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: aspirin / penicillins / sulfonamides / biaxin / levaquin / cefzil / motrin / erythromycin base attending: chief complaint: abdominal pain major surgical or invasive procedure: picc line placement history of present illness: for full hpi please see admission note. briefly, this is a 42f with cvid on ivig, hepc, tyoe 1 dm, distant ibd > 20 yrs ago last flare, recent cryptospordial infection, c/o increasing voluminous nonbloody diarrhea (up to 20 bms daily) and worsening diffuse sharp abdominal pain. seen at hospital, treated with iv fluids and discharged. the following morning abdominal pain, palpiations and diarrhea and fever of 103.5. in the ed she was found to be febrile to 101.5 88 120/38 16 100 ra, with tense abdomen and ct a/p was notable for pancolitis without a vascular distribution. she was started on broad spectrum abx, surgical consultation noted patient was not a surgical candidate. she was admitted to the icu. in the icu, vancomycin and cefepime were continued as were fluids. -of note she has been followed by dr. in id for cryptosporidium, which was diagnosed in and she was started on nitazoxanide. she was on therapy until the end of at which time her insurance would no longer pay for the medications and was prescribed flagyl for treatment, but did not start the medication. she denies raw foods, recent travel, nsaid use, etoh use. she currently feels better. her diarrhea has decreased today, she has had 1 bm that was a little less watery and more formed today. she continues to have abdominal pain but less so than yesterday. she tolerated a small ginger ale without nausea/vomiting. past medical history: 1)type 1 diabetes, difficult to control, she has frequent admissions for ams from hypoglycemia. followed at . 2)cvid: treated with ivig q2 weeks, last 3)utis 4)asthma 5)cbp 6)hcv: diagnosed in . most recent vl 7,980,000 iu/ml biopsy showed grade 2 inflammation, stage 2 fibrosis: 1. marked portal, periportal, and lobular mixed-cell inflammation with focal bridging (grade 3). 2. marked bile duct proliferation with neutrophils (see note) 3. trichrome stain: moderate increase of portal and septal fibrosis (stage 2). 7) cryptosporidium, as above 8) ? inflammatory bowel disease (uc)--per patient, last flare many years ago, not on any treatment social history: lives with fiancee and daughter, smokes pack per day, denies any alcohol since , formerly used iv drugs but none since family history: no family history of diabetes. multiple family members with anemia. mother has hypercholesterolemia and diverticular disease, father has peripheral vascular disease physical exam: vitals - t: 94.9 bp:106/58 hr:83 rr:18 02 sat: 100% ra general: nad skin: warm and well perfused, no excoriations or lesions, no rashes heent: ncat anicteric sclera, pink conjunctiva, mmm, cardiac: rrr, s1/s2, no mrg lung: crackles at bilateral bases otherwise clear abdomen: nondistended, +bs, tender to palpation throughout, worst in rlq, + rebound tenderness but no guarding, no hepatosplenomegaly ext: moving all extremities well, no cyanosis, + pitting edema in bilateral extremities to mid-shin, pulses: 2+ dp pulses bilaterally neuro: grossly intact, gait not assessed pertinent results: 02:30pm pt-17.6* ptt-35.4* inr(pt)-1.6* 02:30pm plt count-144* 02:30pm neuts-82.4* lymphs-14.5* monos-2.0 eos-0.8 basos-0.3 02:30pm wbc-14.2*# rbc-3.98* hgb-12.9 hct-38.4 mcv-97 mch-32.5* mchc-33.6 rdw-17.2* 02:30pm tot prot-5.9* albumin-3.4 globulin-2.5 02:30pm ck-mb-notdone 02:30pm ctropnt-<0.01 02:30pm lipase-32 02:30pm alt(sgpt)-343* ast(sgot)-389* ck(cpk)-59 alk phos-222* tot bili-2.9* 02:30pm estgfr-using this 02:30pm glucose-179* urea n-13 creat-1.0 sodium-135 potassium-4.3 chloride-102 total co2-20* anion gap-17 02:30pm glucose-179* urea n-13 creat-1.0 sodium-135 potassium-4.3 chloride-102 total co2-20* anion gap-17 02:37pm lactate-2.6* k+-3.9 02:37pm comments-green top 09:36pm pt-19.6* ptt-41.8* inr(pt)-1.8* 09:36pm plt count-107* 09:36pm neuts-72.9* lymphs-22.6 monos-2.8 eos-1.5 basos-0.2 09:36pm wbc-11.4* rbc-3.27* hgb-10.4* hct-31.1* mcv-95 