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: patient recorded as having no known allergies to drugs attending: chief complaint: transfer from osh for continued management of cdiff major surgical or invasive procedure: picc placement x3 tpn foley placement ng tube placement history of present illness: 78 yo f with pmhx of anxiety, chronic pain, and baseline memory problems that who is being transferred from hospital for continued management of cdiff collitis. entire history obtained from daughter and records from osh. her mental status is important. her baseline is functionally independent of adls and idls and lived alone. however she has been treated for dementia, daughter says this was never confirmed and she took her off aricept after 2 months of memory not improving. in summary, patient was admitted to for the first for concern over profuse diaphoresis treated with iv levaquin and discharged on ciprofloxacin for uti (culture negative per dtr) which was subsequently stopped by daughter the day after discharge. on friday patient was found wandering with keys in hands confused, outside in cold. dtr was called and she was put back in bed. she takes a lot of pain medications at baseline and dtr was concerned that she took to many but this was not true. the next morning, patient was found sitting in couch in her own feces still confused. family brought her to the ed on . at the osh, they found her to be cdiff positive and started her on po vanc and iv flagyl with lactobacillus. she clearly was not mentally at baseline, aaox1 and periodically agitated. she had a head mri that showed 2 small parieta and occiptial cvas per dtr. lp was performed and negative for meningitis. hospital course was complicated by bandemia, sinus tachycardia, delirium, hypoalbumenia, and thrombocytopenia with concern of septic physiology. she received 12 u of platelets. she was also found to have a vre uti. for her cdiff, surgery and gi was consulted. gi did a flex that showed pseudomembranous colitis with some healthy bowels. ct scan showed pancolitis. surgery suggested a total colectomy but no evidence of pneumatosis was seen. no evidence of toxic megacolon or ischemic bowel by sigmoidoscopy and surgery was held off. for a day or so patient was treated with ceftazidine but bandemia worsened and it was held off. last stool culture negative for cdiff but positive for albicans. she had a picc placed and was received tpn. delirium was bad that she would try to get out of bed and required a zipper-incased bed for restraints. she was r/o for pe by cta. currently, patient reported thirst and fatigue but denied fever, chills or abdominal pain. she did seem aggitated and wanted to be "left alone." past medical history: djd overactive ladder hearing loss chronic back pain extreme anxiety depression cataract surgery benign breast surgery fusion of right ankle memory problems social history: patient lived alone independently prior to admission family history: nc physical exam: vitals - general: confused appearing woman in no acute distress heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. neck supple, no lad, no thyromegaly, no jvd cardiac: regular rhythm, fast rate. normal s1, s2. no murmurs, rubs or . lungs: bibasilar crackles abdomen: nontender or distended, bs present. no hsm extremities: edema in all limbs. l picc line in place. no calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: diffuse petechiae over lower extremities neuro: a&ox3 intermittently. cn ii-xii grossly intact. preserved sensation throughout. + reflexes, equal bl. psych: listens and responds to questions appropriately, pleasant pertinent results: 10:30pm type-art po2-64* pco2-29* ph-7.45 total co2-21 base xs--1 10:30pm glucose-101 lactate-1.6 na+-134* k+-4.1 cl--106 10:30pm freeca-1.14 10:25pm glucose-96 urea n-23* creat-0.6 sodium-138 potassium-4.3 chloride-110* total co2-20* anion gap-12 10:25pm estgfr-using this 10:25pm alt(sgpt)-20 ast(sgot)-35 ld(ldh)-397* alk phos-111 amylase-52 tot bili-0.3 10:25pm lipase-35 10:25pm albumin-2.0* calcium-7.4* phosphate-3.6 magnesium-2.0 10:25pm d-dimer-* 10:25pm wbc-11.6* rbc-4.03* hgb-12.4 hct-35.9* mcv-89 mch-30.8 mchc-34.5 rdw-16.7* 10:25pm