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. major surgical or invasive procedure: none. history of present illness: mr. is a 50 y.o. man dm and htn with a left foot diabetic ulcer who presented to the ed after being discharged the same day from and developing fevers up to 103 on the way to rehab. his recent history is significant for an admission from to for left foot osteomyelitis for which he was treated with vancomycin and fluconazole. he was re-admitted from to with fevers thought to be due to a picc line infection. his picc was replaced and he was re-started on vancomycin, continued on his fluconazole, and started on a two week course of levofloxacin. on his way to rehab on he developed fevers to 103 and chills and re-presented to the ed. he endorsed fatigue but no other complaints. in the ed he was febrile to 102.8 and started on vanco, levo, and flagyl. overnight, his sbp dropped into the 80s and after receiving 5-6 l ns he was started on peripheral dopamine gtt with response. he was initially admitted to the micu and started on broad spectrum antibiotics (caspofungin for , ceftazidime for h/o pseudomonas infection, vanco for msra). he was also started on flagyl for complaints of increasing diarrhea and leukocytosis (c.diff positive on ). he required pressor support for some time and was also started on hydrocort/fludrocort for a low random cortisol (9.2). past medical history: 1) htn 2) type ii dm 3) gerd 4) diabetic foot ulcer: s/p first mp joint fusion. s/p rotational flap closure 5) lbp 6) hcv 7) h/o etoh abuse 8) s/p splenectomy social history: retired, lives with brother. denies tobacco or other drug use. no current etoh (prior heavy use) family history: non-contributory physical exam: pe temp (rectal 102) p 118 bp 115/69 r 18 o2 99% on ra gen - a+ox3(mildly confused) nad heent - eomi, op clear, non icteric scleara, scab on top of l side of head. no erythema, no drainage cor - rrr no m/r/g lungs - cta b although did not cooperate fully with exam back - no cva tend, no spinal tend ext - no edema, l foot with dorsal loose suture line, c/d/i, plantar puncture wound oozing neuro - cn ii - xii, nl strength/ x 4 ext skin - no rash pertinent results: pertinent labs: wbc trend: 11.1 17.0 28.2 26.8 29.1 34.7 21.5 creatinine: 2.2 initially -> 0.9 for final four days of hospital stay lfts on alt 68 ast 44 ldh 125 alk phos 128 t. bili 0.3 microbiology: , 9/2 blood cultures: pending at discharge. stool culture: feces positive for c. difficile toxin by eia. studies: cxr: the heart, mediastinal, and hilar contours are within normal limits. the lungs are clear. the osseous structures are stable. left foot x-ray: postoperative changes at the first mtp remains similar in appearance since the prior examination, with scattered osseous fragments and soft tissue swelling. no large collection of air is detected within the soft tissues. the defects of the fifth mtp is also unchanged. prominent atherosclerotic calcifications are noted throughout the visualized soft tissues. a large plantar spur is unchanged. no new fracture, dislocation, or bone destruction. brief hospital course: 50 y.o. man with dm, htn, h/o left foot ulcer who presented to the ed with fevers and hypotension. 1. sepsis/id: he was initially admitted to the micu due to hypotension and concern for septic shock. he was initially started on broad spectrum antibiotics (ceftazidime, caspofungin, and vancomycin). a stool sample was positive for c. difficile and he was started on metronidazole as well. his leukocytosis on admission (34.7) also seemed consistent with c. difficile colitis. initially he needed blood pressure support with pressor agents and was started on hydrocortisone/fludrocortisone due to a low random cortisol. after his blood pressure stablized off pressor agents he was transferred to the regular floor on and he remained hemodynamically stable and afebrile until discharge on . he was weaned off both hydrocortisone and fludricortisone and his blood pressure remained stable. he was discharged with instructions and prescriptions to complete a 14 day course of flagyl 500 tid and a 30 day course of fluconazole 400 qd. he has a follow up appointment in the clinic with dr. on . 2. left foot ulcer: podiatry was contact about the management of his foot ulcer and thought there were no acute issues to address during his hospitalization. he had daily dressing changes and did an excellent job of staying off his feet and elevating his foot whenever possible. he was given a prescription to complete a 30 day course of fluconazole 400 qd and has a follow up appointment with his podiatrist, dr. on . 3. diabetes mellitus: this was initially controlled with an insulin drip in the micu. when he was transferred to the floor he was started on his home dose of metformin 500 and was put on a sliding scale. his lisinopril 5 mg qd was also re-started. his blood sugar control was adequate on this regimen and he was encouraged to follow up on this issue with his pcp. 4. acute renal failure: his creatinine was elevated initially in the ed (2.2) but returned to his baseline (0.9) with hydration and this was thought to be due mostly to a pre-renal state. he was encouraged to maintain an adequate po intake. 5. seizures: he had no episodes of seizure activity during this hospital stay. he was maintained on his keppra and encouraged to follow up with neurology at some point in the future. 7. disposition: he was initially planning to go to a rehab facility but felt increasingly stronger throughout his hospital stay and elected to go home to stay with his brother. also was anxious to get home as he was unable to find a bag with multiple personal items that he had with him when he came to the ed. social work was contact about this issue but his bag was not found by the time of discharge. he was given several phone numbers to call to follow up on finding his bag. at the time of discharge, he had follow up appointments arranged with infectious disease, podiatry, and his pcp. discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 4. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). 6. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours) for 11 days. disp:*22 tablet(s)* refills:*0* 7. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. disp:*21 tablet(s)* refills:*0* 8. oxycodone 5 mg tablet sig: 1-2 tablets po every six (6) hours as needed. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1. c. diff colitis. 2. left foot candidal osteomyelitis. secondary diagnosis: 1. diabetes 2. hypertension 3. hepatitis c 4. seizure d/o discharge condition: stable. discharge instructions: 1. please take your medications as prescribed. 2. please come to your followup appointments (see below). 3. please try to stay off your left foot and keep it elevated when you can. 4. if you have any fevers, increased swelling or redness of your left foot, abdominal pain, diarrhea, nausea, vomiting, or other concerning symptoms please seek medical attention followup instructions: 1. please follow-up with your primary care provider, . in weeks. his number is . you have an appointment on friday at 1 pm. feel free to call if you need to reschedule. 2. provider: , md where: lm disease phone: date/time: 10:00 3. provider: ,(a) pain management center where: fd building (/ complex) pain management center phone: date/time: 4:50 provider: , dpm where: ba ( complex) podiatry phone: date/time: 1:30 md procedure: venous catheterization, not elsewhere classified transfusion of packed cells infusion of vasopressor agent diagnoses: esophageal reflux unspecified essential hypertension chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified unspecified septicemia severe sepsis other convulsions diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled septic shock intestinal infection due to clostridium difficile ulcer of heel and midfoot unspecified osteomyelitis, ankle and foot 

Answer: The patient is high likely exposed to