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: celebrex attending: chief complaint: fever major surgical or invasive procedure: none history of present illness: ms. is an 89yo woman with dementia, recent cdiff infection () treated with po vanco (ended last week, diarrhea began again 2d ago), recent uti with coag negative staph (levo resistant). on her daughter noticed increased delirium, although no fever, and called her pcp. purchased an otc home urine test kit and diagnosed uti for which her pcp called in bactrim x 3d. despite 2d of antibiotics, she was febrile today to 101 so her daughter brought her in to the er for treatment. she continued to be delirius, not sleeping at night and instead calling out for her deceased husband. she has had a decreased appetite. her daughter noticed a great deal of stool output in her diaper that was "yellow and smelled like her c diff again." past medical history: 1. cholecystitis and choledocholithiasis complicated by bile duct perforation in '. 2. dvt, pe treated with ivc filter . 3. gi bleeding secondary to perforated bile duct 4. hypertension. 5. right total knee arthroplasty approximately seven years ago. 6. either a femur fracture or a suprapatellar fracture of the right side approximately five years ago. 7. s/p tah/bso 8. glaucoma, s/p cataract surgery b/l. 9. history of hemorrhoids. 10. dementia --not clear etiology. 11. vre-bacteremia in urine 12. appendectomy 13. breast lumpectomy social history: widowed. lives with son and daughter-in-law. 5 children. no tobacco, previously drank red wine (a quart a day per her daughter-in-law),but not recently; uses a wheelchair to ambulate however no h/o falls. family history: m died of breast ca at 101. f died of mi in 70s. pt has extensive family with 7 siblings. physical exam: 96.7, 111, 129/90, 16, 97% on 3lnc gen: nad, pleasantly confused, follows commands, oriented x 2, year is heent: mm moist, cor: irreg, tachy, no murmur pulm: cta r, mild crackles at l base abd: sfot, nt, nd, +bs ext: 2+ edema over shins bilaterally, w/w/p neuro moves all 4, 5/5 strength lle, 4.5/5 in rle, bilateral grips pertinent results: notable for wbc 5.8 but 26% bands, on repeat 37% bands. creatinine 0.9. hct 33.6. lactate 3.4-->3.6-->1.7 after 1.25l. . ua pos nitrites, sm leuk esterase, >50 wbc, 25 epithelials. repeat shows wbc, neg nitrities, sm leuk. . bcx pending, stool c diff toxin pending. . studies: cxr: no evidence for pneumonia. hiatal hernia. brief hospital course: 89yo woman with recent c diff infection, h/o vre utis, presents with uti, febrile on bactrim, hypotension, elevated lactate and 26 bands. in ed, she was found to have a positive ua, lactate 3.4->3.6->1.7->1.1 after 3l ivf, bp 86/50 initially, which resolved to sbp 96-100s in the ed on its own. a r ij central line was placed. she was slated to go to a regular floor bed but then on recheck sbp was 86 so she was changed to an icu bed request. since then bp has remained in the 100s-110s. cxr was unremarkable, blood and stool cultures were sent (including for cdiff) and she was given levo/flagyl. unfortunately, urine culture was not sent prior to antibiotics being given. she was given potassium repletion. she was admitted to the icu for further treatment. . on arrival to the icu the patient denies cp, sob, dysuria or pain on urination, abdominal pain. she reports feeling cold and thirsty. she can state her name and knows we are "in a hospital" but is otherwise confused. however, this was noted later to be her usual state (she says she is "in a hospital" when at home with her daughter). . she was called out to the floor as she remained normotensive without pressors overnight. her r ij was accidentally removed on transfer, and a peripheral line was placed. on arrival to the floor she was pleasantly confused, and denied any complaints: no cp, sob, palp, abdominal pain, gi or gu complaints. . # sepsis secondary to ?uti/cdiff: pt has fever, 26% bands, infectious source c/w sepsis physiology. cdiff was found positive in one of two stool samples sent, and was treated with flagyl. for suspected uti, pt was given levo in the ed and was started on empirically for having a h/o vre and most recently in having levo-resistant coag negative staph uti. the urine culture did not grow vre, and pt was taken off and levo was chaged to cipro. . diarrhea resolved over the course of hospital stay. on day of discharge pt was tolerating regular diet without loose stools. pt was discharged home with po abx regimen of flagyl for treatment of cdiff that covered her 14d beyond the cipro for uti. . cxr negative and no respiratory symptoms. lactate seems to have responded well to fluid resuscitation, normalizing before arrival to the icu. . # h/o htn: metoprolol was held at the beginning of hospitalization given hypotension and picture of sepsis with intention of restarting as needed. once hypotension resolved, her bps remained in good range while hospitalized, thus metoprolol was held throughout her stay. she was discharged off of metoprolol with follow up with dr. , her pcp, bp follow up to reinitiate her bp meds as needed. . # anemia: there was a drop in hct from 33->26 which was likely secondary to dilution given this was after 3l of ns. morevoer, all three cell lines were diluted on cbc. there was no obvious source of blood loss and hct was followed on a daily basis, which remained stable in the high 20s-low 30s. medications on admission: * asa 81mg po qday * metoprolol 25mg * bactrim ds x 3 days (took two pills only) * ativan prn however hasn't taken this in months, then took once yest discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 3. metronidazole 500 mg tablet sig: one (1) tablet po three times a day for 19 days. disp:*57 tablet(s)* refills:*0* 4. ativan 0.5 mg tablet sig: one (1) tablet po once a day as needed. discharge disposition: home discharge diagnosis: urinary tract infection cdiff discharge condition: good discharge instructions: please call your doctor if you have any diarrhea, nausea/vomiting, fever>101, chills, burning/pain on urination, mental status change, or any other concerns that worry you. please complete your course of anitbiotics as prescribed. even if you feel better, please finish all pills. please continue with all your medications, except metoprolol, prior to admission. followup instructions: please call your primary care physician to schedule an appointment as needed: pcp: , . . she will continue to hold telephone appointments with you. procedure: venous catheterization, not elsewhere classified diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified septicemia sepsis other persistent mental disorders due to conditions classified elsewhere intestinal infection due to clostridium difficile 

Answer: The patient is high likely exposed to