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: respiratory distress major surgical or invasive procedure: picc line placement history of present illness: hpi: 86 year old female with tracheobronchiomalacia and chronic respitory distress vent dependent, h/o uti, h/o aspiration pna, dm type2, mr who presents from osh after difficulty with ventilation and found to have rapid atrial fibrillation. patient found at osh to be in severe respitory distress with minimal. ekg done which showed afib with rvr of 140-170. patient given solumedral 125mg and lasix 20mg at osh for concern of chf. patient transferred to ed were found to be in rapid afib, hypotensive to sbp 60s and hypoxic with o2sat in 80s. patient was cardioverted in the ed and returned to sinus rhythm, decrease in hr and increase in bp. patient given 4l ivf in the ed with minimal urine output. patient was also found to be febrile with temp 104. given flagyl,vanco,ceftriaxone in the ed. on cxr in ed found that there was an overdistension of tracheostomy cuff which was reduced in the ed. past medical history: 1. diabetes mellitus type 2. 2. hypertension. 3. tracheobronchiomalacia 4. anemia. 5. moderate to severe mitral regurgitation. 6. paf 7. copd 8. cva 9. c. diff being treated at osh with flagyl and aztreonam social history: unknown family history: the patient is currently a resident at hospital. no known tobacco or drug use physical exam: t 104.2 hr 90-107 bp 96-100/34 rr 27 o2sat 100% on vent. cmv vt450x rr 26 peep 6 fio2 40% gen: patient attached to vent via tracheostomy. spontaneously moving le b/l. patient responds to painful stimuli. heent: pupils pinpoint, unable to get movement, mmm lungs: course bs ant/lat, good airway entry cardiac: rrr s1/s2 hol abd: distended, decreased bs ext: no edema neuro: repsonsive to painful stimuli pertinent results: 08:20pm o2 sat-99 08:20pm freeca-1.11* 08:20pm type-art po2-194* pco2-36 ph-7.36 total co2-21 base xs--4 08:20pm lactate-1.4 04:15pm urine color-amber appear-cloudy sp -1.019 04:15pm urine blood-lg nitrite-neg protein-500 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-mod 04:15pm urine rbc->50 wbc-* bacteria-many yeast-many epi- trans epi- 04:15pm urine granular-0-2 fine granular casts 02:58pm type-art temp-40.0 rates-/24 tidal vol-600 o2-98 po2-609* pco2-74* ph-7.11* total co2-25 base xs--7 aado2-42 req o2-19 -assist/con intubated-intubated 01:57pm lactate-1.4 01:30pm glucose-237* urea n-78* creat-1.6* sodium-134 potassium-5.1 chloride-101 total co2-26 anion gap-12 01:30pm alt(sgpt)-11 ast(sgot)-19 ck(cpk)-50 alk phos-83 tot bili-0.2 01:30pm ctropnt-0.08* 01:30pm ck-mb-notdone 01:30pm tot prot-7.5 calcium-7.9* phosphate-5.0* magnesium-2.4 01:30pm wbc-22.8*# rbc-2.99* hgb-9.0* hct-29.9* mcv-100*# mch-30.0 mchc-30.0*# rdw-14.3 01:30pm neuts-90* bands-3 lymphs-3* monos-2 eos-0 basos-0 atyps-0 metas-2* myelos-0 01:30pm hypochrom-normal anisocyt-1+ poikilocy-normal macrocyt-1+ microcyt-normal polychrom-1+ stippled-1+ 01:30pm plt count-447* 01:30pm pt-15.2* ptt-88.5* inr(pt)-1.6 . ekg: on arrival; atrial fibrillation @ rvr of 140, nl axis, no st changes . cxr: marked overdistention of tracheostomy tube cuff, placing the trachea at risk for perforation and fistula formation. probable pleural and parenchymal scarring at the lung bases, although it is difficult to fully exclude a pneumonia at the left lung base. . cxr 1. persistent tracheostomy cuff distention. 2. worsening mild congestive heart failure with mild cardiomegaly and small bilateral pleural effusions. . 12:23 am sputum site: endotracheal gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram positive rod(s). 4+ (>10 per 1000x field): gram positive cocci. in pairs, chains, and clusters. 4+ (>10 per 1000x field): gram negative rod(s). note: culture data pending at time of discharge. . 12:30am urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-mod 12:30am urine color-yellow appear-hazy sp -1.017 12:30am urine rbc-21-50* wbc-* bacteri-mod yeast-mod epi- . brief hospital course: a/p: 86 y/o female with pmhx significant for tracheobronchiomalacia and chronic respitory distress with tracheostomy on chronic vent who presents from in severe respitory distress, afib with rvr, hypotension and febrile. . 1. sepsis: pna vs cdiff. pt came in with positive cdiff cultures from osh. cultures sent from were subsequently negative. will continue flagyl for complete course. in addition, gram stain revealed gram neg rods, gram + cocci in pairs and cocci and gram + rods. speciation pending at time of discharge. - will continue to keep patient on current vent setting and titrate back to baseline as tolerated. - will conitnue vanco/zosyn/flagyl which could cover possible vap or aspiration pna and cdiff. should complete full course of antibiotics at . vanco and zosyn started and flagyl started at osh should continue until . - continue albuterol/atrovent nebs prn - patient with resp acidosis, would check daily abg to make sure correcting on current vent settings - cdiff positive from sample drawn at osh. cdiff negative at . . 2. yeast infection- from urine cx. pulled foley on . should recheck u/a at on for persistent fungal uti. . 3. paf - patient currently in sinus rhythm, atrial fibrillation could have been exacerabted by infectious cause. - will hold off on bblocker at this time as bp low. - consider repeat cardiovesion if returns back to atrial fib. - pt needs to be anticoagulated with warfarin. this was communicated with physician at on . . 4. acute renal failure - patient with cre 1.3, last cre was 1.1 in . could be atn secondary to hypotensive episode. patient with minimal urine output. would continue to monitor bun/cre and k+. trending down. probably infection. . 5. dm riss . 6. anemia: hct improved but some guiaic + stool on last day of admission in setting of heparin. d/c'd heparin on final night of admission. can reconsider anticoagulation at . . 7. access: femoral line . 8. fen: continue ivf to maintain bp and uop . 9. ppx: heparin sc, ppi, bowel regimine . 10. code: full . 11. comm with daughter . 12. disp: to rehab medications on admission: 1) lopressor 12.5 2) protonix 40mg qd 3) modafonil 200mg qd 4) albuterol 2puff q6 prn 5) atrovent 2puff q6 prn 6) heparin sc 5000units 7) zoloft 75mg qd 8) aranesp 25 mcg/qweek 9) flagyl 500mg tid 10) aztreonam 1g iv q12 11) ferrlecit 62.5mg x3/week discharge disposition: extended care facility: hospital discharge diagnosis: respiratory distress/pneumonia discharge condition: stable discharge instructions: pls administer all meds as indicated and call with any ?s. pt to complete course of antibiotics with vanco, flagyl and zosyn through newly place () picc line. followup instructions: at osh procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: pneumonia, organism unspecified mitral valve disorders unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia severe sepsis candidiasis of other urogenital sites chronic airway obstruction, not elsewhere classified atrial fibrillation acute and chronic respiratory failure intestinal infection due to clostridium difficile tracheostomy status 

Answer: The patient is high likely exposed to