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: heparin agents / penicillins / aspirin / ibuprofen attending: chief complaint: abdominal pain major surgical or invasive procedure: central line tunneled line paracentesis hemodialysis history of present illness: mr. is a 53 yo m with pmh of etoh cirrhosis, colon ca s/p colectomy on , course c/b post-op c diff, currently on po vanco, admitted with abdominal pain. patient reports that he had been doing well at rehab but developed sharp intermittent left sided abdominal pain 3 days prior to admission while at rehab. he had kub x2 at rehab that was reportedly unrevealing, then spiked temp to 101 so was transferred for further eval. he usually gets his care and recent surgery at however was transferred here as on diversion. he reports that the pain is worse with movement and with eating, also has noticed increased bloating with eating lately. he also reports loose stools. he denies nausea, vomiting, chest pain, shortness of breath, dysuria, hematuria, dysuria. . he denies prior h/o sbp but does report taking ofloxacin prophylactically prior when he was having frequent paracenteses. . in ed t101 116/67 hr 70 rr 18 96%ra. had ct abdomen which was unremarkable, intact colectomy anastomosis, no obstruction. he also had paracentesis c/w sbp. he was treated with levo/flagyl/vanc iv. for pain he has been given oxycodone 10mg x2, tylenol 1g, morphine 4mg x3, zofran 4mg x1. . past medical history: -etoh cirrhosis - has h/o ascites,pleural effusions, multiple prior taps, had been on prophylactic ofloxacin -colon cancer s/p colectomy last month -c. diff infection (still on po vanc) -htn -hypercholesterolemia -esophageal varices -cervical stenosis - s/p several vertebral fracture after a fall social history: lives with wife and daughter in , denies etoh for past 4 years, tobacco: ppd x 30 years, denies h/o ivda; not currently working as disabled, used to work as construction worker. family history: denies fhx of early mi, stroke, cancer physical exam: vs: t99.3 112/72 hr 68 rr 16 93%ra gen: awake, alert, no acute distress, appropriate with conversation heent: dry mucousa neck: no lymphadenopathy lungs: bibasilar crackles, no wheezing abd: distended, midline incision with steristrips in place, well healing incision, no erythema or exudate, +bs, tenderness to percussion ext: no pedal edema, dp's 2+ bilaterally no asterixis pertinent results: 07:00am ascites tot prot-1.6 glucose-125 ld(ldh)-100 albumin-<1.0 07:00am ascites wbc-* rbc-3250* polys-71* lymphs-11* monos-0 atyps-1* mesotheli-1* macrophag-16* 12:45am lactate-1.4 07:10pm glucose-135* urea n-22* creat-1.2 sodium-138 potassium-4.1 chloride-103 total co2-28 anion gap-11 07:10pm estgfr-using this 07:10pm alt(sgpt)-26 ast(sgot)-45* alk phos-187* 07:10pm lipase-42 07:10pm albumin-2.4* calcium-8.4 phosphate-3.1 magnesium-1.7 07:10pm wbc-6.6 rbc-3.36* hgb-10.5* hct-32.0* mcv-95 mch-31.4 mchc-33.0 rdw-13.8 07:10pm neuts-75.7* lymphs-15.6* monos-7.5 eos-1.1 basos-0.1 07:10pm plt smr-very low plt count-69* lplt-2+ brief hospital course: a/p: 53m w/ etoh cirrhosis, colon ca s/p colectomy on (c/b post-op c-diff) admitted on with abdominal pain, initial tap revealed greater than 1000wbc in peritoneal fluid, only growth from any of the peritoneal samples grew fluc sensitive albicans. pt was briefly in the micu for hypotension and hypoxia. he was initially on cvvh for acute renal failure and completed a course of vancomycin for presumed pneumonia and was transferred back to the floor for further management. on the floor: #)peritonitis. finished course of cefepime on for presumed bacterial peritonitis (wbc of 1000) in post operative setting. fluconazole to continue until (4week course) for fungal peritonitis in post-op setting (fluconazole sensitive albicans). repeat tap 2 weeks into the course of treatment showed clearance of bacterial and fungal infection and repeat tap on the day of discharge remains negative for infection (100 wbc). needs to continue flagyl until one week after cefepime is finished for c-diff prophylaxis (last day ). . #)acute renal failure - presumed due to hepatorenal syndrome and atn. seen by renal service and initially on cvvh and then intermittent dialysis 1-2 times per week, with stable creatinine no at 3 to 3.3. pt's creatinine has plateaued on dialysis, with approximate crcl of 25. uop 350 to 450 cc per day. will most likely need intermittent hd, and follow up of renal function at rehab center. tunneled line placed on by ir today. continued to hold diuretics due to renal failure. will need to continue midodrine 15 mg tid, octreotide 200mcg tid and daily albumin 25 gram per renal and hepatology for hrs. in case renal function remains impaired and