. q.d. by time of discharge. 6. hypoglycemia: again, the patient is a very frail diabetic. initially hypoglycemia was secondary to poor p.o. intake. by the time of discharge, the patient was changed to 5 units of lantus q.h.s. and a liberal regular insulin-sliding scale, which should be attached with discharge paperwork. the patient's fingersticks were checked q.4h. his glucoses generally ranged from 80s-380s. patient did have intermittent hypoglycemic episodes into the 40s in the setting of poor p.o. intake. 7. chf with ef of 40-45%. patient was maintained on 1000 cc a day fluid restriction. he is maintained on a low salt diabetic diet, that is 2-gram sodium diet. patient's strict i's and o's were followed, and patient diuresed very nicely. his chest x-rays revealed that patient had decreasing pulmonary edema as well as decreasing size of pleural effusion. patient was eventually changed to 40 mg dose of p.o. lasix by the time of discharge. 8. hypertension: patient was initially maintained on lopressor and hydralazine to maintain a systolic blood pressure lower than 130. by time of discharge, he was changed from hydralazine to captopril, which can be titrated up once the patient is discharged. 9. peripheral vascular disease: patient was restarted on his plavix. 10. fen: patient was initially maintained on clears. his diet was then advanced to a 2-gram sodium and diabetic diet. patient had a speech and swallow evaluation and a video swallow, which the patient passed with no evidence of gross aspiration. 11. colitis: again felt secondary to ischemia likely. conservative management was recommended. lactates were followed initially and remained within normal limits. stool was mildly guaiac positive. hematocrits were stable. patient did receive 1 unit of packed red blood cells with good response. 12. coagulopathy: patient had an elevated inr in the setting of low albumin likely felt secondary to poor nutritional state. once patient started eating better, it was noted that his inr stabilized to 1.1 to 1.2. medications on discharge: 1. furosemide 40 mg one p.o. q.d. 2. captopril 6.25 mg one p.o. t.i.d. 3. insulin-sliding scale to be attached to discharge summary. 4. mirtazapine 15 mg one p.o. q.h.s. 5. lantus 5 mg subq q.h.s. 6. albuterol mdi prn. 7. atrovent mdis prn. 8. metoprolol 75 mg p.o. one p.o. t.i.d. 9. calcium carbonate 500 mg p.o. b.i.d. 10. metoclopramide 5 mg one p.o. q.i.d. a.c./h.s. 11. famotidine 20 mg one p.o. q.d. 12. metronidazole 500 mg one p.o. q.8h. for a total of six days. 13. levofloxacin 250 mg one p.o. q.24h. for a total of six days. 14. plavix 75 mg one p.o. q.d. 15. aspirin 325 mg one p.o. q.d. 16. nystatin oral suspension 5 ml one p.o. q.i.d. 17. fluticasone 110 mcg two puffs b.i.d. discharge condition: fair to stable. he is stable on room air. is alert and oriented times three. he is able to tolerate a 2-gram diabetic diet without evidence of aspiration. he is no longer in overt chf. his creatinine has stabilized. patient's hypoglycemia episodes have been controlled, and patient is afebrile and tolerating antibiotics. discharge status: he will be discharged to rehab. followup: he needs to setup a followup within one week of discharge to a rehab facility. his primary care physician, . has been following him in the hospital. discharge diagnoses: 1. type 1 diabetes. 2. acute renal failure secondary to acute tubular necrosis. 3. hypertension. 4. peripheral vascular disease. 5. colitis. 6. urinary tract infection. 7. altered mental status. 8. congestive heart failure. 9. coagulopathy. , m.d. dictated by: medquist36 procedure: laparoscopy rigid proctosigmoidoscopy diagnoses: pneumonia, organism unspecified acidosis other and unspecified noninfectious gastroenteritis and colitis congestive heart failure, unspecified acute kidney failure, unspecified diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled other and unspecified coagulation defects diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to