neuts-85.1* lymphs-9.4* monos-4.2 eos-0.2 basos-1.0 10:25pm plt count-113* 10:25pm pt-15.0* ptt-39.2* inr(pt)-1.3* 10:25pm fibrinoge-385 d-dimer-as of 08:30pm urine color-amber appear-hazy sp -1.033 08:30pm urine blood-lg nitrite-pos protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-tr 08:30pm urine rbc-* wbc-* bacteria-many yeast-few epi-0 . stool ova + parasites-final inpatient urine urine culture-final {enterococcus sp., yeast} inpatient stool ova + parasites-final inpatient blood culture blood culture, routine-final inpatient blood culture blood culture, routine-final inpatient immunology (cmv) cmv viral load-final inpatient blood (cmv ab) cmv igg antibody-final; cmv igm antibody-final inpatient blood culture blood culture, routine-final inpatient stool fecal culture-final; campylobacter culture-final; ova + parasites-final; clostridium difficile toxin a & b test-final inpatient urine urine culture-final {enterococcus sp., yeast} inpatient blood culture blood culture, routine-final inpatient . kub findings: substantial dilatation is seen involving predominantly colon.however, there is some small bowel dilatation as well. the appearance is difficult to assess on plain radiographs and ct would be necessary for more accurate evaluation of the situation within the abdomen. . kub:impression: gastric distension which may be related to air swallowing. slightinterval decrease in colonic distention without thumbprinting or mucosal wall thickening. no free air. . 1/26/09rue u/simpression: focal, non-occlusive thrombus around the right picc in the axillary vein. thrombus does not extend proximally or distally. the subclavian and brachial veins are clear. echo impression: suboptimal image quality. dilated left ventricular cavity and regional left ventricular systolic dysfunction consistent with coronary artery disease. at least moderate aortic regurgitation (may be underestimated due to tachycardia and frequent ectopy). mild to moderate mitral regurgitation. lue u/s impression: patent left-sided vessels surrounding left picc. no evidence of left upper extremity dvt. left basilic and cephalic veins not identified. clostridium difficile toxin a & b test (final ): feces negative for c.difficile toxin a & b by eia. 7:50 am blood culture ( myco/f lytic bottle) source: venipuncture. blood/fungal culture (preliminary): no fungus isolated. blood/afb culture (preliminary): no mycobacteria isolated brief hospital course: 78 yo f with pmhx of anxiety, chronic pain, and baseline memory problems that who was transferred from hospital for continued management of cdiff collitis. #c. diff colitis: cdiff positive from osh with pseudomembranes and pan colitis, treated at osh. left shift upon transfer concerning for active infection with sustained tachycardia concerning for septic physiology. her vital signs stabilized over the first few hospital days but she was always mildy tachycardia. her abd remained distended and serial kubs/abd exam were performed. surgery was consulted for concern over need for colectomy. however, they felt that will conservative management she would improved. given po vanc 250mg po q6h, flagyl 500mg iv q8 with id following. this was continued until . repeat bcx, stool cxs for cdiff, culture, and o+p were negative. #delirium: likely from underlying infection superimposed on patient with mild dementia. improved 3 days into hospitalization. per family she was at her baseline. she was frequently reoriented, bed alarm with restraints for safety, treat underlying infx as above. the patient's status then worsened and prompted an micu transfer. following treatment for hypoxia, gastic distention her mental status has improved, alert and oriented at most times. she was maintained on haldol 1.5mg po qhs with great success. geriatrics was consulted and recommended foley removal and reorientation to help her delerium. if she becomes agitated, please try 0.5mg po haldol. avoid centrally acting agents and avoid benzodiazepines. #hypoxia: the patient developed dyspnea and hypoxia secondary to fluid overload and pulmonary edema. she was started on oxygen by nasal cannula and given lasix for diuresis. after 2 days of multiliter diuresis not resulting in improved