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: sulfonamides / remeron attending: chief complaint: abdominal pain, dysphagia major surgical or invasive procedure: intubation history of present illness: 68yo with progressive abdominal pain, dysphagia worsening over a few weeks. he had been scheduled for outpatient gi workup but was not tolerating pos. also with few months of diarrhea. also with dizziness, lightheadedness, fatigue, mild confusion. in pt with right sided pleuritic chest pain, hypotensive, and fluctuating consciousness. labs indicative of arf, hyperkalemia. ekg with no acute changes, echo ai only. pt intubated for responsiveness and transfered to micu for observation. past medical history: -ms: wheelchair active, self-catheterizes -acute promyelocytic leukemia on all-transretinoic acid -htn -hypercholesterolemia -bph -pseudogout -enterococcus bacteremia (vre) -gentamicin-resistant pseudomonas uti social history: pt. lives with wife. is an executive with a textiles firm. he admitted to remote history of cigarette smoking and occasional use of alcohol. he denied use of illicit drugs. family history: remarkable for mi and colon cancer in his father. physical exam: 98*f 89 66/42 98% in ed gen nad. aert and oriented x3. perrla ett in place, mmm, no lad rrr no murmurs cta abd sof mildly distended nontender, guaiac negative no cvat ext warm dry 2+pitting edema b/l pertinent results: 10:10pm wbc-12.4* rbc-4.11* hgb-12.4* hct-36.5* mcv-89 mch-30.2 mchc-34.0 rdw-14.2 10:10pm neuts-76.7* lymphs-16.6* monos-4.9 eos-1.3 basos-0.4 10:10pm ck-mb-12* mb indx-7.0* 10:10pm ctropnt-0.27* 10:10pm alt(sgpt)-15 ast(sgot)-17 ck(cpk)-171 alk phos-102 amylase-75 10:10pm lipase-23 10:10pm glucose-101 urea n-39* creat-3.1*# sodium-137 potassium-5.6* chloride-101 total co2-25 anion gap-17 10:20pm lactate-1.6 10:45pm urine blood-lg nitrite-neg protein-500 glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 12:10am ck-mb-11* mb indx-7.0* 12:10am ctropnt-0.15* 12:10am ck(cpk)-157 06:14pm ck-mb-7 ctropnt-0.13* 06:14pm ck(cpk)-129 06:14pm glucose-105 urea n-23* creat-1.6* sodium-144 potassium-4.1 chloride-113* total co2-23 anion gap-12 07:42am ck-mb-10 mb indx-7.3* ctropnt-0.10* 07:42am ck(cpk)-137 tot bili-0.2 07:42am creat-2.1* sodium-142 chloride-110* 07:42am osmolal-308 ct abd/pelvis scan:. normal-caliber aorta in the chest and abdomen. mildly dilated esophagus. this probably relates to the patient's underlying history of multiple sclerosis. dependent bibasilar opacities, paricularly on the left, may relate to aspiration. uncomplicated cholelithiasis. dilatation of the distal ureters bilaterally. dilated distal ureters enter the bladder normally without stones or evidence of distal obstruction. along with bladder wall thickening, this finding likely relates to the patient's known history of self catheterization for bladder spasticity secondary to multiple sclerosis. head ct: there is no intra-axial or extra-axial hemorrhage identified. there is no mass effect or shift of the normally midline structures. the ventricles and sulci are normal in size and symmetrical. and white matter differentation is preserved. no major vascular territorial infarction is seen. bone windows show no suspicious lesions. mucosal thickening is seen in the ethmoid air cells. cxr on admission- normal brief hospital course: pt admitted to micu intubated due to concern for his airway in setting of change in mental status. he was extubated and called out to a regular floor the next day. hypotension: in the ed, his sbp was in the 60s and responded to fluids. he had one other episode of fluid responsive hypotension during his stay likely from hypovolemia from diarrhea. he remains euvolemic at discharge. htn: initially his bp medications were held because of his hypotension and for concern for sepsis. his diltiazem was changed to a metoprolol because of concern for ischemia. his blood pressure was well controlled on bb and his ace-i was restarted. arf: he had pre-renal acute renal failure from dehydration. his ace-i was initially held. this resolved with ivfs. his creatinine was 3.1 on admission and came down to 1.0 which is down from 1.3 at his previous discharge. agitation/altered mentalstatus: pt does not tolerate missing a dose of his baclofen. a ct scan of his head did not reveal an acute process. cad: he was admitted with an elevated troponin in the setting of hypotension. he did complain of a mild pleuritic chest pain that resolved quickly on its own. this was similar to pains he has an outpatient. his troponin trended down. an echocardiogram did not reveal wall motion abnormailty, however the windows were poor. he has an estimated ef of 70% and significant eccentric ar. he declined aspirin because of bleeding with his self-catheterization in the past. he was changed from diltiazem to metoprolol. he had another episode of chest/abd pain that appeared to be similar to his chronic "gas" pain. he was