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: penicillins / aldactone attending: chief complaint: diarrhea x 10 days major surgical or invasive procedure: paracentesis. history of present illness: the patient is a 75 year old female with a history of cryptogenic cirrhosis (seen by dr. with portal hypertension, chf ef >60%, and dmii who presents to the ed on with the chief complaint of diarrhea for 10 days. the patient was recently discharged approximately a week ago with cellulitis and placed on clindamycin and levaquin. during her stay, she had developed diarrhea but failed to inform her doctors. . in addition, she had been taking sandostain 100mcg since which has significanly reduced the frequency of prbc transfusion requirement secondary to angiodysplasia which may have also contributed to her symptoms. . after her discharge, she continued to experience voluminous (>2 cups), bloody diarrhea occuring 8-9 times a day for the past 10 days. she denies any abdominal pain but admits to nausea without vomiting. she has also noted increased abdominal girth. she informed her hepatologist, dr. , who planned for a flex sigmoidoscopy which the patient is scheduled for tomorrow. however, as the patient was having poor po intake, she was advised to report to the ed directly. . she denies any fevers/chills/sick contacts at home. no recent travel but recent antibiotics. she does have a history of gib secondary to angiodysplasia but states that this has not been a problem recently and this bloody diarrhea is unlike her prior presentations. no abdominal pain. no melena. . she admits to lightheadedness/dizziness but denies any syncope. she admits to shortness of breath which she says happens when she's anemic. . ros: . no cp, positive for sob. no hematuria/dysuria. positive for hypoglycemia ( bs of 49 at home) with little po intake. past medical history: pmh: 1. gastrointestinal bleed with chronic anemia. history of extensive colonic diverticuli found on colonoscopy in . multiple upper gastrointestinal avms detected on enteroscopy and treated with electrocautery in . 2. congestive heart failure with diastolic dysfunction diagnosed in . tte in revealed ejection fraction of greater then or equal to 55% with 1+ mitral regurgitation and no wall motion abnormalities. tte on showed normal ventricular thickness and function (lvef>55%) 3. portal hypertension. 3. chronic obstructive pulmonary disease. 4. diabetes type 2, 25 year history. 5. hypertension. 6. hypercholesterolemia. 7. breast cancer status post right lumpectomy, chemotherapy and radiation therapy. 8. hypothyroidism social history: retired. no alcohol use. +30 pack year tobacco history, quit 6 months ago. patient lives with her daughter in the same house, different levels. does not require any aids with ambulation. family history: cad no fam h/o gi bleeding. physical exam: tc=97.4 p=70 bp=127/53 rr=14 100% on 3liters o2 gen- nad, aox3, anicteric heent- perla, dry mm, no jvd heart- rrr, grade ii/vi holosytolic murmur at apex lungs- ctab abdomen- markedly distended, active bs, nt ext- no cyanosis, positive clubbing, no edema, +2 d. pedis, no cellulitis on left lower extremity (previous admission) skin- no rashes/lesions pertinent results: 09:54pm hgb-9.4* calchct-28 09:40pm glucose-50* urea n-46* creat-4.6*# sodium-135 potassium-4.7 chloride-101 total co2-19* anion gap-20 09:40pm alt(sgpt)-10 ast(sgot)-20 alk phos-146* amylase-26 tot bili-0.3 09:40pm lipase-36 09:40pm calcium-5.9* phosphate-8.4*# magnesium-1.2* 09:40pm wbc-8.1# rbc-3.53* hgb-9.4* hct-29.6* mcv-84 mch-26.5* mchc-31.7 rdw-15.3 09:40pm neuts-85.7* lymphs-8.8* monos-3.7 eos-1.5 basos-0.2 09:40pm hypochrom-3+ poikilocy-1+ microcyt-1+ 09:40pm plt count-254 09:40pm plt count-254 09:40pm pt-12.6 ptt-25.4 inr(pt)-1.1 brief hospital course: # diarrhea: patient had non-bloody diarrhea, with streaks of blood on the toilet paper from known hemorroids. stool cultures including c. diff were all negative and diarrhea resolved without further treatment over the course of this admission. flex sig was negative for evidence of c. diff and kub was benign. . # acute renal failure with secondary hyperparathyroidism: appeared entirely pre-reanl in the setting of diarrhea and cirrhosis. creatinine improved with hydration. patient had marked hypocalcemia, hypomagneiumenia, and hyperphosphatemia, all of which is attributable to arf. calcium was as low as 5.6 at one point, and was agressively repleted with iv calcium. magnesium was repleted orally. . # cirrhosis: patient had significant ascites on exam. patient had abdominal u/s and 3 liters were removed by parcentesis. no evidence of sbp but patient was placed on sbp prophylaxis. spironolactone was discontinued because of hyperkalemia. . # dmii: patient was initially peristently hypoglycemia with blood sugars down to the 