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: tape ii disposable liner adhes / ciprofloxacin / glyburide attending: chief complaint: mental status changes major surgical or invasive procedure: s/p thrombectomy of av fistula tunneled catheter placement history of present illness: ms is a 81 yo female speaking only with history of esrd on hemodialysis, chf, cad / cabg, stroke (broca's aphasia) admitted s/p complicated thrombectomy of av fistula on . she was also recently hospitalized at from for gi bleed and mental status changes but she refused further workup. she is known to have a large rectal mass which she also refuses any workup. during this admission, she was admitted for observation post procedure wheh she became unresponsive with complete right sided hemiparesis, and her blood glucose was found to 54. given 1 amp of d50 with slow resolution of symptoms. she had a head ct that was unchanged from prior and was also seen by the neuro team who thought this was secondary to hypoglycemia. she was admitted to the icu for closer monitoring and started on a d50 drip. her symptoms resolved, and her blood sugars had been running in the 150s. she is currently of her d50 drip, and her mental status is back to baseline. she also was transfused with 2u prbc but of note, overnight, she pulled her temporary line. she had a r ij permanent catheter placed in the or on monday . also found to be c diff positive and currently on flagyl past medical history: 1) cad: s/p nstemi, cabg x 3v, , course c/b by stroke with aphasia and right hemiparesis, with eventual regain of function. 2) esrd: hemodialysis on t,th,sat, through left arm av graft 3) h/o gi bleeding 4) gout 5) anemia 6) htn 7) hypercholesterolemia 8) dm2 9) stoke in left posterior frontal area 10) chf: ef 30-40% 11) depression 12) colon polyps 13) hemorrhoids 14) hyperhomocysteinemia social history: -born. moved to us in . lives alone at . no children. is the health care proxy; no history etoh or tobacco. (cousin) lena () val (son) family history: non-contributory. physical exam: vs: t 98.4, p 72, bp 98/60, rr 12, o2 sat 97% on room air gen: comfortable, lying in bed, nad heent: perrla, eomi neck: supple, no jvd noted lungs: cta bilateral anteriorly heart: irregularly irregular, no murmurs, rubs, gallops appreciated abd: soft, non distended, non tender, no hsm extrem: no edema, cyanosis, clubbing pertinent results: 03:46am blood wbc-19.0* rbc-4.01*# hgb-12.0# hct-35.2*# mcv-88 mch-30.0 mchc-34.2 rdw-16.3* plt ct-340 03:46am blood plt ct-340 03:46am blood glucose-103 urean-55* creat-7.4* na-131* k-4.7 cl-95* hco3-22 angap-19 03:46am blood calcium-8.2* phos-4.7* mg-2.3 iron-89 brief hospital course: 81 yo speaking female who is being transferred from the icu after presenting there with ms changes secondary to hypoglycemia in the setting of her glyburide. 1. ms changes - she experienced these changes most likely due re expression of prior stroke in the setting of hypoglycemia given neuro exam unremarkable, and head ct was unchanged. she was seen by the neurology team who thought this was from hypoglycemia, and once her sugars improved back to baseline, her ms improved back to baseline as well. 2. hypoglycemia - likely secondary to glyburide in hemodiaylsis patient as glyburide is contraindicated for patients with a creat clearance of less than 40. during her hospital course, her fingerstick remained in the low 100s and so we decided to hold off on all oral hypoglycemiscs and cover her with regular sliding scale insulin. please see attached sheet in d/c paperwork for details of covering for insulin. 3. anemia - she most likely has anemia secondary to anemia of chronic disease given renal failure. she was transfused with 2u prbc and her hct remained stable during the rest of the hospital course. 4. renal - she has known esrd and is currently on hemodialysis on tu, , sat. had tunneled catheter placed in the or on and it was used for dialysis during her tuesday session. 5. cardiology - she has significant cardiac history but no active issues at this time. we decided to continue on all her outpatient regimen. also has history of atrial fibrillation for which we are rate controlling and holding off of anticoagulation given history of gi bleed 6. id - she had some leukocytosis and diarrhea and was found to be c diff positive. she is being treated with flagyl 500mg po bid for a total of 2 weeks from discharge. 7. code - dnr/dni medications on admission: captopril 100mg po tid protonix 40mg po daily lopressor 25mg po tid clonidine 0.1mg po bid isosorbide 20mg po tid aspirin 81mg po daily colace 100mg po bid nephrocaps percocet prn hydralazine 10mg po q6 discharge medications: 1. clonidine hcl 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 2. isosorbide dinitrate 20 mg tablet sig: one (1) tablet po tid (3 times a day). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. captopril 25 mg tablet sig: four (4) tablet po tid (3 times a day). 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for diarrhea. 8. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 10. insulin regular human 100 unit/ml solution sig: one (1) unit injection asdir (as directed): please give insulin as per sliding scale attached with discharge paperwork. 11. metronidazole 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 14 days. discharge disposition: extended care facility: - discharge diagnosis: 1. hypoglycemia 2. end stage renal disease 3. coronary artery disease 4. hypertension discharge condition: stable discharge instructions: please take all your medications as directed. please follow up with your primary care physician weeks. please check fingersticks three times a day and cover with regular sliding scale as shown in the discharge paperwork. followup instructions: please take all your medications as directed. please follow up with your primary care physician weeks md procedure: hemodialysis venous catheterization for renal dialysis transfusion of packed cells revision of arteriovenous shunt for renal dialysis revision of arteriovenous shunt for renal dialysis diagnoses: anemia in chronic kidney disease pure hypercholesterolemia congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified gout, unspecified atrial fibrillation aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled intestinal infection due to clostridium difficile other complications due to renal dialysis device, implant, and graft 

Answer: The patient is high likely exposed to