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: fevers, diarrhea major surgical or invasive procedure: none history of present illness: patient is a y/o m with a h/o h/o urosepsis and cdiff colitis who presents from nursing home with fevers, diarrhea, and sweating. patient is non-verbal and has primary progressive aphasia and is not very responsive at basline. per family report, patient had become less responsive to sternal rub and there was concern that patient had infectious etiology to his delirium. patient was reported to have fever to 102 at nursing home today. per patient's daughter (who is a physician) her father was diaphoretic and tachypneic this morning. wife reports 1 wk of explosive diarrhea. patient has multiple abx exposures over the past year and was treated most recently for c diff colitis one month ago with ten day course of po vancomycin. in er, patient was febrile to 101.8. vs hr 110, 112/67, 20, 100% 4lnc. patient also has intermittant myclonic jerks at basline, but has been worse over past several days. patient had a cxr that showed a possible lll infiltrate and a ua that was floridly positive. patient received 2l ns, vancomycin, cefepime, flagyl, and levofloxacin. patient was weaned to 2l nc prior to transfer to . past medical history: - anemia - bph - atrial fibrillation - benign hypertension - history of hemorrhagic prostatitis () - history of stroke with late effects - primary progressive aphasia and dysphagia s/p g tube - glaucoma - history of mrsa bacteremia - history of enterococcal bacteremia - history of fungemia - history of recurrent utis - history of c. diff - history of obturator internis abscess social history: the patient is currently a resident at . he has been hospitalized multiple times over the last few months, is generally described as minimally communicative at baseline. the patient is fully dependent for all adl. tobacco: none etoh: none illicits: none family history: non-contributory physical exam: vs: tm=100.1, tc=99.9, bp=92-142/53-80, bpc=98/50, rr=28, o2 sat = 99% on 2l general: contracted in nad : normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/. mmm. op clear. neck supple. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or gallops. lungs: ctab, good air movement biaterally but poor inspiratory effort. abdomen: nabs. soft, nt, nd. no hsm peg site c/d/i. extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neuro: unable to assess orientation but responds to verbal stimuli. appropriate. no facial asymmetry. contracted upper and lower extremities. psych: could not be assessed minimally interactive state. pertinent results: 03:00pm glucose-114* urea n-66* creat-1.5* sodium-146* potassium-3.7 chloride-107 total co2-28 anion gap-15 03:00pm alt(sgpt)-18 ast(sgot)-33 ck(cpk)-325* alk phos-105 tot bili-0.5 03:00pm lipase-34 03:00pm ck-mb-3 ctropnt-0.07* 03:00pm wbc-12.9* rbc-3.74*# hgb-11.5*# hct-32.9*# mcv-88 mch-30.7 mchc-34.9 rdw-15.1 03:00pm neuts-57.9 lymphs-34.1 monos-6.5 eos-1.1 basos-0.4 03:00pm plt count-295 03:00pm pt-13.0 ptt-22.0 inr(pt)-1.1 04:12pm urine rbc-* wbc->50 bacteria-many yeast-none epi-0-2 04:12pm urine -sm nitrite-pos protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-mod 04:12pm urine color-yellow appear-cloudy sp -1.018 brief hospital course: year old male with multiple medical issues including progressive aphasia, minimally interactive at baseline, h/o cdiff in and , mrsa parotiditis, who presents with increasing lethargy, fevers, diarrhea. #. sepsis: patient febrile and tachycardic on admission with afib with rvr. very dehydrated on admission to the icu requring 3l of ivf to improve urine o/p. also with h/o cdiff in treated for 10 days po vanc with new onset of diarrhea for the past 3/4 days. given prior klebsiella uti in that was sensitive to cefepime and meropenem and h/o pseudomonas uti in that had moderate sensitivities to cefepime but strong for meropenem, started on vancomycin and cefepime for empiric uti treatment. he has a chronic foley due to severe bph- last changed . now w/ + c. diff (?incompletely treated from ). initial ua was contaminated with skin flora, and repeat u/a was negative but he had been on broad spectrum antibiotics for 2 days. given that ua on