monitored for ischemia again but did not have an increase in cardiac enymes or ekg changes. consider outpatient stress test. early satiety/gi chronic pain: pt was in the process of a work up by dr. . he had a recent egd with a gastric bezoar that was broken up by the scope. on the day of admission, he had been scheduled for an upper gi series. pt still complains of symptoms of fullness and pain. gi was consulted. he will need an outpatient colonoscopy given his age and family h/o colon cancer. he will continue with a ppi, simethicine and maalox. follow-up with dr. as outpatient. reglan discontinued and received upper gi series and small bowel follow-through demonstrating- normal transit time and normal terminal ileum. the upper tract view was some what limitied due to patient's difficulty with movement. uti: highly resistant klebsiella requiring iv zosyn. picc placed and will need two weeks of iv abx. pt reuses his rubber catheters at home after cleaning with warm water and soap. it was suggested that he start to use sterile catheters each time. his concern is for discomfort and i recommended lidocaine gel. 14 day course of zosyn. wrist pain: he has a history of pseudogout that he describes as being similar in nature to his current pain. he was started on vioxx for 7 days, which his pcp stated he had tolerated in the past. in addition, the area was iced and kept elevated. because of his multiple sclerosis, his functional capability is limited because of wrist pain. ot was consulted. he is not able to self-cathaterize himself or move himself from the bed to his chair which he can do at baseline. once this pain resolves, his foley should be removed and replaced with intermittent catheterization. diarrhea: he was recently admitted with diarrhea, hypotension and hypovolemia . his diarrhea recurred and he was found to have c.diff. he will be treated with a course of metronidazole x 14days. fen: low residual cardiac diet. at rehab he should receive ivfs as needed until has good po intake and while diarrhea continues. medications on admission: tizanidine hcl 4 mg tablet sig: two (2) tablet po hs (at bedtime). simvastatin 10 mg tablet sig: two (2) tablet po qd (once a day). baclofen 10 mg tablet sig: three (3) tablet po qid (4 times a day). diltiazem ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). metoclopramide hcl 10 mg tablet sig: 0.5 tablet po tid (3 times a day). oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day). modafinil 100 mg tablet sig: two (2) tablet po bid (). lisinopril 10 mg tablet sig: one (1) tablet po qd (once a day). discharge medications: 1. tizanidine hcl 4 mg tablet sig: two (2) tablet po hs (at bedtime). 2. simvastatin 10 mg tablet sig: two (2) tablet po qd (once a day). 3. baclofen 10 mg tablet sig: three (3) tablet po qid (4 times a day). 4. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 7 days. 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 6. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 7. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 8. metoclopramide hcl 10 mg tablet sig: 0.5 tablet po tid (3 times a day). 9. oxybutynin chloride 5 mg tablet sig: one (1) tablet po tid (3 times a day). 10. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day): until ambulating well in wheel chair. 11. modafinil 100 mg tablet sig: two (2) tablet po bid (). 12. lisinopril 10 mg tablet sig: one (1) tablet po qd (once a day). 13. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days. 14. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 15. rofecoxib 12.5 mg tablet sig: one (1) tablet po qd (once a day) for 7 days. 16. piperacillin-tazobactam 4-0.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 13 days. discharge disposition: extended care facility: - discharge diagnosis: acute renal failure from hypovolemia klebsiella urinary tract infection hypertension hypotension from hypovolemia secondary to poor po intake and diarrhea altered mental status c. difficile colitis pseudogout multiple sclerosis elevated troponin discharge condition: on room air, unable to self catheterize, decreased upper extremity strength, with minimal diarrhea, picc in place, creatinine 1.0, afebrile discharge instructions: take medications as prescribed. diltiazem has been discontinued and metoprolol has been started. md for any concerning symptoms. once strength improved and able to self-catheterize himself, please discontinue with indwelling catheter. ice and elevation for left hand pain. followup instructions: dr. in next 1-2 weeks. consider outpt stress test. will need outpt colonoscopy. follow-up with dr.. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: hyperpotassemia urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute kidney failure, unspecified acute respiratory failure intestinal infection due to clostridium difficile multiple sclerosis acute myeloid leukemia, in remission 

Answer: The patient is high likely exposed to