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: hypothermia at dilaysis major surgical or invasive procedure: none history of present illness: the patient is a 84 y.o. female with h/o esrd on hd recent admission for c diff colitis in , a resident at , admitted after she was found to be hypothermic during hd yesterday. the patient with recent stool positive for cdiff at nursing home (c.diff +). the patient with h/o nausea and vomiting and diarrhea prior to admission. on the day of admission, the patient was found to be hypothermic c/o chills at hd and was sent to ed for eval. ekg with new t wave inversions in in c/w prior ekg . in the ed, the patient was treated with asa, metoprolol 50mg, oxycodone, and dextrose. the patient was admitted to the general medical floor and had t 94.4 on admission bp 124/50; hr71; rr24; o2 sats 93% on ra and 99% on 4l nc. she was placed on a bear hugger and was mentating fine. the patient received vancomycin iv x one dose, levaquin x one dose and she is also on flagyl po. at 5 am today, she found to be confused, persistently hypothermic with t min 93.7, hypotensive with sbp 94/60 in trendelenberg and intermittent sbp down to 70's, and hypoglycemic to 34 on random finger stick check. she was given ns boluses and dextrose and one hour after dextrose hypoglycemic again. patient placed on nrb after desatting to 80's on 4l nc. she denies pain, sob, chest pain, or any discomfort. the patient's mental status has waxed and waned. past medical history: 1. esrd on hd since (dr. ; mrsa bacteremia from fistula 2. atrial fibrillation 3. renal mass on ct since 4. right hip erosive arthritis; now s/p r hip surgery (hemiarthroplasty) complicated by mental status changes and decreased bp 5. osteoporosis 6. anemia 7. asthma 8. gerd 9. hypertension 10. pvd/heel ulcers - refusing angio 11. c.diff treated with flagyl. c.diff positive on at nursing home. 12. poor po intake 13. depression 14. low phos, mag, and potassium social history: pt currently lives at rehab center but prior to fracture lived alone in with a house cleaner who comes several times a week to clean her house. pt reports quiting smoking 8 years ago. however, the patient does have a 60+ pack year history of smoking. pt has occasional alcohol use. family history: noncontributory. physical exam: vs: t 94; hr 70; bp 106/58; rr 18; 93-95% on nrb general: thin, aa female lying in bed with nrb heent: per small and rl, eomi, no scleral icterus neck: supple, no jvd cv: regular, s1s2, normal chest: bilateral crackles abdomen: +bs, soft, -tender, mildly distended, no rebound or guarding extr: 1+ pitting edema bilaterally; bilateral heel ulcers with dressing c/d/i family history: unknown pertinent results: imaging: cxr - termination of feeding tube within the gastric antrum. otherwise, no change cxr - worsening interstitial edema. increasing left pleural effusion and left lower lobe atelectasis. foot x-rays - no evidence of osteomyelitis. cxr - cardiomegaly and interval development of small bilateral pleural effusions. no overt volume overload identified. <br> cultures: blood (mycotic bottle) - pending blood - pending blood - pending heel culture - gram stain (final ): 1+ gram positive cocci. in pairs and clusters. wound culture (preliminary): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site staph aureus coag +. moderate growth. gram positive coccus(cocci). moderate growth. being isolated further identification to follow. corynebacterium species (diphtheroids). moderate growth. staphylococcus, coagulase negative. sparse growth. urine - pending brief hospital course: ms. is an 84 year old woman with esrd on hd and recent admission for c diff colitis who was admitted from her nursing home after she was noted to have recurrence of c. difficile colitis. originally admitted to the medicine service, the patient to the micu with hypothermia with t min 93.7, hypotension with systolic blood pressures intermittently falling from 90's to the 70's, and hypoglycemia to 34 on random finger stick check who is adrenally insufficient by stim. the patient was never in respiratory distress and did not require intubation. her hypotension improved with iv fluid resuscitaion (3 l ns) and was transferred to floor soon thereafter. while in micu, she was started on broad spectrum antibiotics, pan cultures and chest x-ray did not reveal any signs of infection. she was found to have stool cultures were negative for c. diff. toxin. vancomycin was discontinued in micu. an cosyntropin stimulation test was performed to determine whether adrenal insufficiency was a cause of her hypotension. this revealed normal am cortisol levels but a somewhat sluggish response to cosyntropin. the patient was therefore started on high dose steroids. this was tapered off by discharge. another potential contributing factor behind the patients prior hypotension may have been her poor po intake and, perhaps, her hypoglycemia. for this reason the patient had a peg tube placed to aid her nutritional status. the patient's stay on the medical floor was otherwise relatively