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 / oxycodone / dilaudid attending: chief complaint: delerium major surgical or invasive procedure: none history of present illness: 78 y/o f with pmhx of cad s/p mi/ptca & recent bms , systolic hf (lvef 45-50%, mgus, recent c.diff infxn, seen by her pcp on day of admission and found to be delerious with labs, showing new hyponatremia (127), hypercalcemia (12.2), and acute on chronic renal failure (cr 2.4 up from baseline cr 1.8-2.0). she was sent to er where family also reported worsening back pain, also some cough with white "spit". the family reported to the pcp that the patients mental status had been clouded for several months and that the presentation was typical of this new baselin. denied any fever, chills, or sob prior to admission. at the time of admission she reported no dysuria, n/v, abd pain, hematuria, or diarrhea. recently her oncologist had been concerned about development of multiple myeloma. in the ed she was afebrile, and vss were stable. cxr showed a ? lll infiltrate vs atelectasis, wbc count normal. she was given levaquin 750mg iv and admitted to the floor. past medical history: 1) htn 2) cad s/p mi with pcta in @ , s/p pci with stent to lad, rca totally occluded and filled by collaterals 3) breast cancer b masectomy in 4) b/l orif 5) r olecranon fracture 6) ulnar nerve surgery x 3 7) pulmonary stenosis s/p valvuloplasty in 8) s/p appendectomy 9) mgus bm in nml flow with 5% plasma cells; receives transfusion on regular basis 10) h/o anxiety 11) hypercholesterolemia 12) gerd 13) recent c.dif infection treated with flagyl/po vanco () 14) cri - baseline cr 1.8-2.0 social history: significant for the absence of current tobacco use. there is no history of alcohol abuse. 1 daughter in ct and 1 daughter in . family history: father died of heart disease in this 40s. sister-congenital pulmonary stenosis physical exam: on admit t:98.0 bp:134/79 p:111 rr:20 o2 sats:100% on ra gen: elderly, frail female in resp distress, on nrb, confused, +rigors heent: ncat, perrl, eomi, anicteric, mm dry neck: jvp difficult to assess rigors cv: reg, nml s1,s2. resp: crackles throughout (anteriorly) abd: soft, ntnd, nabs ext: no c/c/e neuro: oriented to person, but not place/time pertinent results: stool: positive for c diff cxr: possible consolidation atelectasis spep consistent with multiple myeloma serum viscosity within normal skeletal survey with many lytic lesions mri of l and t spine and ct of l spine and pelvis without fracture. diffuse myelomatous invasion of bones (entire spinal cord, pelvis) serum lambda and kappa pending brief hospital course: #c diff colitis: no response to flagyl and so started on po vancomycin with good response. plan to continue vancomycin with taper. #pneumonia: on hospital day # 3 became sob and febrile. at same time pt was in acute chf, as well as septic, though possibly from c diff colitis. given cxr with consolidation v atelectasis and severity of illness, started on zosyn for possible hap. planned 10 day course of zosym with final day on . midline placed for access. #acute on chronic systolic chf: on hospital day #3 pt became hypoxic after blood transfusion (receives chronic transfusions for anemia assoc w/ mgus), transferred to icu for monitoring, did not require intubation; managed well with iv lasix daily. # delerium: multifactorial, hypercalcemia, sepsis, and finally from dexamethosone treatment for multiple myeloma; resolved with treatment. # multiple myeloma: spep/upep c/w new dx of multiple myeloma. heme/onc team consulted and recommended to start treatment with dexamethasone 40 mg q wk. pt received first treatment of dexamethasone . follow up to be arranged via. pt.s oncologist, dr. - this discussed with oncology team and with pt.s daughter and health care proxy. instructions below. # pain - pain team consulted. no focal area on imaging indicating indication or utility of focal, palliative, irradiation, or injection. recommended fentanyl patch. # high tsh low t4, during acute illness. will need repeat check once acute infectious process treated and resolved; as tfts not reliably interpretable in acute illness. medications on admission: asa 325mg daily colace furosemide 20mg daily saline nasal spray prn senna lidoderm lipitor 80mg daily mvi tylenol prn metoprolol sr 150mg daily pantoprazole 40mg daily propoxyphene 65mg q6hrs -hold if lethargic discharge medications: 1. dexamethasone 4 mg tablet sig: forty (40) mg po q wednesday for 3 doses. disp:*30 tablets* refills:*0* 2. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) u injection at bedtime. 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for low back pain: apply to area of pain over the right si joint. adhesive patch, medicated(s) 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for pain. 9. pipercillin-tazobactam 2.25g iv q 8 hours with last day of treatment 10. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 11. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed. 12. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 13. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: mls po q6h (every 6 hours). 14. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) neb inhalation q2h (every 2 hours) as needed. 15. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 16. vancomycin 125 mg capsule sig: one (1) capsule po twice a day for 35 days: as follows: 1 capsule for 7 days; 1 capsule qd for 7 days; 1 capsule qod for 7 days; 1 capsule q 3 days for 14 days. 17. hexavitamin tablet sig: one (1) cap po daily (daily). 18. acetaminophen 325 mg tablet sig: two (2) tablet po bid (2 times a day). 19. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 20. fentanyl 12 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 21. furosemide 10 mg/ml solution sig: two (2) ml injection daily (daily). discharge disposition: extended care facility: - discharge diagnosis: multiple myeloma widely metastatic to bones diffusely heart failure (acute on chronic systolic) acute renal failure c diff colitis discharge condition: stable discharge instructions: please call your pcp with increasing shortness of breath, fever, dizziness, or other concerning symptoms. followup instructions: provider: , .o. phone: date/time: 9:30 dr. of oncology will contact pt's daughter directly during the week of - to notify her of appointment time/day, and name of her assigned physician in ; if you have not heard from him, call dr. to find out when and who will be following up with you, at: (. md procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified intestinal infection due to clostridium difficile multiple myeloma, without mention of having achieved remission acute on chronic systolic heart failure delirium due to conditions classified elsewhere hypercalcemia candidiasis of skin and nails orthostatic hypotension pressure ulcer, upper back 

Answer: The patient is high likely exposed to