respiratory status she was transferred to the micu. the pt developed a mucus plug of l main bronchus leading to lung collapse. with aggressive pulm pt this resolved. pt continued on diuresis with lasix 20mg iv bid. she was diuresed with lasix 20mg iv daily with great resolution. on transfer she does not require oxygen but will continue with lasix 40mg po qday (or 20mg iv as needed). need potassium & magnesium repletion. # hypothyroidism. the patient was found to be hypothyroid with tsh >25. levothyroxine 50mcg started. please follow tfts on . # urinary retention: patient developed urinary retention secondary to likely bladder wall weakness and relative immobility. a foley was left in place at the time of transfer with a goal for physical therapy mobilization and foley "training" (clamp for 3 hours on then free flow for 3 hours) with a goal of removing her foley. # gastric distention: unclear etiology, most likely ileus. resolved with ng suction. #?vre uti: reported from osh, not on treatment at first because there was concern that treating would worsen uti. repeat ua, ucx showed vre uti and yeast and patient having problems with urinary retention. treated with 3 days of daptomycin. #rue dvt: likely to picc, r picc removed, l picc reinserted, continued hep gtt until therapeutic on coumadin. current dosing is 2.5-3mg to maintain inr of . her anticoagulation is due to end on . #mild hemoptysis: pt developed mild hemoptysis vs hematemasis. t+s active, hd stable, hep gtt stopped as coumadin was therapeutic. hematocrit remained stable and patient did not have repeat incidents. #depression: often patient was tearful and uncomfortable, duloxetine is to be weaned as directed in her discharge plan as it may be a cause of urinary retention and/or delerium. #malnutrition: pt's albumin was 2.0 on admission. tpn was continued. she became very edematous and lethargic as a result. an ng tube was placed to decompress her stomach but she was transferred to the micu before tube feeds could be initiated. the patient was advanced over her hospitalization from npo to a regular diet with supplemental tpn which she still requires at discharge. she did require ng decompression of her stomach for diet advancement to continue. our goal is to have her off of tpn within 2 weeks of dischare as she is able to tolerate. she should have boost or ensure supplements 3-6 per day. #thrombocytopenia: lfts, coags normal at osh not looking to be in dic. concering for hit. s/p 12 plt transfusion at osh, with petechia on legs. repeat dic labs. likely to septic physiology. plts improved with hydration and continued antibiotics. hit antibody negative. #tachy-brady syndrome: she has episodes of tachycardia to the 120-130 range alternating with bradycardia to the 30s. all of this arrhythmia is asymptomatic. she was evaluating by the electrophysiologist/cardiologist who felt that at some point in the future she may require a pacemaker but currently given she is asymptomatic tihs should just be watched. she is on a low dose metoprolol and this should not be uptitrated. # fen: regular diet but low salt. fluid restriction of 1.2l per day. supplements as above. # ppx: on coumadin currently. bowel reg. ppi # code: full medications on admission: xanax 0.25mg neurontin 300mg po tid methadone 10mg tid ms contin 30mg cymbalta 50mg qday vesicare-stopped aricept-stopped trazodone 50mg qhs medications upon transfer: tylenol prn albuterol nebs xanax 0.25mg prn and 0.25mg po bid tpn desoximetasone topical cymbalta 50mg qday lactobacillus ativan 0.5mg iv q6prn methadone 5mg po tid methadone 10mg po q4hr prn pain metoprolol 12.5mg po bid flagyl 500mg iv q6h zofran 4mg iv q6prn nausea vanc 500mg po q6h . discharge medications: 1. miconazole nitrate 2 % powder : one (1) appl topical tid (3 times a day) as needed. 2. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 3. sodium chloride 0.65 % aerosol, spray : sprays nasal qid (4 times a day) as needed for dry nose. 4. levothyroxine 50 mcg tablet : one (1) tablet po daily (daily). 5. haloperidol 0.5 mg tablet : one (1) tablet po hs (at bedtime) as needed for agitation. 6. