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: past medical history: scleroderma, raynaud's, end-stage renal disease, arthritis status post atrial myxoma removal, questionable asthma, questionable hip fracture. allergies: 1. zestril 2. verapamil 3. latex social history: lives in . medications on transfer: 1. nitro drip 2. diovan 325 3. duragesic 150 mcg 4. prilosec 28 b.i.d. 5. prednisone 5 a day 6. norvasc 2.5 7. hydrochlorothiazide 25 8. neurontin 100 b.i.d. 9. ativan 1 mg t.i.d. p.r.n. 10. aspirin 11. nephro caps 12. vitamin c 13. tums 14. oxycodone p.r.n. 15. wellbutrin 100 b.i.d. 16. quinine physical examination at time of admission: temperature 94, blood pressure 157/90, was on ac 400 x 14 with an fio2 of 50 percent. in general, is sedated, intubated. skin appears tight, grayish color; no rash. heent: pupils are 2 mm, 1 mm bilaterally. neck is difficult to assess jugulovenous pressure. chest with decreased breath sounds anteriorly and laterally at the bases with wheezing. cardiovascular is tachy; frequent ectopy; no murmurs; hyperdynamic. abdomen is soft, nondistended, positive bowel sounds. extremities: sclerodactyly with ulcerations on the fingers and toes. no lower extremity edema. laboratory data: chest x-ray showed bilateral diffuse infiltrates, neurovascular redistribution. ekg: sinus at 140, normal axis, positive left ventricular hypertrophy, lateral t wave inversion. chem-7 remarkable for a potassium of 5.9, bun 31, and creatinine 3.9, white count 11.9, hematocrit 39, platelets 192, ldh 267. hospital course by problem: respiratory failure: patient was intubated emergently at the outside hospital but after discussion with the family which revealed the patient was do not resuscitate/do not intubate and that she would not have wanted to be intubated. her sedation was lightened and, by communicating through writing, patient stated that she wished to be extubated and that she would not ever want to be reintubated. thus, on the evening of patient's admission on she was extubated without event. in terms of etiology of patient's respiratory failure, she underwent a cta which revealed no evidence of pulmonary embolism, but there was evidence of large bilateral effusions as well as extensive subcutaneous edema and ascites. it was felt that fluid overload and congestive heart failure may have been the cause of patient's decompensation. a transthoracic echocardiogram was performed which revealed severe global hypo/akinesis with an estimated ejection fraction of approximately 20 to 25 percent. patient underwent hemodialysis to assist in fluid removal and was started on afterload reduction with hydralazine and nitro paste. patient has a questionable allergy to her ace inhibitor and also was having difficulty taking pills and thus intravenous and transdermal medications were used. additionally, patient has an extremely low albumin due to malnutrition and felt that this was contributing to her anasarca and pleural effusions. in terms of other possible etiologies, an induced sputum for pneumocystis carinii pneumonia was sent and is pending at the time of this dictation, and patient was treated with levaquin for a question of possible pneumonia. clostridium difficile colitis: patient had extensive diarrhea during her hospital stay. was sent for clostridium difficile and came back positive. patient was started on a course of flagyl. end-stage renal disease: patient was continued on hemodialysis as per renal and started on calcium carbonate as a phos blanket. dysphagia: patient had extensive difficulties with swallowing food, liquid, and even pills. a speech and swallow evaluation was ordered, but this is pending at the time of this dictation. patient's medications were given intravenously as possible. pain control: patient apparently is on 150 mcg fentanyl patch as an outpatient although arrived in the hospital with only a 50 mcg patch. due to the concern over the confusion of the dose and the concern of possibly suppressing the patient's respiratory drive, the fentanyl patch was dosed at 75 mcg an hour, and breakthrough pain was managed through intravenous morphine given the patient's inability to take pos. code status: patient is confirmed a do not resuscitate/do not intubate. the remainder of this discharge summary, including patient's discharge medications and discharge diagnoses will be dictated as part of an addendum to this summary. , m.d. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnostic ultrasound of heart hemodialysis removal of other therapeutic device from head and neck diagnoses: congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure intestinal infection due to clostridium difficile pneumonia due to escherichia coli [e. coli] raynaud's syndrome systemic sclerosis other protein-calorie malnutrition 

Answer: The patient is high likely exposed to