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: diarrhea, shortness of breath major surgical or invasive procedure: ir-guided picc line history of present illness: 89 year old male with h/o dm, htn, ra, cri presents from home with severe diarrhea x5 days. he recently was treated with po vancomycin at rehab for c.diff colitis although was discharged home and the medication was never filled so didn't complete the course. yesterday his daughter called his pcp for and po vancomycin was restarted. last night the patient felt weak and fell; although denies loc/hitting head. this morning he was going to the bathroom and felt weak and sob; felt unable to get up. he denies any chest pain or palpitations. denies any recent fevers/chills, nausea or vomiting. does endorse poor po intake over past few days. of note, the patient was admitted for pneumonia treated with vanc/cefepime/azithromycin. initially in the ed at triage he was noted to be hypoxic and hypotensive but pink/warm; he was given fluids and placed on a nrb. vitals were:97.0 84/50 hr 60 rr 16 90% on 100%face mask-->after fluids bp improved to 105/47. a cxr was done which showed possible blunting at left cp angle/haziness at left base. labs notable for wbc 17.4, lactate 2.8, bun 77, cr 2.8 (up from baseline 1.3). ekg was nsr with new twi v1-v3, trop 0.11. he was given 4liters ns and sbp improved to 100s. he was also given a dose of levofloxacin. the patients daughter also reported a fall yesterday thus ct head/cspine done which were both negative. the patient was noted to have his o2 sat drop to 70s on room air when sleeping and thus there was concern so admitted to micu for closer monitoring. currently, 97/60 hr 64 rr 15 98%ra. ros: denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, chest pain, abdominal pain, nausea, vomiting, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: type 2 diabetes mellitus hypertension chronic renal failure, stage ii rheumatoid arthritis bph s/p turp s/p appendectomy s/p uvula polypectomy s/p back surgery with ivc filter placement cervical stenosis mitral regurgitation chronic le edema social history: patient denies current tobacco use, but has a 10 pack year smoking history, quit in . no alcohol. patient was married, but his wife passed away . he is currently living at , but his daughter is reconfiguring the house so that he can move into the lower floor apartment. previously, he was upstairs and she was downstairs. family history: father with leukemia and his mother died of "old age". his brother died with als. his son died of leukemia as well. physical exam: 97.2 99/46 22 94% ra general: comfortable in bed heent: perrl, mm slightly dry, sclera anicteric neck: no jvd cardiac: rrr, 2/6 sem lung: clear bilaterally abdomen: soft, nt, nd +bs in all 4 quadrants, no rebound/guarding ext: 1+ edema bilaterally, venous statis changes with mild erythema b/l, no warmth neuro: a&ox3 pertinent results: ================== admission labs ================== wbc-17.4*# rbc-3.79* hgb-11.3* hct-36.0* mcv-95 mch-29.8 mchc-31.5 rdw-14.8 plt ct-249 neuts-61 bands-30* lymphs-3* monos-4 eos-0 baso-0 atyps-1* metas-1* myelos-0 hypochr-normal anisocy-occasional poiklo-normal macrocy-normal microcy-normal polychr-normal pt-14.6* ptt-35.7* inr(pt)-1.3* glucose-74 urean-77* creat-2.8*# na-138 k-4.7 cl-102 hco3-22 angap-19 alt-36 ast-59* ld(ldh)-209 ck(cpk)-279 alkphos-93 totbili-0.5 ck-mb-15* mb indx-4.3 ctropnt-0.11* albumin-2.6* calcium-7.9* phos-5.0* mg-2.1 lactate-2.8* k-4.6 ------------- microbiology ------------- . : stool positive for c diff toxin. culture negative. : ova and parasites neg urine culture negative, pending blood culture , , negative . ------------- radiology ------------- . ct c-spine: () no evidence of acute fracture or acute misalignment of the cervical spine on the background of severe degenerative change as described above. a few foci of air in the visualized soft tissues may be within the venous structures or subcutaneous tissues related to intravenous injection or trauma. in case of clinical concern for underlying severe injury or infection, a chest ct can be obtained to evaluate the extent of this gas. partially imaged areas of ground-glass opacity in bilateral lung apices. mild subcutaneous soft tissue edema. in case of clinical concern for cord or ligamentous injury, an mri of the cervical spine is suggested. stable c1-2 pannus formation narrowing the craniocervical junction. the study and the report were reviewed by the staff radiologist. . non-contrast head ct: () there is no intracranial hemorrhage, mass effect, or -white matter differentiation abnormality. multiple focal areas of hypodensity in the subcortical, periventricular, and subinsular region are most compatible with chronic ischemic small vessel disease. prominence of the ventricles and cerebral sulci are most compatible with age-appropriate volume loss. intracranial arterial calcifications especially in the carotid arteries are noted. there is no evidence of fracture. mucous retention cyst in the left sphenoid sinus (2:8) is stable. there is mild to moderate mucosal thickening in bilateral frontal and ethmoid sinus air cells. there is a right bullosa. impression: 1. no acute intracranial abnormality. 