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: sulfa (sulfonamides) / aspirin attending: chief complaint: hypotension major surgical or invasive procedure: right orif central line placement (and subsequent removal) history of present illness: 80 y/o f w/mmp who was at rehab , noted to have decreased responsiveness and fingerstick was 25. given glucagon and oral glucose, fs improved only to 30 so was sent to . in ed, was ? hypoxic and had afib with slow ventricular response, so was admitted. later that day, she was being transferred from the bed to commode and her legs buckled, she slid to the ground, and landed with her legs beneath her. she heard a "snap" and had immediate pain, and xray showed a r intratrochanteric hip fx. she was seen by there, and the plan (after discussion between and her primary cardiologist, dr. was to proceed with surgery although it is high risk given her extensive coronary disease.) however, today she was hypotensive in the 80s/40s with a k of 5.8, so her operation was cancelled and she was sent to their icu. she had a central line placed to monitor cvp, which was 11. she was placed on dopamine with improvement in her bp to 100s-110s. she was then transferred here for further evaluation. . her hospital course at was also complicated by respiratory depression which occurred after receiving 2 mg iv dilaudid; this responded well to narcan. she also had a uti being treated with levofloxacin, persistent diarrhea being treated as presumed c diff (although c diff negative), and acute renal failure (creat 1.4 on admission, increased to 2.5 by day of d/c). past medical history: # recent hospitalization at for presumed c diff and acute renal failure , was staying at rehab since then # cad s/p cabg # paroxysmal afib, on coumadin # ischemic cardiomyopathy, ef 40% # moderate mitral regurg # chronic anemia, on epo # dm # htn # hyperlipidemia # r foot wound colonized with mrsa social history: lived by herself prior to hospitalization in . never smoked or drank. was a housewife. has 3 children from whom she is estranged, but is close to her 2 grandsons. family history: father died of mi at age 86, mother died at age 51 related to complications from dm physical exam: t: 98.4 bp: 119/59 (off dopamine) p: 89 r: 14 100%ra gen: awake, alert, pleasant female in nad heent: anicteric, mmm neck: r ij in place, site c/d/i lungs: cta anteriorly, pt unable to sit completely forward cv: rrr, no m/r/g abd: soft, nt/nd, +bs ext: 2+ pitting edema on lle, 2 cm circular ulcer on l foot dorsum without surrounding erythema, decreased sensation to light touch in r foot (pt reports chronic x yrs), 1 cm ulcer on r heel, 1+ dp pulses bilaterally pertinent results: admission labs: 11:03pm urine hours-random creat-127 sodium-14 11:03pm urine osmolal-464 11:03pm urine color-yellow appear-clear sp -1.017 11:03pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-sm 11:03pm urine rbc-21-50* wbc->50 bacteria-mod yeast-many epi- 11:03pm urine granular-* 06:29pm glucose-207* urea n-61* creat-2.0* sodium-136 potassium-5.5* chloride-108 total co2-16* anion gap-18 06:29pm estgfr-using this 06:29pm calcium-7.3* phosphate-5.3* magnesium-2.3 06:29pm wbc-22.8* rbc-3.57* hgb-10.0* hct-30.7* mcv-86 mch-28.1 mchc-32.6 rdw-18.3* 06:29pm plt count-282 06:29pm pt-15.1* ptt-27.6 inr(pt)-1.4* . imaging: ap cxr: a single ap view of the chest is obtained at 18:28. no prior films are available for comparison. the heart is likely top normal in size. there is calcification and tortuosity of the aorta and there are median sternotomy wires present. a right-sided ij line is present and it has its tip projected over the expected location of the svc. linear atelectasis or scarring is seen at the left base. there is no evidence of acute consolidation or frank failure. there is deformity of the distal clavicle likely secondary to prior trauma. impression: linear atelectasis or scarring at the left base. right-sided ij line in satisfactory position. . hip 2 views: there is an intramedullary rod and a gamma nail. . port abd: 1)limited study which is focused around the pelvis rather than abdomen. however, no abnormal looking bowel loop is demonstrated. no obstruction is noted. no pneumoperitoneum is detected. 