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: lactose intolerance attending: chief complaint: gastrointestinal bleeding major surgical or invasive procedure: none. blood transfusion; 1 unit prbc history of present illness: this is a 83 year-old female with iddm, dementia, diverticulosis, who presents with hematochezia at her nursing home. sent initially to gen, where ct abd showed thickening in the rectum, and she was transferred to ed. on arrival in the ed here, vs 97.9 110 112/66 18 96% 2l. copious maroon stools. very labile bp--sbp 90s on arrival at osh and received only ivf. here up to sbps 130s, then briefly down to 80s. placed fem line, but did not need pressors. initial hct 41, down to 31 after maroon stools and ivf. also received insulin 10 units sq for elevated blood sugar, and started vanc/cipro for uti. at the time of transfer, afebrile, hr 94, bp 164/54, rr 14, 98%ra. ros: nursing home records note that blood sugar has been high and that pt did not eat last night nausea; pt is unable to provide further review of systems. past medical history: alzheimers diverticulosis iddm, c/b diabetic nephropathy and neuropathy w/ some balance problems htn s/p tah/bso s/p cholecystectomy lt humerus fx shoulder tendonitis s/p breast cyst surgery osteoarthritis of knees l eye cataract repair social history: she lives at rehab currently. per her son's report, she doesn't need any inpatient rehab from the nursing home. she walks on a walker. she denied any history of smoking, alcohol use, and illegal drug use. family history: signficant for alzheimer dementia : her father, sister. mother died of bone cancer. physical exam: on presentation: vitals: t:98.3 bp:97/58 hr:96 rr:18 o2sat:99% 2l gen: elderly female, mumbling heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm, op clear neck: no jvd, carotid pulses brisk, no bruits, no cervical lymphadenopathy, trachea midline cor: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: lungs ctab, no w/r/r abd: soft, mild ttp rlq, nd, +bs, no hsm, no masses ext: no c/c/e, no palpable cords neuro: oriented to person only, mumbling, moaning at times. not ambulatory at baseline skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses. pertinent results: imaging: cxr: findings: as compared to the previous examination, there is a moderate elevation of the hemidiaphragms, presumably caused by poor inspiration. as a consequence, there is a decrease in transparency over the left lung bases. a pre-existing small lucency projecting over the left costophrenic sinus that was documented to correspond to a small conglomerate of cysts on the ct examination of , is unchanged. to confirm that the changes at the left lung base are caused by hypoventilation and to exclude pneumonia, a repeat radiograph, is possible in standing position, should be performed within the next 12 hours. otherwise, the findings are unchanged. the size of the cardiac silhouette, known hiatal hernia. no evidence of pleural effusions. moderate aortic tortuosity. . ekg: sinus rhythm and low amplitude p waves. tracing is marred by baseline artifact. compared to the previous tracing of the rate has increased. there is diffuse low voltage. clinical correlation is suggested. . labs: 01:50am blood wbc-10.1# rbc-4.64# hgb-14.0# hct-41.7# mcv-90 mch-30.2 mchc-33.6 rdw-13.8 plt ct-200 08:32am blood wbc-5.9 rbc-3.23* hgb-9.7* hct-28.9* mcv-90 mch-30.2 mchc-33.7 rdw-14.4 plt ct-109* 04:01am blood pt-13.2 ptt-31.4 inr(pt)-1.1 01:50am blood glucose-400* urean-44* creat-2.3*# na-133 k-9.2* cl-101 hco3-21* angap-20 08:32am blood glucose-157* urean-19 creat-0.9 na-147* k-3.6 cl-117* hco3-22 angap-12 08:32am blood calcium-7.8* phos-2.4* mg-2.0 <br> : study: bilateral lower extremity veins ultrasound. indication: significant baseline dementia with new bilateral lower extremity edema. comparisons: none available. findings: -scale, color and pulse doppler son was performed on bilateral common femoral, superficial femoral, and popliteal veins. complete occlusive echogenic thrombus is present within bilateral superficial femoral veins. minimal flow is demonstrated within bilateral popliteal veins, which also demonstrate considerable non-compressible echogenic thrombus within. minimal compression is demonstrated within the common femoral veins which contain a substantial amount of echogenic clot as well. impression: extensive bilateral lower extremity dvts. findings relayed by dr. to immediately after the study was performed. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 4:51 pm brief hospital course: 83f with iddm, who presents with hematochezia, dehydration, also uti, leukocytosis with bandemia, and hyperglycemia. pt with hospitalization as below per problems. <br> # dvt - extensive in le - here with gi bleed - though stable now - anti-coagulation will be contraindicated has high risk for bleed which pt would likely have rapid decompensation. -ivc filter placement by ir done (late afternoon) - d/w hcp- prior and agreed with plan. <br> # mild mental status aleration - overall at baseline now, resolved overall. note had trigger 3 nights prior (just mild tachycardia) - vanc/zosyn given by night coverage - pt with noted leukocytosis prior - then loose stools -given flagyl - but then c. diff noted negative . d/c flagyl -overall resolved at baseline now - no infection - noted dvt as above <br> # fever/leukocytosis - resolved