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: clindamycin attending: chief complaint: fever, diffuse abdominal pain x 4 days major surgical or invasive procedure: none history of present illness: the patient is a 32-year-old male with a complicated recent past medical history, well-known to dr. , who is transferred from his rehabilitation facility with the above complaints. according to the patient, his temperature was 103f at its maximum. his pain began 4 days prior and worsened to the point that he was motivated to ask for transfer to for further evaluation. he denies nausea/emesis, and was doing relatively well until this recent illness. his 2 office visits with dr. were quite reassuring. past medical history: pmh: -seronegative arthritis, possibly ankylosing spondylitis, of hips, knees, wrist, on steroids/immunosuppressants since (methotrexate, sulfasalazine, enbrel, humira, remicade, prednisone) -anemia of chronic disease -mrsa infection -pud -anabolic steroid abuse (16 months in early 20s) . psh: -l tkr c/b wound dehiscence & septic arthritis in -r thr -l thr -r thr -l tibial osteotomy -l4-l5 laminectomy (s/p mva with traumatic disc herniation) social history: disabled, lives with mother in , ma. was a semiprofessional body builder in early 20s with h/o anabolic steroid abuse x 16 months. tobacco 1 pack/day x 10 years. denies alcohol use. family history: noncontributory physical exam: v/s 99.6 114 100/50 17 96% 3 liters gen: obese male in severe distress heent: nc/at, eomi, perrl bilat., dry mm, soft neck, midline trach, no lad cor: sinus tachycardia, no m/g/r pulm: cta bilat. : hypoactive bs, soft, diffusely tender with voluntary guarding at hypogastrium, obese and mildly tympanitic. ostomy pink with diarrhea and flatus in bag pvasc: palp. pulses, no edema musc/skel: full rom neuro: grossly intact, non-focal pertinent results: 04:00pm blood wbc-24.0*# rbc-4.34*# hgb-11.8*# hct-37.6*# mcv-87 mch-27.2 mchc-31.4 rdw-16.0* plt ct-555* 01:17am blood wbc-18.2* rbc-3.48* hgb-9.8* hct-30.5* mcv-88 mch-28.0 mchc-32.0 rdw-15.8* plt ct-472* 04:00pm blood neuts-93* bands-2 lymphs-1* monos-4 eos-0 baso-0 atyps-0 metas-0 myelos-0 04:00pm blood pt-47.5* ptt-49.2* inr(pt)-5.4* 01:17am blood pt-41.1* ptt-50.2* inr(pt)-4.5* 09:10am blood pt-23.9* ptt-32.3 inr(pt)-2.3* 01:17am blood alt-7 ast-6 alkphos-92 amylase-8 totbili-0.1 01:17am blood lipase-14 01:17am blood albumin-2.0* calcium-7.2* phos-4.0 mg-1.6 04:04pm blood lactate-1.9 03:19am blood lactate-0.6 : ct- 1. diffuse thickening of the large bowel compatible with pancolitis, likely related to c. difficile or other infectious cause. no evidence of acute complication. 2. interval removal of previously noted pigtail catheters. two small residual fluid collections in the upper abdomen. post-operative changes related to cecostomy and extensive debridement of the anterior abdominal wall. 3. small bilateral para-aortic lymph nodes. 4. bibasilar atelectasis. 5. non-obstructing bilateral renal calculi again noted. no hydronephrosis. 6. old inferior wall fracture of the right orbit. brief hospital course: the patient was admitted to the icu for serial exams and close monitoring. neuro: the patient was routinely monitored, adn was continued on most home pain medications. he was put on a pca for further relief. cv: no issues pulm: no issues gi/id: serial exams were performed, and the patient was made npo. the patient had a ct in the ed; please see results section for report. serial lactates were also performed, which decreased to 0.6 after 24 hours (from 1.9). the patient was put on oral vancomycin, vancomycin enemas and iv metronidazole, linezolid, meropenem, and fluconazole (given his past cultures and antibiotic resistance), and id was consulted. meropenem and fluconazole were stopped and he continued on po vanco, vanco enemas, iv flagyl (c diff colitis), and linezolid (peri-orbital cellulitis). following a ct of the orbit to evaluate possible peri-orbital cellulitis, the linezolid was also subsequently stopped. when the patient had less abdominal pain, his diet was advanced; the patient tolerated this well. his intake and output was closely monitored. by the end of his discharge, the patient's diarrhea had significantly decreased, and only had loose bowel movements cooinciding with enema administration. gu: a foley was placed for close monitoring of urine output. endo: the patient was put on a sliding scale on insulin id: as previously mentioned, the patient was put on oral vancomycin, vancomycin enemas and iv metronidazole, linezolid, meropenem, and fluconazole (given his past