uneventful, she continued her schedule of dialysis without complication. on discharge she remained afebrile and hemodynamically stable with blood pressures in the normal to high range. in summary, this is an 84 year-old woman with esrd on hd admitted from nursing home for diarrhea secondary to c. dificile infection who developed hypotension and hypoglycemia. she responded well hemodynamically to iv fluid resuscitation. no potential source of infection was definitively identified but patient did well with broad spectrum antibiotics. it is likely that her hypotension was secondary to intravascular depletion from diarrhea in the setting of poor po intake and, possibly, borderline adrenal insufficiency. on discharge, she was without signs of infection other than occasional diarrhea, and was hemodynamically stable. she received a peg tube for feeding to aid her nutritional status. issues and plan arising from this admission: 1. c. dificile infection. diarrhea may have been major contributor to hypotension. but patient was likely never septic per se. pan cultures unrevealing -can continue flagyl for approximately two weeks after discharge. 2. heel ulcers. appreciate podiatry input (dr. . x-rays did not indicate osteomyelitis. vascular surgery was . they had seen the patient on prior admissions and felt the patient needed an angiogram. -to see vascular surgery and receive angiogram as outpatient 3. new t wave inversions but difficult to interpret with electrolyte abnormalities. the patient was ruled out for mi. repeat ekg's were unchanged. 4. poor nutritional status/poor appetite: also have contributed to hypotension -peg in place for use in supplementation of pt po intake. 5. esrd/ atient of dr. (who is aware of patients admission). the patient was dialyzed on schedule during her admission. 6. hypoglycemia. most likely from long standing malnutrition and poor po intake. 7. coagulopathy. patient on coumadin and inr likely elevated in the setting of abx use. the patient did receive vit k iv dose. coumadin was held prior to the patient getting her peg tube. 8. atrial fibrillation. currently in sinus. coumadin was held on prior to the patient getting a peg. -continuing coumadin 9. leg swelling (r side) - a leni ruled out dvt. 10. depression - continued on remeron 15mg qhs 11. gerd - continued on protonix 40mg qd 12. copd/asthma - continued on combivent 13. poor nutritional status - po intake encourage, peg placed for supplementation. pt to continue renal, heart healthy, diabetic diet. the code status of this patient is dnr/dni, confirmed with attending physician. medications on admission: amiodarone 200mg qd coumadin 1mg qd toprol xl 50mg protonix 40mg qd mvi nephrocaps lisinipril 30mg qd combivent albuterol prn discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. 2. levofloxacin 250 mg tablet sig: one (1) tablet po q48h (every 48 hours). 3. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 4. fludrocortisone 0.1 mg tablet sig: 0.5 tablet po daily (daily). 5. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 3 weeks: please continue for total of three weeks, last day of therapy is . 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 7. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 10. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 11. warfarin 1 mg tablet sig: one (1) tablet po hs (at bedtime). discharge disposition: extended care facility: - discharge diagnosis: hypotension. dehydration. borderline adrenal insufficiency. end stage renal disease. discharge condition: good. no fevers, blood pressure now in normal/high normal range. discharge instructions: please return patient to hospital if she develops high grade fevers, becomes hypotensive, or has a change in her mental status. please return patient to hospital if patient develops chest pain, shortness of breath, palpitations, or if she becomes light-headed or dizzy. please have patient continue all prescribed medications. please continue patient on her dialysis schedule. please have patient keep follow up appointments. followup instructions: please continue hemodialysis and follow up with your nephrologist to help manage hemodialysis. please follow up with your primary care provider, . . please follow up with vascular outpatient services at hospital. we have scheduled an appointment with dr. on at 12:45 pm. his office phone number is . you may need an angiogram, we would like to evaluate why you have ulcers on your heels. provider: , od phone: date/time: 1:00 md procedure: enteral infusion of concentrated nutritional substances hemodialysis percutaneous [endoscopic] gastrostomy [peg] diagnoses: end stage renal disease esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition atrial fibrillation depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypotension, unspecified intestinal infection due to clostridium difficile dehydration other and unspecified coagulation defects atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot volume depletion, unspecified other general symptoms 

Answer: The patient is high likely exposed to