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: brbpr major surgical or invasive procedure: n/a history of present illness: 81 year-old female with history of mds, gi bleeding, thrombocytopenia, and anemia presents with brbpr. pt. was discharged from one week ago for bleeding that wsa managed with embolization of the gastroduodenal artery (bled from hemorrhoids, avms, tics and ulcers!). for the past week, the patient has been at rehab and was doing relatively well until this am when, after having a bowel movement, passed approximately 200 cc of bright red blood. was found to be in arf (cr 5; bicarb 8); s/p mi (ck flat, tr 7; inf twi); plts in 20's on admission. was initially transferred to micu; managed supportively; now called out. past medical history: 1) cad s/p 3 vessel cabg 2) chf 3) osteoarthritis 4) high cholesterol 5) hypothyroidism 6) htn 7) heart murmurs since age 10, when she was diagnosed with scarlet fever and diptheria. she reports some neck surgery around the time of this diagnosis. 8) mds, diagnosed in . bone marrow biopsy was consistent with mds and refractory anemia with excess blasts. the bone marrow showed 11% blasts. 9) hemorrhoidal and diverticular bleeding, diagnosed when the patient was admitted to a hospital in in . social history: the patient has an 80-pack year smoking history. she quit in . she currently does not drink alcohol, but she was a social drinker in the past. her husband died of disease. she is a retired social worker. she recently moved from to so that she may be with her family. family history: no family history of cancer. her mother died at age of a mi. physical exam: 98 112/20 45 20 97%ra pleasant f in nad perrla; unecteric; mmm; no mucosal bleeding cta b rrr; s1/s2; 2/6 sem radiating to carotids abd: soft; nt/nd; positive bs ext: 2+ edema pertinent results: 09:35am pt-13.4 ptt-22.2 inr(pt)-1.1 09:35am plt smr-very low plt count-24* lplt-3+ 09:35am hypochrom-normal anisocyt-3+ poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal teardrop-1+ elliptocy-1+ 09:35am neuts-54 bands-12* lymphs-18 monos-5 eos-0 basos-0 atyps-0 metas-4* myelos-7* nuc rbcs-2* 09:35am wbc-11.6*# rbc-3.33* hgb-10.0* hct-29.8* mcv-90 mch-29.9 mchc-33.5 rdw-19.0* 09:35am calcium-7.6* phosphate-6.7*# magnesium-2.3 09:35am glucose-97 urea n-92* creat-5.0*# sodium-130* potassium-5.4* chloride-103 total co2-9* anion gap-23* 11:30am c3-63* c4-36 11:30am albumin-2.7* calcium-7.7* phosphate-6.2* magnesium-2.3 11:30am ck-mb-8 ctropnt-7.24* 11:30am ck(cpk)-278* 11:30am glucose-93 urea n-95* creat-5.0* sodium-132* potassium-4.1 chloride-103 total co2-9* anion gap-24* brief hospital course: 1. gib: resolved with supportive measures. likley hemorrhoidal bleed as opposed to upper gi source. required several units of packed red cells. no recurrent bleeding. can only get hla matched platelets! tolerating regualr diet 2. mds: refractory thrombocytopenia. has requited hla matched plts in combo with ivig on past admission. here responded to hla matched plt transfusion. hct stable (was transfused). amicar was initially held due to renal failure; restarted at low dose. dose needs to be slowly increased back to outpatient dose ogf 4 mg po q6h as cr improves (may increase to 2 g po q6h if cr<2 tomorrow). danazol restrted today. we are tapering prednisone (has been on it for 2 weeks in hope to "stabilize" thrombocytopenia, but did not help. needs to continue prednisone taper 3. s/p mi: tr 7 on admission in association with inferior t wave inversions and new inf apical wall hk on echo (preserved ef). could not get asa or heparin due to severe thrombocytopenia. tr trending down. no sxs of ischemia/ht dz. started low dose b-bl. pt ok. 4. arf: non-oliguric. likely combo or prerenal--> atn and atheroembolic dz (c3 low; has eosinophils in urine). has been getting iv bicarb since bicarb of 9 on admission; started on bicitra; bicarb improving; cr improving (2.1 today) 5. id: had unexplained bandemia. was empirically on ceftriaxone. then developed leukocytosis, diarhea and spiked to 101; started on iv flagyl for c. diff (c. diff toxin p). iv rather than po since not sure how much absorbing po 6. fen: cardiac diet; protonix; pneumoboots 7. full code: agrees to be intubated for 2 days if needed8. h/o h. pylori; pt was treated with h. pylori with ppi; clarithromycin and amox. abxs were stopped when pt developed diarrhea. she completeled close to 10 days of h/pylori therepy and we thought that risks of continuing abxs in light of c. diff outweighed the benefits medications on admission: levoxyl norvasc 10 mg q am; 5 mg q pm losartan 100 mg po qd terazosin 2 mg qhs zocor 40 mg po qd clonidine 0.1 amicar 4 mg po q6h protonix lopressor 50 mg po bid caltrate 600 mg po qd prednisone 80 mg po qd danazol 400 mg po bid clarithromycin amoxicilline discharge medications: 1. levothyroxine sodium 25 mcg tablet sig: one (1) tablet po qd (once a day). 2. simvastatin 40 mg tablet sig: two (2) tablet po qd (once a day). 3. clonidine hcl 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 5. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed. 6. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 7. aluminum hydroxide gel 600 mg/5 ml suspension sig: thirty (30) ml po tid (3 times a day). 8. aminocaproic acid 500 mg tablet sig: two (2) tablet po q 6h (). 9. sodium citrate-citric acid 500-334 mg/5 ml solution sig: fifteen (15) ml po bid (2 times a day). 10. danazol 200 mg capsule sig: two (2) capsule po bid (2 times a day). 11. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 13. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: one (1) intravenous q8h (every 8 hours) for 14 days. 14. cholestyramine 4 g packet sig: one (1) po bid (2 times a day). 15. prednisone 10 mg dispense #28 taper: 40 mg po qd x 2 days 30 mg po qd x 3 days 20 mg po qd x 3 days 10 mg po qd x 3 days 5 mg po qd x 3 days and stop discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. gib 2. mi 3. a/crf 4. mds with refractory thrombocytopenia discharge condition: stable discharge instructions: 1. please take all you medications as directed 2. if develop bleeding, please call your hematologist and your pcp and be evaluated in emergency room followup instructions: provider: , hematology/oncology-cc9 where: hematology/oncology phone: date/time: 9:00 provider: , md where: hematology/oncology phone: date/time: 9:00 provider: , .d. where: medical specialties phone: date/time: 8:20 please see your pcp within next 2 weeks md procedure: transfusion of packed cells diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease intestinal infection due to clostridium difficile hemorrhage of gastrointestinal tract, unspecified acute myocardial infarction of unspecified site, initial episode of care 

Answer: The patient is high likely exposed to