2) status post fracture of the right femoral neck with dynamic hip screw placement. fracture line is still well visualized. . colonoscopy: impression: external hemorrhoids, internal hemorrhoids; erythema, friability, congestion and ulceration in the rectum, compatible with possible inflammation from rectal tube trauma; otherwise normal colonoscopy to cecum. recommendations: the rectal inflammation was likely due to rectal tube trauma. if rectal bleeding persists, a follow-up flexible sigmoidoscopy should be performed. brief hospital course: ms. is a 80 year old woman with cad, chf, paroxysmal atrial fibrillation, who was admitted with hypotension and a hip fracture. her brief hospital course, by problem: . # hypotension: initially admitted to the micu for hypotension briefly requiring dopamine but resolved. her cvp of 11 not suggestive of either sepsis, volume depletion, or cardiogenic shock. her leukocytosis is concerning, although may be due to stress from her hip fracture. her blood pressure remained stable on the medicine floor and at the time of discharge, she had been restarted on her antihypertensive medications. . # bloody bowel movement. had bloody bm x 2 on , with stable hematocrit. she went for colonoscopy on , which showed internal and external hemorrhoids as well as friable/inflammed rectal mucosa (which was thought likely secondary to rectal tube). if she continues to have rectal bleeding or pain, she should have a flexible sigmoidoscopy in 4 weeks. . # hip fracture. underwent orif on , without complications. she should continue lovenox for a total of 4 weeks, daily dressing changes, and physical therapy. pain control with tylenol and oxycodone. . # cad. given beta-blocker, ace-inhibitor, and statin. . # arf: renal function continued to improve with fluids, thought pre-renal etiology secondary to third-spacing from the hip fracture. a foley was in place given a coccygeal ulcer, but this should be removed when the patient is able to ambulate. . # uti: urinalysis positive on admission. treated with ciprofloxacin x 3 days. . # paroxysmal atrial fibrillation: continued amiodarone. . # diarrhea: treated empirically at (osh) for c. diff, but both c. diff a and b toxins were not detected in assays here. flagyl and vancomycin were discontinued. all other infectious sources were ruled out. . # diabetes: covered with humalog sliding scale, restarted lantus on at half home dose (15 units per am) she was low fs so this was decreased to 13 units. once she restarts on a normal diet, lantus should be retitrated up. medications on admission: tylenol 1000mg tid albuterol nebs prn amiodarone 200mg qd ascorbic acid 500mg atorvastatin 20mg qd ciprofloxacin 500mg qd epo 4000u sc mwf dilaudid 0.5mg q4h prn heparin sc insulin ss atrovent nebs q6h prn metoprolol 12.5mg tid flagyl 500mg iv q8h mvi 1 tab qd papain-urea to wound zinc sulfate 200mg qd discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 2. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 3. enoxaparin 30 mg/0.3 ml syringe sig: one (1) injection subcutaneous q12h (every 12 hours) for 3 weeks. 4. papain-urea 830,000-10 unit/g-% ointment sig: one (1) appl topical daily (daily): to foot ulcer. 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). 7. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) neb inhalation q4-6h (every 4 to 6 hours) as needed. 8. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 9. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 10. epoetin alfa 4,000 unit/ml solution sig: one (1) inj injection qmowefr (monday -wednesday-friday). 11. atorvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 12. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 13. zinc sulfate 220 (50) mg capsule sig: one (1) capsule po daily (daily). 14. insulin glargine 100 unit/ml solution sig: one (1) injection subcutaneous once a day: 13 units lantus qam. 15. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). discharge disposition: extended care facility: discharge diagnosis: right hip fracture hypotension secondary: paroxysmal atrial fibrillation diabetes mellitus discharge condition: stable discharge instructions: you were admitted with a hip fracture and low blood pressure. you had an orif procedure to fix your hip. you are being discharged to an extended care facility in . . please take all of your medications as prescribed and follow up with your pcp as instructed. followup instructions: provider: xray (scc 2) phone: date/time: 12:20 provider: , md phone: date/time: 12:40 . please follow up with dr. within 1 week of discharge from rehab. procedure: colonoscopy open reduction of fracture with internal fixation, femur diagnoses: mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation aortocoronary bypass status other specified forms of chronic ischemic heart disease chronic systolic heart failure long-term (current) use of anticoagulants pressure ulcer, buttock pressure ulcer, lower back pressure ulcer, heel internal hemorrhoids with other complication external hemorrhoids with other complication accidental fall from bed closed fracture of subtrochanteric section of neck of femur 

Answer: The patient is high likely exposed to