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: vomiting/diarrhea major surgical or invasive procedure: central venous catheter placement. history of present illness: ms. is a 77 yo nun with h/o chf and dm who presents with fevers, nausea, vomiting and diarrhea x 1 day. pt states she was able to eat breakfast this afternoon but throughout the day she developed severe diarrhea and episodes of emesis. she thinks she vomited 5-6 times and had multiple episodes of watery diarrhea. she did not note blood in her emesis or stools. she did have chills but no fevers prior to presentation. she was unable to keep any food down during the day. she does note another sister had diarrhea and vomiting recently for 2-3 days that resolved on its own. she believes their symptoms were d/t food poisoning but does not recall eating any "funny" foods. she denies fevers, abdominal pain, cp, sob, recent travel or abx. ems was called and found her in a pool of diarrhea. she was then brought to . in the er she was initially afebrile with hr 107 and bp 84/60. rectal temp was then noted to be 103.2 and istat lactate 6.5. pt was given 2 l of ivfs and sbps trended was in the 80s. she had a subclavian line placed and was treated with levaquin and flagyl. she was given a dose of toradol for chronic backpain and tylenol for fever. her cvp was noted to be 2 so she was given an additional liter of ivfs and levophed gtt was started. repeat lactate was 3.4. past medical history: chf (ef unknown) arthritis chronic back pain, has djd bilateral knee replacements peripheral neruopathy dm type ii glaucoma s/p appy/hysterectomy social history: has been a nun x 60 years, denies etoh, tobacco, drugs. family history: noncontributory physical exam: vs: temp 99.7 bp 96/48 hr 97 rr 18 o2 sat 97% gen: pale,tired appearing female in nad heent: dry mm, anicteric sclera neck: supple, pt unable to lie flat on back d/t backpain, so jvp not assessed cardio: rrr, nl s1 s2, no m/r/g pulm: cta b/l abd: soft, nd, + epigastric tenderness, hypoactive bs, no rebound or guarding ext: trace peripheral edema, 1+ dp pulses b/l neuro: a&o x3, cn 2-12 intact moves all extremities well pertinent results: admission labs: 133 94 41 -----------<297 5.7 21 1.7 comments: hemolysis falsely increases this result estgfr: 29/35 (click for details) ca: 9.6 mg: 2.3 p: 3.0 alt: 23 ap: 69 tbili: 0.6 alb: ast: 42 ldh: dbili: tprot: : 78 lip: 30 lactate:5.9 . 136 104 40 213 agap=17 4.5 20 1.3 ca: 7.7 mg: 1.9 p: 2.5 dig: 1.2 . 11.7 8.2>--<206 33.0 n:74 band:17 l:4 m:5 e:0 bas:0 pt: 13.2 ptt: 29.7 inr: 1.2 k:4.0 lactate:2.8 lactate:3.4 hgb:12.9 calchct:39 o2sat: 81 cortsol: 30.1 crp: 47.9 normal diurnal pattern: 7-10am 6.2-19.4 / 4-8pm 2.3-11.9 new reference ranges as of ;low risk <1.0, average risk 1.0-3.0, high risk >3.0 (but <10.0) . 12.7 9.5>--<210 36.8 n:73 band:18 l:3 m:6 e:0 bas:0 pt: 12.8 ptt: 27.4 inr: 1.1 . ecg : sinus tachycardia with rate 107; intervals nl, left axis (-45), flattened tw in avl(old), pr depressions in v2-v3 . ecg : left axis (-31) otherwise unchanged intervals, st-t changes. . cxr : right subclavian central venous catheter with tip in the right atrium. 2. mild pulmonary edema. . cxr : worsening pulmonary edema and new small pleural effusions. brief hospital course: 77 yo female with h/o chf, dm with acute gastroenteritis and sepsis (hypotension requiring pressors, elevated lactate). 1. sepsis: patient admitted with fevers, hypotension, tachycardia and elevated lactate, likely to underlying gastrointestinal infection. no evidence of pulmonary, urinary, or blood infection. stool studies negative, ? viral gastroenteritis vs. transient bacteremia. hemodynamically stable, off antibiotics, tolerating po by time of discharge. 