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: morphine attending: chief complaint: fevers, left lower quadrant pain major surgical or invasive procedure: none history of present illness: 57 year-old lady with history of acute aortic occlusion in , now s/p emergent axillary -femoral bypass complicated by acute mesenteric ischemia requiring ex lap and l hemicolectomy & transverse colostomy presents with llq pain and fevers to 103. the patient started developing slight llq pain 3 weeks ago. she was seen by dr. in clinic when she was having the pain. during this appt, her ostomy and g tube were functioning well. she didn't have any fevers at that time. over the past two weeks she has had decreased appetite, but she states she has been tolerating her tube feeds without any problem and her ostomy has been functioning normally. she saw dr. in clinic today for evaluation of her fasciotomy wounds that were created during her operation in . her wounds were found to be very clean and healing well. they did not at all appear infected. she was sent back to rehab after her clinic visit this afternoon, and she developed a temp to 103 and severe abdominal pain in her llq. the rehab sent her to the ed here at . at the present time, her temp is 102.2. she is mentating normally and reports abdominal pain, most severe on the left side and more severe than it has been in the past few weeks. she has nausea but no vomiting. she is emptying her ostomy 3-4 times per day. she denies any burning upon urination. patient received a dose of levaquin and flagyl and 4 l of crystalloid in the ed. of note, she reports a history of c diff at that was treated by abx. past medical history: depression s/p intentional ambien overdose and subsequent hospitalization at , no previous known psych history. hypertension hypercholesterolemia cad - s/p aicd placement renal insufficiency - s/p renal artery stents chronic low back pain past surgical history: renal artery stents, aicd, right axillary-bifemoral bypass w/8mm ptfe; bilateral eia thrombectomies, right femoral-popliteal thrombectomy, bilateral 4-compartment lower extremity fasciotomies (), flexible-sigmoidoscopy (, ), exploratory laporatomy, left colectomy, transverse colostomy (), placement left internal jugular hemodialysis catheter () social history: lives in with her husband, various jobs in past, but not currently employed, one son who lives in the area. she smoked 1 ppd x 40 years. she denies any illicit or iv drug use. family history: father with diabetes mellitus and cad physical exam: vs: 98.5, 83, 105/73, 20, 94%ra gen: nad, a&o x 3 lungs: clear b/l cv: sinus tach, nl s1 and s2 abd: soft, minimal tenderness, nondistended, +bowel sounds wound: wound vac right leg intact ext: 1+ lower extremity edema pertinent results: admission labs 07:25pm blood wbc-23.9*# rbc-2.57* hgb-7.4* hct-23.0* mcv-89 mch-28.7 mchc-32.2 rdw-16.6* plt ct-854* 02:34am blood wbc-23.8* rbc-2.55* hgb-7.6* hct-23.0* mcv-90 mch-29.8 mchc-33.0 rdw-15.4 plt ct-712* 07:25pm blood neuts-90.8* lymphs-4.3* monos-4.0 eos-0.6 baso-0.2 02:34am blood neuts-93.1* lymphs-3.4* monos-2.9 eos-0.5 baso-0.1 07:25pm blood glucose-112* urean-16 creat-0.9# na-135 k-4.1 cl-98 hco3-30 angap-11 02:34am blood glucose-103 urean-11 creat-0.7 na-137 k-3.6 cl-108 hco3-21* angap-12 07:25pm blood alt-11 ast-10 alkphos-78 totbili-0.2 02:34am blood ck(cpk)-61 02:34am blood ck-mb-notdone ctropnt-0.22* 10:39am blood ck-mb-notdone ctropnt-0.29* 04:41pm blood ctropnt-0.24* 09:07pm blood ck-mb-notdone ctropnt-0.23* 04:15am blood ck-mb-notdone ctropnt-0.21* 07:25pm blood albumin-2.4* phos-4.1 mg-1.6 02:34am blood calcium-6.9* phos-4.1 mg-1.4* 04:41pm blood caltibc-108* ferritn-408* trf-83* 04:41pm blood triglyc-103 07:32pm blood lactate-1.2 11:46pm blood lactate-1.0 02:58am blood lactate-0.8 discharge labs 04:56am blood wbc-14.9* rbc-3.41* hgb-9.8* hct-30.8* mcv-91 mch-28.9 mchc-31.9 rdw-15.9* plt ct-702* 06:20am blood wbc-14.7* rbc-3.15* hgb-9.4* hct-28.7* mcv-91 mch-29.8 mchc-32.8 rdw-16.1* plt ct-648* 06:20am blood glucose-106* urean-27* creat-0.9 na-142 k-4.3 cl-109* hco3-25 angap-12 06:20am blood calcium-8.7 phos-4.7* mg-2.0 brief hospital course: 57f presented on from with a fever of 103, left lower quadrant abdominal pain, hr110s and sbp low 80s. she was fluid resuscitated and bp increased. iv levofloxacin and flagyl were also given. blood, urine cultures were sent and ct of abdomen and pelvis were ordered, which showed colitis. patient was started on po flagyl and