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: the patient's history, past medical history, medications, allergies, social history, physical examination and the initial part of her hospital course was dictated previously. add to hospital course: 5. anemia: the patient had a low hematocrit throughout the hospitalization with the hematocrit ranging from 26.0 to 28.0. iron studies were normal except for a borderline high ferritin level of 159. her b12 level was normal; folate level was normal. ldh was high with a borderline low haptoglobin possibly suggesting hemolysis, however, her hematocrit remained stable and her total bilirubin following resolution of her hepatic dysfunction was not elevated. it was believed that her anemia was most consistent with an anemia of chronic disease and her hematocrit was followed closely. the hematocrit remained stable throughout the remainder of the hospital course. her stools were monitored for blood and she was found to have guaiac positive stools upon initial presentation and around the time of her first seizure on ; however, she had no further guaiac positive stools. the cause of these guaiac positive stools are unknown. she will schedule outpatient follow-up evaluation with her primary care provider. 6. pneumonia: a right lower lobe infiltrate was found on chest x-ray on . it was believed to be consistent with an aspiration pneumonia. the patient was treated with ceftriaxone times nine days and flagyl for greater than 15 days. 7. urinary tract infection: a urine culture obtained on was positive for klebsiella pneumonia. the patient was treated with ceftriaxone for nine days. a repeat urine culture performed on showed no growth. 8. clostridium difficile colitis: the patient complained of diarrhea and was found to have clostridium difficile positive stool. the patient was treated with flagyl times ten days and upon completion of the antibiotic, stool was again sent for clostridium difficile cultures with three negative cultures. 9. vaginal yeast infection: the patient complained of a vaginal yeast infection on , and she was treated with fluconazole 150 mg p.o. times one with resolution of her candidal vulvovaginitis. 10. hyponatremia: the patient developed hyponatremia with a sodium ranging from 125 to 130, following her seizures. osmolality was checked and she was found to be isotonic. the cause of this isotonic hyponatremia is not known as the patient is not believed to have hyperproteinemia or hyperlipidemia. the patient was maintained on a 1500 cc fluid restriction and her sodium remained between 125 and 130 throughout the remainder of the hospital course. 11. mental status: on admission, the patient was believed to be encephalopathic due to hepatic dysfunction, however, despite improving hepatic function, the patient continued to be somnolent. a neurology consultation was obtained. a ct scan of the head showed no intracranial hemorrhage or areas of mass effect. there were no signs of early infarction. a lumbar puncture was also performed, and the cerebrospinal fluid was sterile; however, the patient's mental status started to improve slowly and she eventually was alert and oriented times three. however, on , the patient had seizures. the patient again became somnolent and extremely agitated. for a discussion of her seizures, please refer to her previous dictation. 12. psychiatric: due to the patient's complicated social history which includes poly-substance drug abuse, a psychiatric consultation was obtained. psychiatry consultation learned that the patient has had recent difficulties with drug use. she, however, did seek treatment in , although appears to have relapsed with narcotic use prior to hospitalization. they believed that the patient did not pose an immediate suicide risk, however, she was found to have lack of judgement and they recommended a sitter with fall precautions while hospitalized, as well as low dose haldol for acute agitation. following her seizures, the patient was transferred back to the intensive care unit and again psychiatry advised on a medication regimen for agitation. she was maintained on one-to-one observation with ativan and haldol for sedation. eventually, as her mental status improved she was slowly tapered off the haldol and ativan, and at the time of discharge, was not requiring any haldol or ativan. psychiatry did not recommend any outpatient psychiatry medications immediately following discharge from the hospital since the patient was likely to abuse these medications. the patient's outpatient psychiatrist was , however, for further follow-up. it was recommended by the psychiatry team that she might be able to start on psychiatric medications as an outpatient with close follow-up. the neuro-psychology consultation was obtained from dr. . she recommended a comprehensive outpatient evaluation as well as very close supervision upon discharge. dr. found that there were several safety issues given the patient's reduced judgement, limited planning skills and low level of arousal. psychiatric social work was involved to help with outpatient discharge planning and the patient was scheduled for home r.n. as well as outpatient neuropsychiatric cognitive rehabilitation for frontal system dysfunction. 