30's and 40's, in the setting of taking oral diabetes medications (metformin and glyburdide) at home, then having acute renal failure. it took 3-4 days for the medication to completely clear her system. patient was temporarily transferred to the icu for close monitoring and one on one nursing care. patient was maintained on d10w and po intake with adequate control. as the arf improved, her sugars came up and patient was then maintained on a insulin sliding scale. . # hypothyroidism: tsh was high and levothyroxine dose was increased. will likely need to be re-checked and adjusted once acute episode resolves. . # blood loss anemia: patient is guiac positive. she has known vascular ectasias and is transfusion dependent to maintain her hematocrit. gi was consulted and in light of her history, they did not feel repeat endoscopy would add anything to her care. patient recived periodic transfusions, and it was arranged for her to continue to have outpatient transfusions after discharge. . # mrsa uti: culture poitive, patient started in 14 day course ofvancomycin. . # thrombocytopenia: anti-heparin antibodies negative and platelets improved when protonix was discontinued. . #aspiration: patient was noted to be having difficulty swallowing her medications and speech and swallow evaluation followed by video swallow study was ordered. patient was seen to have aspiration with thin liquids and she was transitioned to ground solids with necatr thick-liquids to good effect. medications on admission: lisinopril 20 mg po qd unithroid 50 mcg po qd wellbutrin sr 150 mg norvasc 2.5 mg po qd spironolactone (unknown dose) glyburide 5 mg lipitor 10 mg po qd protonix 40 mg metformin 500 mg discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed: no more than 2 grams per day due to liver failure. 2. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 4. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. 6. insulin regular human 100 unit/ml solution sig: units units injection asdir (as directed): per sliding scale. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 9. unithroid 100 mcg tablet sig: one (1) tablet po once a day. 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 11. lasix 20 mg tablet sig: one (1) tablet po once a day. 12. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed: flush with normal salline flush 10 cc followed by heparin daily. 13. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) gram intravenous q48h (every 48 hours) for 9 days. 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day): please do not give at same time as unithroid. 15. ativan 0.5 mg tablet sig: one (1) tablet po four times a day as needed for anxiety. 16. outpatient lab work please draw teh following blood on : - check cbc - check vancomycin trough - check sodium, potassium, chloride, bicarbonate, urea, craetinine, and glucose, calcium, magnesium, and phospate. please page md on call at rehabilitation facility with results of labwork for medication adjustments. 17. multi-vitamin w/minerals capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: manor discharge diagnosis: acute renal failure hypocalcemia secondary to medications in the setting of renal failure cryptogenic cirrhosis mrsa in urine. congestive heart failure, diastolic dysfunction with preserved ejection fraction. iron deficiency anemia secondary to chronic blood loss from arteriovenous malformations, transfusion dependent. anxiety discharge condition: stable. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 2 liters followup instructions: patient will need to be transported to her transfusion appointment. her appointment is on wednesday at 10:15 am in 127 in the transfusion unit. you can reach the tranfusion unit at at if you need more urgent transfusions. patient will need to have bloodwork as outlined in page 1 treatment plan. patient will need to see dr. within 1 week of discharge from rehab. please call his office at for appointment on discharge from rehab. provider: , md phone: date/time: 10:00 provider: , md phone: date/time: 3:30 procedure: percutaneous abdominal drainage closed [endoscopic] biopsy of large intestine transfusion of packed cells diagnoses: acidosis thrombocytopenia, unspecified acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified unspecified essential hypertension cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) portal hypertension unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified infection with microorganisms resistant to penicillins personal history of malignant neoplasm of breast methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site secondary hyperparathyroidism (of renal origin) diarrhea dehydration diastolic heart failure, unspecified angiodysplasia of intestine (without mention of hemorrhage) 

Answer: The patient is high likely exposed to