2. diarrhea and vomiting: symptoms of diarrhea, fevers and vomiting seem consistent with an acute viral or bacterial gastroenteritis. this in conjunction with a recent ill contact and bandemia makes an infectious etiology most likely. stool studies negative suggesting viral gastroenteritis, possibly leading to transient bacteremia from gi source. diarrhea and emesis have stopped soon after admission, tolerating po. dig toxicity considered but level 1.2. lfts, amylase/lipase nl. 3. chf: ef and etiology not known. volume overload on exam after aggressive resuscitation in the icu for sepsis, diuresed with 40mg iv lasix x2 prior to discharge. tolerating digoxin, started on metoprolol and captopril , bp tolerating these (of note pt. states stopped taking bb few years ago out of concern for it causing cancer so this was stopped prior to discharge and she was transitioned back to home lisinopril-2.5mg po qd). she was discharged to resume home lasix, oxygenation stable on room air. 4. arf: presenting cr was 1.7 with bun of 41, likely secondary to dehydration/sepsis with end-organ damage. improved to 0.6-0.7 with ivf (baseline 0.8 in ). 5. dm: continue home medication of glucophage 500mg po tid and glyburide. given her history of chf, her primary care physician may consider transitioning her off glucophage. 6. glaucoma: cont timolol eye gtt. 7. weight loss: ill-defined, associated with decreased appetite, recent colonoscopy per her that was negative. recommend outpatient follow-up and age-appropriate cancer screening (mammogram). 8. anemia: decreased hct in the setting of aggressive ivf resuscitation, stable since, normocytic, no baseline for comparison, iron studies c/w anemia of chronic disease, vitamin b12 low and folate wnl, retic mod. low. started on vitamin b12 supplement, will need to have that monitored as outpatient. 9) code status: dnr/dni medications on admission: lasix 40 mg qd digoxin 0.25mg po qd lisinopril 2.5mg po qd glucophage 500mg po tid timolol eye drops, one gtt ou qd or ? potassium 10 meq qd afrin prn percocet/darvocet prn aspirin prn ambien 10mg po qhs prn vitamin b1 100mg po qd micronase (glyburide) 5mg po tid benadryl 25mg po bid discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 2. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 3. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 4. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po every twelve (12) hours as needed for allergies. 5. aspirin, buffered 325 mg tablet sig: one (1) tablet po once a day. 6. lasix 40 mg tablet sig: one (1) tablet po once a day. 7. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day. 8. micronase 5 mg tablet sig: one (1) tablet po three times a day. 9. glucophage 500 mg tablet sig: one (1) tablet po three times a day. 10. vitamin b-1 100 mg tablet sig: one (1) tablet po once a day. 11. vitamin b-12 1,000 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 12. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary: gastroenteritis, ssepsis, congestive heart failure, vitamin b12 defiency. . secondary: diabetes melitus, glaucoma, osteoarthritis, chronic pack pain, peripheral neuropathy. discharge condition: stable. discharge instructions: please take all medications as prescribed. please keep all follow-up appointments. please return to the emergency department or call your primary care phsycian, dr. at ( if you experience fevers, chills, sweats, light headedness, nausea, vomitting, diarrhea, abdominal pain, blood in your stools or any symptoms that concern you. followup instructions: please follow-up with your primary care doctor, dr. , on , at 11:00am. please call ( with questions. at that visit you should discuss your vitamin b12 level as it was low, and we are recommending oral supplements. md procedure: venous catheterization, not elsewhere classified diagnoses: congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia severe sepsis other b-complex deficiencies dehydration intestinal infection due to other organism, not elsewhere classified 

Answer: The patient is high likely exposed to