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: albuterol / sulfa (sulfonamide antibiotics) attending: chief complaint: hypotension major surgical or invasive procedure: central line placement history of present illness: 87f history of c. difficile colitis since currently in rehabilitation facility receiving p.o. vancomycin and flagyl who presents with hypotension. per patient, she had increased bowel movements this past weekend (had actually been improving in frequency last week) and was found to have systolics in the 80s at the rehabilitation facility. denies fevers. she states her abdominal pain as being constant and has not changed and her during the last few days. patient has been compliant on her vancomycin/flagyl regimen. she states she hasn't been staying hydrated. . also of note, per daughter, at rehab she had an asthma exacerbation last week and received 5 days of solumedrol taper, which stopped 2-3 days ago. she states the physcians that started the steroids verified with id that this would not exacerbate c diff. . in the ed, initial vs were: t 97.5 hr 96 bp 70/50 pox 97% ra. she has a chronic indwelling foley and had a ua that showed large leuk, many wbc, many bacteria and was given ceftriaxone. kub was done, which did not show toxic megacolon or dilated loops of bowel. labs were significant for lactate 3.4, na 127, bun 59, cr 1.9 , wbc 12.6 with 13% bands, inr 6.5. got 4l ivf in er-->systolics high 90's-100's, though of note bp's usually 130's 140's. close to time of transfer, systolic bp's dropped to 80's. she was asymptomatic, but the er wanted to place a cvl and start pressor. pt refused femoral cvl and remarked she wants to be dnr/dni. she also reports she has met with palliative care in the previous weeks. she did agree to levophed being run through her existing picc line. on transfer, vs: hr 111, rr 19-20, pox 98% ra, bp 92-102/30's-40's. access is 18g ej and a r picc. unclear why she has a r picc line. . on arrival to the micu, pt states "this is too much." she reports abdominal pain and diarrhea. she is conversive and confirms she is dnr/dni. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, abdominal pain. denies rashes or skin changes. past medical history: afib on coumadin, per daughter had been on amiodarone htn baseline cr 1.3-1.5 hypothyroidism cdiff colitis diabetes asthma social history: - tobacco: distant - alcohol: occasional - illicits: denies came from rehab macu, previously independent prior to hospitalization family history: sister with diabetes, sister with throat cancer (smoker) physical exam: on admission: general: alert, oriented, no acute distress heent: sclera anicteric, mm dry, oropharynx clear, eomi, perrl neck: supple, jvp low, no lad cv: irreg irreg lungs: occ wheeze abdomen: soft, + bs, mild ttp, distended gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact pertinent results: labs on admission: 07:39pm glucose-163* urea n-56* creat-1.8* sodium-130* potassium-4.1 chloride-96 total co2-20* anion gap-18 08:08pm lactate-2.8* 07:39pm calcium-6.9* phosphate-4.5 magnesium-2.3 12:45pm pt-59.7* ptt-59.2* inr(pt)-6.5* micro: blood culture blood culture, routine-pending inpatient urine urine culture-final {yeast} inpatient stool clostridium difficile toxin a & b test-final inpatient swab r/o vancomycin resistant enterococcus-final inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient stool fecal culture-final; campylobacter culture-final; clostridium difficile toxin a & b test-final inpatient blood culture blood culture, routine-final inpatient blood culture blood culture, routine-final inpatient catheter tip-iv wound culture-final inpatient urine urine culture-final {yeast} inpatient mrsa screen mrsa screen-final inpatient blood culture blood culture, routine-final {klebsiella pneumoniae, enterococcus faecium}; anaerobic bottle gram stain-final; aerobic bottle gram stain-final emergency blood culture blood culture, routine-final {enterococcus faecium}; aerobic bottle gram stain-final sensitivities: mic expressed in mcg/ml _________________________________________________________ klebsiella pneumoniae | enterococcus faecium | | ampicillin------------ =>32 r ampicillin/sulbactam-- 16 i cefazolin------------- =>64 r cefepime-------------- <=1 s ceftazidime----------- =>64 r ceftriaxone----------- 16 r ciprofloxacin--------- =>4 r gentamicin------------ <=1 s linezolid------------- 2 s meropenem-------------<=0.25 s penicillin g---------- =>64 r piperacillin/tazo----- s tobramycin------------ =>16 r trimethoprim/sulfa---- <=1 s vancomycin------------ =>32 r reports: ct a/p impression: 1. findings consistent with colitis. 2. cholelithiasis. 3. substantial pleural effusions. 4. small quantity of ascites. 5. macrolobulation of the hepatic contour in some areas of uncertain significance although underlying liver disease could be considered as a possibility clinically. cxr extensive bilateral pleural effusions with subsequent areas of basal atelectasis brief hospital course: ms is an 87yo f with w/ h/o afib on coumadin, recent extended course at rehab for severe c dificil who presented with septic shock. originally, this was thought to be secondary to recurrence of severe c dificile, but she subsequently was found to have polymicrobial bacteremia, likely secondary to gut translocation/microperforation. her bloodstream organisms (as above) were quite resistant, and she was treated with meropenem and daptomycin, as well as iv flagyl/po vancomycin for c difficile. upon initial presentation, she required aggressive volume resuscitation and two pressors. while she was able to wean off of pressors, she ultimately was >20l positive for the hospitalization. on she was started on lasix gtt and diuril for diuresis, but with only minimal accomplishment. the next step to improve her volume status would likely have been cvvh, which were not in line with the patient's goals of care. ms. that if she could not achieve a functional status where she was home and independent, as she was prior to hospitalization, she would not want to continue maximal medical care. it was to her that this goal of independence seemed fairly unlikely. she and her family requested palliative care consult with plans to discuss her discharge and goal to not be rehospitalized. during that meeting, decision was made to move towards comfort measures only and all antibiotics and supportive care were discontinued (she continued only on lasix gtt for comfort). she passed away on with her family at the bedside. medications on admission: amiodarone (per rehab notes, loaded over weekend, now continuing on amiodarone but not noted in med list) cholestyramine 4g daily cyanocobalamin 500mcg once a day insulin humalog sliding scale (on glipizide and januvia at home) ipratropium standing lactobacillus, 2 tabs levalbuterol 0.63mg q12 hrs standing coumadin being held in setting of inr 3.6 on flagyl lopressor 12.5mg tid mirtazapine 7.5mg qhs omerazole 20mg daily vancomycin 250mg qid tylenol 650mg q4hrs prn zofran 4mg q8h prn miconazole dyazide being held at rehab discharge medications: expired discharge disposition: expired discharge diagnosis: clostridium difficile colitis vre bacteremia septic shock discharge condition: expired discharge instructions: expired followup instructions: expired procedure: enteral infusion of concentrated nutritional substances arterial catheterization central venous catheter placement with guidance diagnoses: acidosis urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hyposmolality and/or hyponatremia severe sepsis unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation asthma, unspecified type, unspecified chronic kidney disease, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure septic shock intestinal infection due to clostridium difficile infection with microorganisms without mention of resistance to multiple drugs long-term (current) use of anticoagulants do not resuscitate status other and unspecified infection due to central venous catheter accidents occurring in residential institution streptococcal septicemia other and unspecified coagulation defects 

Answer: The patient is high likely exposed to