mch-31.9 mchc-33.5 rdw-17.1* 09:36pm calcium-7.6* phosphate-3.0 magnesium-1.4* 09:36pm alt(sgpt)-253* ast(sgot)-244* ld(ldh)-203 alk phos-173* tot bili-2.4* 09:36pm glucose-144* urea n-11 creat-0.8 sodium-136 potassium-3.8 chloride-108 total co2-20* anion gap-12 brief hospital course: # pan-colitis: differential included cryptosporidium, c.diff, multiple bacterial/viral etiologies given cvid, and ibd. broad spectrum antibiotics were intiated on admission including po/iv vancomycin, cefepime and flagyl. the patient was started on iv fluids; leukocytosis and lactate were trended in the icu. ct abdomen/pelvis showed diffuse severe pancolitis, small ileocolic intussiception wihtout evidence of obstruction. the surgical service was consulted but saw no acute indication for surgery and followed the patient with serial abdominal exams. the patient remained afebrile and hemodynamically stable in the icu and was subsequently tranferred to the regular medical floor. the gi service was consulted and recommended a flexible sigmoidoscopy, stool cultures and labs to evaluate the etiology of her diarrhea. thus far all stool labs for infectious causes are negative. the biopsy upon flexible sigmoidoscopy showed mild dysplasia and inflammation. it was recommended the patient continue her po flagyl for a 2 week course and follow up with gi for a colonoscopy after discharge. . # bacteremia: the patient was found to have s.pneumoniae on blood culture while on vancomycin. the infectious disease service was consulted. tte and tee were negative for endocarditis. ceftriaxone was initiated and picc placed for iv treatment for a 2 week course. the remainder of the blood cultures are negative to date. the patient remained afebrile during her admission. she has id follow-up with dr. in several weeks. . # chronic hepatitis c: lfts were elevated above baseline on admission. initially cholestyramine, ursodiol and spironolactone were held. her lfts were trended and slowly returned back to baseline. after transfer to the medical service, given agressive fluid resuscitation in the icu, the patient was fluid overloaded and required diuresis. spironolactone was restarted and lasix 20mg po daily was added. an abdominal us showed a moderate amount of ascites which was tapped via ultrasound guidance. approximately 500cc of fluid was removed, and labs were consistant with sbp, althought the patient was asymptomatic and already on ceftriaxone at that time. she will need follow-up for her ascites as an outpatient to ensure it does not reaccumulate. her cholestyramine, ursodiol were restarted prior to discharge. a follow-up appointment was scheduled with dr. (hepatology). . # dm type i: patient reportedly hypoglycemic was hypoglycemic in the icu, glargine was discontinued while the patient was npo. once her diet was advanced her home dm was restarted and fingersticks monitored. no changes were made to her regimen prior to discharge. . # asthma: home regimen of albuterol, pulmicort and tiotropium were continued. . # coagulopathy: at baseline probably due to underlying liver disease. . # follow-up: the patient has follow-up with the gi service, infectious disease, hepatology and her pcp (which she will make on her own). medications on admission: albuterol - (prescribed by other provider) - 90 mcg aerosol - 2 puffs inhaled four times per day budesonide - (prescribed by other provider) - dosage uncertain cholestyramine-aspartame - 4 gram packet - 1 packet by mouth once a day fluticasone-salmeterol - 250 mcg-50 mcg/dose disk with device - 1 disk(s) inhaled twice a day insulin aspart - (prescribed by other provider) - 100 unit/ml cartridge - as per sliding scale insulin glargine - 100 unit/ml solution - 16 unit in the morning and 12 units at night as directed morphine - (prescribed by other provider) - 60 mg tablet sustained release - 1 tablet(s) by mouth at night nitazoxanide - 500 mg tablet - 1 tablet(s) by mouth po omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day oxycodone - (prescribed by other provider: - 5 mg capsule - 1 capsule(s) by mouth two times per day as needed for