does not resolve, early decision needs to be made with regard of indication for renal co-transplantation. . #)c.diff - patient with documented severe c.diff infection at postoperatively after colectomy. will continue course of po flagyl until for prophylaxis as recommended by id service. c.diff stool toxin a and b, so far negative. . #)etoh cirrhosis/esld - h/o ascites, pleural effusion, esophageal varices; per patient not on lactulose at home, has been receiving in house. no asterixis, but pt seems intermittently confused, per wife he "waxes and wanes." continued bowel regiment with lactulose (sometimes refuses -it has to be reinforced), continued rifaximin. patient refuses repeatedly his medication, reporting he is "off this medicine" or "dr. i should not take it", however all his medications have to be reinforced and compliant has to be supervised. . #)cervical stenosis - s/p fall and cervical vertebral fracture requiring surgical repair/stabilization with chronic neuropathic pain. low dose dilaudid given liver and renal failure. . #)depression - continued sertraline . #)pain: prefer dilaudid to morphine given impaired renal function . #)fen low sodium, high caloric intake, calorie count suboptimal but improves with encouragement. . #)prophylaxis - pantoprazole, pneumoboots (no heparin for hit), bowel regimen . #)code status: full . #) dispo - screen for rehab, pt/ot. pcp: , . md () wife: medications on admission: -kcl 10meq daily -amiloride 5mg daily -omeprazole 20mg -furosemide 40mg -nystatin powder -nadolol 10mg daily -oxycodone 10mg q4 prn -albuterol sulfate nebs -sertraline 100mg daily -pregabalin 300mg -folic acid 1mg daily -mtv -vancomycin 250mg po q6h discharge medications: 1. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. hexavitamin tablet sig: one (1) cap po daily (daily). 4. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): titrate to bowel movements per day. 8. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 10. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed: not more than 2 grams per day. 11. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 12. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). 13. midodrine 5 mg tablet sig: three (3) tablet po tid (3 times a day): hold for systolic blood pressure >160. 14. octreotide acetate 500 mcg/ml solution sig: two hundred (200) mcg injection q8h (every 8 hours). 15. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day): to continue until (which is one week after cefepime course has been finished) . 16. fluconazole 200 mg tablet sig: one (1) tablet po q48h (every 48 hours): give med after dialysis on hemodialysis days. to continue until for peritonitis . 17. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 18. hydromorphone 2 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed. 19. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours): sbp prophylaxis . 20. albumin, human 25 % 25 % parenteral solution sig: twenty five (25) gram intravenous daily (daily). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: 1. bacterial and fungul peritonitis 2. acute renal failure 3. hepatorenal syndrome secodary: 1)etoh cirrhosis - has h/o ascites, pleural effusions, multiple prior taps, had been on prophylactic ofloxacin 2)colon cancer s/p colectomy last month at 3)c. diff infection s/p colectomy 4)hypertension 5)hypercholesterolemia 6)esophageal varices 7)cervical stenosis - s/p several vertebral fracture after a fall 8)s/p subtotal colectomy and ileal proctotomy 9)surgical repair of vertebral fx discharge condition: good. discharge instructions: you were admitted with mental status changes, renal failure and peritonitis (infection of the fluid in your belly) . you were treated with antibiotics, and you have to continue taking them as instructed. you also were treated for renal failure and have been dialysed. . please follow up with your appointments as instructed. call your doctor or 911 if any confusion, fever, abdominal pain or any other health concern followup instructions: please call the liver center tomorrow to set up an follow up appointment department: medicine division: gastroenterology operating unit: office location: , , office phone: ( office fax: ( patient location: , , patient phone: ( patient fax: ( procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage diagnoses: pneumonia, organism unspecified pure hypercholesterolemia unspecified essential hypertension alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome intestinal infection due to clostridium difficile personal history of malignant neoplasm of large intestine hepatic encephalopathy other specified peritonitis other suppurative peritonitis 

Answer: The patient is high likely exposed to