now. unclear etiology prior. pt initially tx on night with vanc/zosyn - though noted pt doing well in am. as above -off abx -f/u cultures have been negative to date including c. diff -d/c picc today prior to transfer to house <br> # gi bleeding/anemia, acute blood loss: given age, dm, tenderness on exam, and rectal inflammation on osh ct scan, was likely ischemic colitis, though differential also included diverticular bleeding, avm. serial hcts were done and patient was transfused 1 unit for an hct drop 30 to 26 early . she was treated with flagyl due to concern for ischemic colitis allowing transolcation of bacteria. hct were other wise stable though patient continued to have pink/red stool. gi consult recommended colonscopy though patient not likely to comply. flex sig was considered, but deferred given stabilization of hct. patient's hct remained stable, and did not have recurrance of florid hematochezia, although did have isolated episodes of red mucus-like stools. patient received a total of 4+ days of flagyl, and 5 days of cipro. - flagyl d/c'd - do not anticipate further transfusion needs - h/h now established as stable, no further monitoring required - just for facility to observe stools for frank blood or melena - otherwise no interventions planned at this time <br> # acute renal failure: cr 2.3 on admission. baseline 0.7-0.8 at her last admission here in . returned to baseline with fluids. stable - avoid nephrotoxins - encourage po hydration <br> # hypernatremia pt had developed hypernatremia on likely d/t poor free water intake. resolved now. <br> # urinary tract infection: + ua. treated initially with empiric cipro/vanc initially which was narrowed to cipro after premliminary cultures showed gnr. cultures later revealed pan-sensitive klebsiella. - completed 6 days of iv cipro; d/c today (received 3 days treatment after foley removal) - foley d/c'd - recent ua noted, ucx neg. <br> # dm ii, controlled, without complications: treated with home nph 28units qam and sliding scale (half doses while npo). bs mildly elevated prior - increased nph to 30units pm - cont to follow. (1/2 dose given day of ivc filter placement). bs tend to fluctuate. -facility to cont qac,qhs bs checks - titrate nph as indicated <br> # dementia, alzheimer's: severe. - continue donepezil, risperdal, depakote. - treated with prn olanzipine for procedures with good effect. <br> # code: dnr/dni per conversation with hcp - her son. does not desire escalation of care. blood transfusions ok. ivc filter placement discussed with son. <br> contact: access: picc dispo: now off abx - ivc filter just placed - transfer to today. will have f/u with gi on . medications on admission: multivitamin donepezil 10mg daily prilosec 20mg daily vitamin d 800 units po daily calcium 500mg daily colace, dulcolax risperdal 0.25mg depakote sprinkles 250mg qam and 500mg qpm simvastatin 20mg daily lisinopril 5mg daily lasix 20mg daily riss, nph 28units qam discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 2. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 3. calcium carbonate 500 mg (1,250 mg) tablet sig: one (1) tablet po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 5. colace 100 mg capsule sig: one (1) capsule po twice a day. 6. dulcolax 5 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day as needed for constipation. 7. risperidone 0.25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. divalproex 125 mg capsule, sprinkle sig: two (2) capsule, sprinkle po qam (once a day (in the morning)). 9. divalproex 125 mg capsule, sprinkle sig: four (4) capsule, sprinkle po qpm (once a day (in the evening)). 10. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 11. insulin nph human recomb 100 unit/ml cartridge sig: twenty eight (28) units subcutaneous q am. discharge disposition: extended care facility: nursing facility - discharge diagnosis: # hematochezia; likely ischemic colitis # severe dementia # acute renal failure # urinary tract infection # anemia due to acute blood loss # diabetes, type 2 controlled without complications # hypertension, benign discharge condition: stable discharge instructions: please seek medical attention if patient develops repeat gastrointestinal bleeding, fevers, chills, or any other concerns. followup instructions: please follow patient's blood pressure. patient was previously taking lisinopril and lasix, however these medications were held on discharge due to well controlled blood pressures off of these medications. please reevaluate blood pressure, and resume medications if medically indicated. . provider: , md phone: date/time: 2:00 md procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere pure hypercholesterolemia urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute posthemorrhagic anemia acute kidney failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes hypotension, unspecified long-term (current) use of insulin alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance hyperosmolality and/or hypernatremia acute vascular insufficiency of intestine diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diverticulosis of colon (without mention of hemorrhage) osteoarthrosis, unspecified whether generalized or localized, lower leg acute venous embolism and thrombosis of deep vessels of distal lower extremity benign essential hypertension 

Answer: The patient is high likely exposed to