cultures and antibiotic resistance), and id was consulted (see above). cultures were monitored.linezolid, meropenem and fluconazole were subsequently stopped. the patient was negative for c.diff three times, as well as toxin b once. a second toxin b is pending. the patient should continue on the vanc and flagyl for a total of 14 days. heme: no issues other: opthalmology was consulted, as the patient developed some erythema and edema of the left upper eyelid; a ct of the orbit was also performed. as there was no orbital involvement, and the erythema and edema quickly resolved, linezolid was stopped. proph: the patient was put on lovenox (and later coumadin) during his stay and had pneumoboots medications on admission: metoprolol 25mg vit d qd prednisone 20mg po qd lansoprazole 30mg qd mvi qd feso4 300mg qd pregabalin 150mg tid clonidine 0.1mg patch tp qtues ms contin 120mg qam and qom, 60mg at lunch msir 30mg po five times daily florastor i nystatin 5mg po qid discharge medications: 1. vancomycin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 4 days. disp:*40 capsule(s)* refills:*0* 2. vancomycin 500 mg recon soln sig: one hundred (100) mg. recon soln intravenous qid (4 times a day) for 4 days: please administer via ostomy. disp:*4000 mg. recon soln(s)* refills:*0* 3. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: one (1) intravenous q6h (every 6 hours) for 4 days. disp:* mg* refills:*0* 4. clonazepam 1 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for anxiety, agitation. 5. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) for 10 days: swish and swallow. 6. florastor 250 mg capsule sig: one (1) capsule po twice a day. 7. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 8. colace 100 mg capsule sig: one (1) capsule po twice a day. 9. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 10. vitamin a 10,000 unit capsule sig: one (1) capsule po once a day. 11. pregabalin 75 mg capsule sig: two (2) capsule po tid (3 times a day). 12. clonidine 0.1 mg/24 hr patch weekly sig: one (1) transdermal once a week: every tuesday. 13. morphine 30 mg tablet sustained release sig: four (4) tablet sustained release po q12h (every 12 hours). 14. morphine 30 mg tablet sustained release sig: two (2) tablet sustained release po q 24h (every 24 hours): noon daily. 15. morphine 30 mg tablet sig: one (1) tablet po 5x daily (): 6/10/14/18/22:00. 16. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qtues (every tuesday). 17. oxycodone 5 mg tablet sig: two (2) tablet po 5x daily (): 6/10/14/18/22:00. 18. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp<120, hr<60. 19. prevacid 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 20. klonopin 2 mg tablet sig: one (1) tablet po three times a day: hold for sedation. 21. multivitamin capsule sig: one (1) capsule po once a day. 22. enoxaparin 120 mg/0.8 ml syringe sig: one (1) subcutaneous q12h (every 12 hours): continue until inr therapeutic with coumadin. disp:*20 20* refills:*0* 23. coumadin 5 mg tablet sig: two (2) tablet po once a day: monitor daily inr, adjust until therapeutic. 24. oxycodone 5 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 25. morphine 30 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 26. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever/headache. 27. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 28. ondansetron 4 mg iv q6h:prn discharge disposition: extended care facility: hospital discharge diagnosis: clostridium difficile colitis discharge condition: good discharge instructions: continue taking lovenox and coumadin until your inr is therapeutic. please have your doctor at the rehabilitation facility follow up on your clostridium difficil toxin b, which is still pending. please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to ambulate several times per day. * no heavy ( lbs) until your follow up appointment. followup instructions: provider: . phone: date/time: 12:30 provider: scan phone: date/time: 11:15 provider: , . call to schedule appointment if you are unable to make the appointment above procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances transfusion of other serum injection or infusion of oxazolidinone class of antibiotics diagnoses: intestinal infection due to clostridium difficile knee joint replacement hip joint replacement other nonspecific findings on examination of blood peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction attention to colostomy cellulitis and abscess of face ankylosing spondylitis arthropathy, unspecified, multiple sites 

Answer: The patient is high likely exposed to