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: sulfa (sulfonamide antibiotics) attending: chief complaint: abdominal pain, hypotension, diarrhea, and fever major surgical or invasive procedure: central line history of present illness: 53yo female with a history of asthma presents with abdominal pain, hypotension, and fever. . approximately 2 weeks ago, patient developed dysuria and low abdominal pain. she describes her abdominal pain as being sharp in character, located in the right side of her abdomen, without radiations, and without any clear exacerbators or relievers. this was thought secondary to a urinary tract infection, and she was treated wtih a 10 day course of ciprofloxacin. her dysuria resolved, but her abdominal pain persisted. at the same time, she was diagnosed with bacterial vaginosis for which she was treated with metronidazole. after completing her course of ciprofloxacin, she was subsequently diagnosed with a yeast infection for which she was treated with a topical antifungal medication. then approximately 2 days ago, she developed fevers and chills with a tmax of 102.7 on this day of admission. additional symptoms include right-sided low back pain, nausea, generalized abdominal pain, and watery diarrhea which started on the day of admission. on additional review of systems, she denies recent travel, sick contacts, or dietary changes. she is in a monogamous relationship with her male partner of three years. has a possible history of chlamydia but no other stds that she is aware of. her last menstrual period was in and was previously regular. . she initially presented to hospital where her vital signs were 90/54, hr 109, rr 22, pulse ox 98% ra. she received dilaudid .5mg iv x 1, morphine 4mg iv x 2, phenergan 12.5mg iv x 2, tylenol 650mg po x 1, zofran 4mg iv x 2. she had pelvic us and ct abd/pelvis that demonstrated ovarian cyst. she received zosyn x 1. upon arrival in the ed, temp 99.9, hr 80, bp 78/44, rr 20, and pulse ox 98% on room air. her exam was notable for mild rlq and llq tenderness. labs were notable for a normal wbc at 8.5, hematocrit at 34, contaminated ua with 11-20 epis. she received 2l ns with improvement in her bp from 70s to 80s. she also received metronidazole 500mg iv x 1 and zofran 2mg iv x 2. ob-gyn was consulted, and she was thought to have likely c. diff colitis and recommended treatment for c. diff. her ovarian cysts were thought likely benign. surgery was consulted and recommended broad spectrum coverage with vanc / zosyn / flagyl and consideration of a repeat ct scan with oral and iv contrast. . upon arrival to the , she describes her abdominal pain as in pain, sharp and crampy in character, located in her lower abdomen. her primary complaint is her frequent loose and watery stools. past medical history: 1. asthma 2. s/p choledocalcystectomy 3. s/p endometrial ablation 4. g2p2 s/p svd x 2 with uncomplicated pregnancies and deliveries social history: home: lives in , alone occupation: employed in real estate on etoh: denies drugs: denies tobacco: denies family history: nc physical exam: on admission gen: uncomfortable appearing but no acute distress heent: clear op, mmm neck: supple, no lad, no jvd cv: rr, nl rate. nl s1, s2. no murmurs, rubs or gallops lungs: cta, bs bl, no w/r/c abd: hypoactive bs, soft, tender to deep palpation in suprapubic area, no guarding ext: no edema. 2+ dp pulses bl skin: no lesions neuro: a&ox3. appropriate. cn 2-12 grossly intact. 5/5 strength throughout. normal coordination. gait assessment deferred psych: listens and responds to questions appropriately, pleasant gyn exam: bimanual exam without cervical motion tenderness or adnexal tenderness pertinent results: 07:25pm blood wbc-8.5 rbc-3.62* hgb-11.0* hct-32.0* mcv-88 mch-30.3 mchc-34.3 rdw-13.2 plt ct-141* 07:25pm blood glucose-87 urean-10 creat-0.9 na-138 k-3.6 cl-112* hco3-20* angap-10 04:14am blood albumin-2.5* calcium-6.1* phos-2.1* mg-1.4* iron-5* 07:25pm blood alt-20 ast-24 alkphos-34* totbili-1.2 09:02pm blood lactate-1.9 . clostridium difficile toxin a & b test (final ): clostridium difficile. feces positive for c. difficile toxin by eia. . ct abd/pelvis osh films : impression: 1. no acute pathology to explain patient's symptoms. 2. liver hypodensities, which are too small to characterize and some of which are incompletely evaluated. 3. 3.7 cm right adnexal cystic lesion. pelvic ultrasound in six weeks is recommended to ensure resolution. 4. fibroid uterus. 4. choledochojejunostomy with expected air within the biliary system. . cxr : impression: right ij central line terminating in the mid svc. brief hospital course: 53yo female with a history of asthma and s/p choledocalcystectomy presents with hypotension, abdominal pain, diarrhea, fever. . 1. sepsis/hypotension: the pt's hypotension was likely secondary to sepsis or severe volume depletion from c difficile. of note patient is normally in low 90s systolic. pt's systolics were in the 80s most of her first evening in the with no changes in mental status. she was bolused with lrs. the next morning she dropped her sbp to 66 but was mentating fine and responded to 2l of lr. after aggressive volume resuscitation, her bp have now been stable on the floor. sbp 100s range (i.e. at her baseline), mentating well and feeling well. 2. c diff: likely related to antibiotic use, reports she was given recent antibiotic course x 10 days for uti. pt was febrile in the ed and had symptoms of sepsis and severe volume depletion. her wbc was normal at but elevated at an osh. patient stool came back positive for c. diff x2. she was started on iv flagyl and oral vancomycin. she is doing well on oral regimen with decreased bowel movements to 3-4 per day, taking good po's. she will complete 2 week course po vancomycin. she plans to discuss with her local providers her hx of utis -- she understandably is wary of future antibiotics for utis. i informed her that though i don't have her outpt records, generally uncomplicated bladder infections should be ~3 day course antibiotics, longer if there are symptoms of pyelonephritis. recommmended that urine cultures be checked when she has dysuria in the future to confirm that she actually has an infection. 3. asthma stable and under adequate control. patient was continued on home regimen. . 4. anemia: the etiology of her anemia is unclear in our records but is chronic per pt. her hct has been stable here and she has not required transfusion. she has known iron deficiency and her iron should be restarted after she completes her course of flagyl. . 5. ovarian cyst: pt reports she has known cyst and we recommend f/u with her pcp and gynecologist for this. she was given a copy of her abdominal ct report. . 7. code: full code . 8. comm: ; medications on admission: 1. zolpidem prn 2. singulair 3. combivent 4. s/p cipro x 10 days 5. s/p metronidazole x 4-5 days 6. s/p topical antifungal therapy 7. ? ferrous sulfate discharge medications: 1. vancomycin 125 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 14 days: ok to give in different formulation depending on pharmacy availability (such as liquid). disp:*56 capsule(s)* refills:*0* 2. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 3. combivent 18-103 mcg/actuation aerosol sig: inhalation four times a day. discharge disposition: home discharge diagnosis: sepsis hypotension (resolved) clostridium difficile colitis discharge condition: stable discharge instructions: you had had a severe infection from c. difficile colitis and should continue taking the oral vancomycin for 2 weeks. please seek medical attention if you develop abdominal pain, fevers, worsened diarrhea. followup instructions: follow up with your primary care physician . in the next 1-2 weeks md procedure: venous catheterization, not elsewhere classified diagnoses: asthma, unspecified type, unspecified sepsis hypotension, unspecified intestinal infection due to clostridium difficile iron deficiency anemia, unspecified septicemia due to anaerobes leiomyoma of uterus, unspecified other and unspecified ovarian cyst 

Answer: The patient is high likely exposed to