vancomycin, levofloxacin was continued. patient was admitted to the surgical icu for cardiac monitoring. cardiology was consulted to help manage hr and blood pressures. cardiology determined the patient had demand related ischemia with troponins peaked at 0.3. records from recent cardiac cath from outside hospital were reviewed. cardiology recommended resolving infection first and continue beta-blocker, aspirin. vascular surgery was also consulted given her history of aortic occlusion and axillary bifemoral bypass surgery. vac dressing was placed on right leg fasciotomy site and changed every three days. echo of the heart showed no changes since last echo in . tpn was started wound care was consulted to manage sacral decubitus ulcers. levofloxacin was discontinued. iv vancomycin was started for bx with coagulase negative staphlococcus. chronic pain service was consulted to manage pain. patient's vitals, diarrhea, pain improved and patient was transferred to floor. diet was advanced. regular diet was started, tpn was decreased to bag then discontinued after bag was infused. physical therapy worked with patient on a daily basis. foley catheter was removed. iv vanco discontinued only blood cultures positive. foley catheter was reinserted for bladder scan with 450cc. patient was discharged in stable condition, afebrile, tolerating diet, pain well controlled. patient sent to to complete 4 more days of total 14 day course of po vancomycin and flagyl medications on admission: albuterol 90 mcg - 4 puffs q4hr prn atorvastatin 10 mg qd beclomethasone dipropionate 80 mcg 1 puff calcium acetate 2 caps tid citalopram 20 mg qd fentanyl 50 mcg/hour patch q72 hrs fluticasone 50 mcg inh advair 250-50 inh gabapentin 100 mg tid heparin 5000units tid ativan 1 mg qhs prn metoprolol 12.5 mg nyastatin s&s percocet prn pantoprazole 40 qd vit c 500 qd acetaminophen q6hrs prn asa 81 qd miconazole nitrate 2% cream qid mvi qd senna 1 tab zinc 220 mg qd discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 3. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 8. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 9. vancomycin 125 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 4 days: day . capsule(s) 10. oxycodone 5 mg tablet sig: four (4) tablet po q2h (every 2 hours) as needed. 11. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 12. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours). 13. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 4 days: day . 14. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 15. collagenase 250 unit/g ointment sig: one (1) appl topical daily (daily). 16. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). 17. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 18. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 19. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). discharge disposition: extended care facility: health care center discharge diagnosis: primary diagnosis: bacteremia, c. difficile enterocolitis, hypotension, demand cardiac ischemia h/o depression h/o paraplegia (from acute aortic occlusion) h/o htn, h/o hypercholesterolemia h/o cad (s/p aicd placement) h/o renal insufficiency h/o chronic low back pain s/p renal artery stents, s/p right ax-bifem bypass w/8mm ptfe; s/p bilateral eia thrombectomies s/p right femoral-popliteal thrombectomy s/p bilateral 4-compartment lower extremity fasciotomies (), s/p flexible-sigmoidoscopy (, ) s/p exploratory laporatomy s/p left colectomy, transverse colostomy (), s/p placement left internal jugular hemodialysis cathether () discharge condition: stable discharge instructions: please call your doctor or return to the er for any of the following: * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * trouble with urination * excessive diarrhea * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: provider: , md phone: date/time: 1:20 provider: , md phone: date/time: 11:00 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other immobilization, pressure, and attention to wound diagnoses: other chronic pain hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders chronic kidney disease, unspecified hypotension, unspecified bacteremia pressure ulcer, other site intestinal infection due to clostridium difficile pressure ulcer, buttock automatic implantable cardiac defibrillator in situ dehydration lumbago gastrostomy status colostomy status pressure ulcer, stage ii pressure ulcer, unstageable 

Answer: The patient is high likely exposed to