13. the patient has a history of asthma, however, she was asymptomatic throughout her hospitalization. near the end of her hospitalization, she was restarted on her regular albuterol and fluticasone inhalers. condition on discharge: stable. discharge status: the patient is discharged to home with close follow-up and home services. multiple attempts were made to place the patient into acute rehabilitation, however, the patient did not qualify for acute rehabilitation. instead, the patient was sent home with home physical therapy, occupational therapy and r.n. her husband is currently taking a leave of absence from work and he is able to stay with her at home. he understands that she will require twenty-four hour supervision while at home, given her cognitive impairment. she will also receive outpatient rehabilitation for a frontal systems dysfunction. the patient is also scheduled for outpatient hemodialysis. discharge diagnoses: 1. fulminant hepatic failure. 2. acute renal failure. 3. hypertension. 4. seizures. 5. hyponatremia. 6. anemia of chronic disease. 7. guaiac positive stools. 8. poly-substance abuse. 9. clostridium difficile colitis. 10. aspiration pneumonia. 11. urinary tract infection. 12. vaginal yeast infection. 13. asthma. 14. agitation. 15. frontal systems dysfunction. discharge medications: 1. pantoprazole 40 mg p.o. q. day. 2. folic acid 1 mg p.o. q. day. 3. thiamine 100 mg p.o. q. day. 4. multivitamin p.o. q. day. 5. levetiracetam 500 mg p.o. q. a.m. with instructions to take an extra 250 mg on dialysis days following dialysis. 6. amlodipine 10 mg p.o. q. day. 7. furosemide 160 mg p.o. twice a day. 8. clonidine 0.2 mg p.o. twice a day. 9. albuterol 1 to 2 puffs inhaled q. six hours p.r.n. 10. fluticasone two puffs inhaled twice a day. 11. metoprolol 100 mg p.o. twice a day. 12. calcium acetate 1334 mg p.o. three times a day with meals. 13. phenytoin 100 mg p.o. q. eight hours. discharge instructions: 1. the patient is asked to follow-up with her primary care physician, . on tuesday, at 12 noon. dr. was prior to the patient's discharge and was updated on the patient's progress. he was also told that the patient had been started on dilantin and would require regular dilantin checks. 2. in addition, her dose of the levetiracetam would change to 500 mb p.o. twice a day once the patient was taken off hemodialysis. 3. the patient is also scheduled to follow-up with neurology, with dr. , on . she was scheduled for an mri of the brain on in preparation for this neurology appointment. 4. she is asked to follow-up with her psychiatrist, dr. . attempts were made to call his office to schedule an appointment for the patient, however, the office was unavailable. dr. was also in contact with our psychiatry consultation service and was updated as to the patient's progress. the patient is asked to make a follow-up appointment with dr. . 5. the patient is also asked to follow-up with dr. for a full outpatient neuro-psych evaluation as had been recommended by dr. . attempts were made to contact dr. but she was unavailable at the time and the patient was given the phone number to make the appointment. 6. outpatient dialysis in every monday, wednesday, and friday. 7. home with the partners . 8. community rehabilitation in . several discussions were held between the medicine team and the patient's husband, mr. . he very clearly understood the plan and was in complete agreement. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis diagnoses: urinary tract infection, site not specified acute and subacute necrosis of liver acute kidney failure, unspecified hyposmolality and/or hyponatremia other convulsions pneumonitis due to inhalation of food or vomitus intestinal infection due to clostridium difficile candidiasis of vulva and vagina unspecified causes of encephalitis, myelitis, and encephalomyelitis 

Answer: The patient is high likely exposed to