pain promethazine - (prescribed by other provider) - dosage uncertain spironolactone - 50 mg tablet - 1 tablet(s) by mouth once a day tiotropium bromide - (prescribed by other provider) - 18 mcg capsule, w/inhalation device - ursodiol 250] - 250 mg tablet - 1 tablet(s) by mouth twice a day with meals medications - otc blood sugar diagnostic - strip - 10 x day - no substitution insulin syringe-needle u-100 - 31 gauge x " syringe - 8 x day lancets - misc - 8 x day discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 2. spiriva with handihaler 18 mcg capsule, w/inhalation device sig: one (1) inhalation once a day. 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 5 days. disp:*15 tablet(s)* refills:*0* 6. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). 7. neht neht per protocol 8. ceftriaxone in dextrose,iso-os 2 gram/50 ml piggyback sig: one (1) intravenous q24h (every 24 hours) for 14 days: last day . disp:*7 * refills:*0* 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*30 tablet(s)* refills:*2* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 11. cholestyramine-sucrose 4 gram packet sig: one (1) packet po daily (daily). 12. ursodiol 250 mg tablet sig: one (1) tablet po bid (2 times a day). 13. budesonide 0.5 mg/2 ml suspension for nebulization sig: one (1) inhalation once a day: take as prescribed by dr.. 14. novolog 100 unit/ml cartridge sig: one (1) subcutaneous once a day: use as directed. 15. lantus 100 unit/ml solution sig: one (1) subcutaneous twice a day: 16u in the morning, 12u at night. 16. morphine 60 mg tablet sustained release sig: one (1) tablet sustained release po at bedtime. 17. oxycodone 5 mg capsule sig: one (1) capsule po twice a day as needed for pain. 18. promethazine 12.5 mg tablet sig: one (1) tablet po once a day: take as directed by your doctor. discharge disposition: home with service facility: all care vna of greater discharge diagnosis: diarrhea chronic hepatitis c discharge condition: hemodynamically stable discharge instructions: you were admitted to the hospital for abdominal pain, diarrhea and fever. you were initially treated in the icu for low blood pressure and infection with iv fluids and antibiotics. your stool studies are negative for an infectious process. on flexible sigmoidoscopy you had a biopsy of the colon shows inflammation and mild dysplasia, which needs to be further evaluated by the gi physicians. you were also found to have bacterial infection in your blood for which you need to be treated with iv antibiotics. a picc line was placed to allow for a full 2 weeks of antibiotics (ceftriaxone). you will also need to complete the course of flagyl (antibiotic) for which you have a prescription. your alinia has been discontinued. please make sure to keep your appointments below with the clinic, infectious disease clinic and make sure to see your primary care doctor at your earliest convenience for follow-up. if you experience worsening abdominal pain, nausea/vomiting, no bowel movements for more than one day with abdominal distension, fevers, chills, chest pains, or any other concerning symptoms please return to the er or call your doctor. followup instructions: please make an appointment to see your primary care doctor within 1-2 weeks of your discharge. provider: , md phone: date/time: 8:40 provider: , md phone: date/time: 3:00 provider: , md phone: date/time: 10:30 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart percutaneous abdominal drainage closed [endoscopic] biopsy of large intestine diagnoses: acidosis chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified portal hypertension asthma, unspecified type, unspecified hypopotassemia bacteremia other ascites streptococcus infection in conditions classified elsewhere and of unspecified site, other streptococcus other and unspecified coagulation defects spontaneous bacterial peritonitis intussusception diabetes with other specified manifestations, type i [juvenile type], not stated as uncontrolled universal ulcerative (chronic) colitis common variable immunodeficiency 

Answer: The patient is high likely exposed to