2. mucosal sinus disease . ct abd/pelvis : the evaluation is limited without intravenous contrast. at the lung bases, small-to-moderate sized bilateral pleural effusions with associated compressive atelectasis have increased in size. contrast is seen within the distal esophagus and there is a moderate-sized hiatal hernia. the liver, spleen, and adrenal glands are unremarkable. there are multiple hypo- and hyper-dense lesions within both kidneys. the largest is an exophytic hypodense lesion measuring 4.4 x 4.2 cm arising off the lower pole of the left kidney. additional hyperdense lesions are not characterized on this examination and are best evaluated on the renal ultrasound of . the gallbladder appears distended, however, the wall is not appreciably thickened. a small 3-mm focus of soft tissue attenuation is seen in the right upper quadrant, adjacent to the region of the anterior gallbladder wall and the peritoneum. abdominal loops of small bowel appear unremarkable. the amount of intra-abdominal ascites continues to increase. the abdominal aorta is tortuous and calcified. there is an infrarenal ivc filter which appears collapsed. there is no pneumoperitoneum or pneumatosis. there is persistent wall thickening of the transverse, descending and sigmoid colon. ct pelvis without intravenous contrast: there is extensive sigmoid diverticulosis with wall thickening, which is unchanged. air within the bladder is likely secondary to recent foley catheter placement. the prostate gland appears unremarkable. there is a small amount of fluid within the pelvis. there is anasarca. there are extensive degenerative changes of the lumbar spine with marked s-shaped rotary scoliosis. degenerative changes are also seen in both hips. on the left, there is cortical and trabecular thickening consistent with paget's disease. mild wedging of the t10 vertebral body is unchanged. impression: 1. increased bilateral pleural effusions and ascites. 2. persistent transverse, descending and sigmoid colonic wall thickening, likely secondary to known c. difficile colitis. 3. bilateral renal cysts, some of which appear hyperdense, but are better characterized on recent ultrasound. 4. moderate sized hiatal hernia. . cxr pa and lateral : evaluation of patient with leukocytosis and history of prior pleural effusion. pa and lateral upright chest radiographs were reviewed in comparison to . the current study demonstrates contrast material within the esophagus and stomach. bibasal atelectasis had progressed in the interim with most likely interval increase in bilateral pleural effusion. upper lungs are essentially clear. cardiomediastinal silhouette is stable. the contrast material is also outlying the oropharynx. . kub : findings: there is a moderate amount of contrast seen throughout the stomach, duodenum and small bowel that is likely related to recent prior video oropharyngeal swallowing examination. there is questionable bowel thickening of the duodenem, could be related to collapsed appearance. the bowel gas pattern is otherwise unremarkable with no dilated loops of colon to suggest megacolon. no evidence of pneumoperitoneum. no soft tissue calcification or radiopaque foreign bodies. note is made of dextroscoliosis centered about the l3 vertebral body and ivc filter. in addition note is made of pelvic phleboliths. impression: no dilated loops of colon compatible with megacolon. significant amount of retained contrast seen within the small bowel and stomach likely related to recent video oropharyngeal swallowing study. questionable bowel thickening of the duodenem, could be related to collapsed appearance. . portable kub : a moderate amount of contrast is present throughout the colon and rectum, likely related to recent video swallowing study. loops of colon are well opacified with no evidence of megacolon. there is no pneumoperitoneum. severe dextroscoliosis of the lumbar spine is unchanged. there is no acute fracture or dislocation. an ivc filter is present at the l3 level. impression: no dilated loops of colon compatible with megacolon. brief hospital course: 89 y/o gentleman w/dm2, htn, cri, rheumatoid arthritis initially admitted to the icu with diarrhea leading to hypotension/hypoxia. he was given fluids and placed on a nrb. labs were notable a leukocytosis of 17.4 and arf with cr 2.8 (up from baseline 1.3). ct head and c spine were performed because daughter reported recent fall, and were negative. he received levofloxacin and was admitted to the micu, where he was treated with antibiotics and iv fluids. he was transferred to the floor on . in the days prior to micu transfer on , patient was noted to be increasingly delirious. he was initially treated with haldol, then transitioned to zyprexa. on a post-pyloric dobhoff was placed in hopes that nutrition would improve his overall status. on , patient was more somnolent and hypotensive. early , patient was noted to be difficult to rouse, with worsening hypotension and unattainable temperature. he was transferred back to the icu. upon transfer, dnr/dni status was confirmed. the patient's daughter (hcp) was contact. she relayed that she didn't want anything that would be painful or cause discomfort. no further central venous lines, arterial lines or other invasive procedures were performed. the patient became progressively more hypotensive despite iv fluids and antibiotics, and passed away peacefully on the morning of . medications on admission: glipizide 2.5mg daily omeprazole 20mg daily oxycodone - 10 mg tablet sustained release flomax 0.4mg qhs verapamil - 60mg tylenol 650mg tid aspirin 81mg daily iron 325mg daily multivitamin vancomycin po 500mg q6 discharge medications: expired discharge disposition: expired discharge diagnosis: primary diagnosis: clostridium difficile colitis hypotension secondary to hypovolemia, sepsis of unknown source acute on chronic renal failure secondary diagnoses: discharge condition: patient expired. discharge instructions: patient expired. followup instructions: patient expired. md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation diagnoses: anemia of other chronic disease mitral valve disorders unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia unspecified protein-calorie malnutrition hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) sepsis pulmonary collapse diaphragmatic hernia without mention of obstruction or gangrene other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure pneumonitis due to inhalation of food or vomitus intestinal infection due to clostridium difficile other complications due to other vascular device, implant, and graft rheumatoid arthritis accidents occurring in other specified places hypoxemia hypovolemia cyst of kidney, acquired other venous embolism and thrombosis of inferior vena cava chronic kidney disease, stage ii (mild) 

Answer: The patient is high likely exposed to