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 7. duloxetine 30 mg capsule, delayed release(e.c.) : one (1) capsule, delayed release(e.c.) po daily (daily): please taper, please take 30mg for 5 more days, then take 20mg for 5 days, then 10mg for 5 days and then stop medication. 8. warfarin 2.5 mg tablet : one (1) tablet po once daily at 4 pm: goal inr . 9. lisinopril 5 mg tablet : one (1) tablet po daily (daily). 10. heparin, porcine (pf) 10 unit/ml syringe : asdir ml intravenous prn (as needed) as needed for line flush. 11. picc line care picc line care per protocol 12. labs please check inr on and adjust coumadin as needed for goal inr . 13. labs please check thyroid function tsh, free t4 on and adjust levothyroxine as needed. 14. tpn please see attached sheet. tpn (providing 800 kcal) tpn volume 1000 amino acid(g/d) 70 dextrose(g/d) 150 fat(g/d) 0 kcal/day trace elements will be added daily standard adult multivitamins nacl 70 naac 0 napo4 10 kcl 95 kac 0 kpo4 40 mgs04 10 cagluc 10 total volume of solution per 24 hours. rate of continous infusion determined by pharmacy-see label 15. furosemide 40 mg tablet : one (1) tablet po once a day. 16. metoprolol tartrate 25 mg tablet : 0.5 tablet po q12 (). 17. labs please check cbc and bun/cr every 3-4 days. discharge disposition: extended care facility: hospital- discharge diagnosis: primary: clostridium difficle infection acute on chronic systolic heart failure urinary tract infection -vre urinary retention coronary artery disease s/p mi tachy-brady syndrome cvc upper extremity dvt - warfarin x 1 month, then stop delirium malnutrition hypothyroidism discharge condition: demented at baseline with waxing/ delirium. continued urinary retention requiring a foley placement. vital signs stable and tolerating po but requiring tpn supplementation. discharge instructions: you were transferred from another hospital because of a severe diarrhea infection with c.difficle. we continued you on antibiotics for your infection. the infectious disease doctors and the followed you and helped to guide your care. you were started on antibiotics to treat the infectious diarrhea and you finished the course while you were here. please take all medicines as directed as there have been many changes. duloxetine: please taper off over 2 weeks as directed so that she is off duloxetine by the end of . please continue to monitor & dose warfarin for 1 month ending . she will need an inr check on . please check cbc and bun/cr every 3-4 days. please check thyroid function tests on and adjust levothyroxine as needed. you are on tpn for supplemental nutrition. please see attached sheet for tpn. you should continue this for at least one more week as your oral diet builds up. from you will be going to a long term acute care facility. you should not be given any central acting medications. no ambien or benzodiazepines should be given. if something is needed for sleep, please use trazadone 25mg at night. if agitated at night, please use haldol 0.5mg po x1. please given boost or ensure supplements x per day. if you develop chest pain, shortness of breath, cough, fever/chills, dizziness, nausea/vomiting, worsening abdominal pain or diarrhea, please call your doctor or go to your local emergency room. followup instructions: please make an appointment to see dr. within 1 month of discharge at or as recommended by your doctor's at whitier. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of indwelling urinary catheter diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified unspecified protein-calorie malnutrition unspecified acquired hypothyroidism depressive disorder, not elsewhere classified anxiety state, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure intestinal infection due to clostridium difficile old myocardial infarction osteoarthrosis, unspecified whether generalized or localized, site unspecified paralytic ileus sinoatrial node dysfunction pulmonary congestion and hypostasis acute on chronic systolic heart failure other complications due to other internal prosthetic device, implant, and graft delirium due to conditions classified elsewhere other respiratory abnormalities other specified retention of urine arterial embolism and thrombosis of upper extremity 

Answer: The patient is high likely exposed to