admission showed fairly significant pyuria, he will complete a 7-day course of cefepime. he will continue po vanc for c. diff for 2 weeks after the completion of cefepime. # atrial fibrillation with rapid ventricular response: patient presented with rates in 110s-150s. pt is rate controlled as outpatient on diltiazem 90mg qid, and metoprolol 100mg tid. home medications resumed with good control of his heart rate. # acute on chronic renal insufficiency: cr b/l is 1.0 to 1.1. patient's cr was 1.5 on presentation, improved to baseline with ivf. # hypernatremia: free water deficit on admission was 1.7l. got free water flushes 250 cc q 4 hours and hyponatremia resolved. # acute delirium: patient has a history of primary progressive aphasia and has significantly deteriorated over past one year. patient is mostly non-verbal and only minimally responsive at baseline. per family, patient has not been very responsive to stimuli over the past several days and has been off his baseline. this is likely secondary to patient's infectious process and improved with treatment of his uti. # glaucoma: continued brimonidine, dorzolamide, latanoprost # anemia: recent labs c/w acd # bph: chronic foley catheter in place # hypertension: continued lopressor and diltiazem medications on admission: heparin sc 5000 units tid diltiazem 90mg qid metoprolol 100mg tid senna 8.6mg tylenol 325-650mg q4-6h prn bisacodyl 10mg qhs prn maalox 150-30ml po qid prn latanoprost 0.005% drops qhs dorzolamide-timolol 2-0.5% donepezil 5mg qhs ferrous sulfate 400mg (60mg irn)/5 ml liquid po qd polyethylene glycol 100% powder qd prn brimonidine 0.15% q8h discharge medications: 1. pneumoboots 2. diltiazem hcl 90 mg tablet sig: one (1) tablet po qid (4 times a day). 3. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 4. senna 8.6 mg capsule sig: one (1) capsule po twice a day. 5. acetaminophen 160 mg/5 ml solution sig: ml po q6h (every 6 hours) as needed. 6. bisacodyl 5 mg tablet sig: one (1) tablet po at bedtime as needed for constipation. 7. maalox 200-200-20 mg/5 ml suspension sig: 15-30 ml po four times a day as needed. 8. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 9. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 10. donepezil 5 mg tablet sig: one (1) tablet po at bedtime. 11. ferrous sulfate 300 mg (60 mg iron)/5 ml liquid sig: five (5) ml po once a day. 12. polyethylene glycol 3350 100 % powder sig: one (1) packet po once a day. 13. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours). 14. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. 15. cefepime 1 gram recon soln sig: one (1) recon soln injection q24h (every 24 hours) for 4 days. 16. vancomycin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 18 days. discharge disposition: extended care facility: & retirement home - discharge diagnosis: primary: urinary tract infection, c. diff secondary: bph, afib, hypertension, h/o hemorrhagic prostatitis, h/o cva, primary progressive aphasia and dysphagia s/p g-tube discharge condition: good, stable, improved mental status, afebrile discharge instructions: you were evaluated for fevers and diarrhea and were found to have a c. diff infection as well as a urinary tract infection. you will complete a seven-day course of iv antibiotics (cefepime) and continue oral vancomycin for 2 weeks after the cefipime is stopped. if you have fevers, chills, worsening diarrhea, mental status changes, shortness of breath, or any other concerning symptoms, notify your doctor. followup instructions: you will be followed by the doctors at your nursing home. procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified urinary tract infection, site not specified acute kidney failure, unspecified atrial fibrillation unspecified glaucoma chronic kidney disease, unspecified hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) intestinal infection due to clostridium difficile hyperosmolality and/or hypernatremia delirium due to conditions classified elsewhere late effects of cerebrovascular disease, aphasia gastrostomy status hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified other late effects of cerebrovascular disease, dysphagia dysphagia, unspecified 

Answer: The patient is high likely exposed to