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: weakness major surgical or invasive procedure: l1/2 decompressive lumbar laminectomy intubation tracheostomy egd history of present illness: 69 year old spanish speaking female transferred from rehab facility for evaulation of progressively worsening lower extremity weakness and a constellation of other symptoms. per reports, patient had a questionable cva 3 weeks ago, and at that time, was also reported to have developed bilateral lower extremity weakness. the weakness has progressed to the point where she can no longer walk or move her legs. she also reports pain and numbness to her l leg, as well a as "dullness" to her thoracic/abdominal region. she denies urinary or bowel incontinence, other than her usual stress urinary incontinence, and also denies any saddle anesthesia. past medical history: pmhx: 1. diabetes type ii 2. arthritis 3. cervical spondylosis 4. degenerative disc disease 5. hyperlipidemia social history: social hx: she is spanish speaking only. she is on medical disability. she does not have a history of smoking, etoh, or drugs abuse. family history: family hx: father with diabetes physical exam: physical exam: o: t: 98 bp: 156/68 hr:73 r: 18 o2sats:99% gen: wd/wn, comfortable, nad. heent: normocephalic, atraumatic. pupils: perrla. bilaterally eoms intact extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person and place only. motor: d b t ip q h at g r 4 4 4 0-1 0-1 0-1 0-1 0-1 0-1 l 5 5 5 0-1 0-1 0-1 0-1 0-1 0-1 sensation: patient reports "dullness" to abdominal area without a specific sensory level or dermatomal distrubution deficit. was able to feel anterior pinprick, but describes it as dull. reflexes: pa ac right n/a(knee replacement) 0 left n/a (knee replacement) 0 toes downgoing bilaterally - negative babinski rectal exam normal sphincter control pertinent results: admission labs: . csf analysis: wbc 1, rbc 24, poly 1, lymph 87, mo 0, mac 12 tp 197, glu 77 . vzv: neg hsv: neg oligoclonal bands: neg imaging . mri from hospital, : lumbar spine: l1-l2: there is a focal left paracentral disc protrusion and a broad based right paracentral to extraforaminal disc protrusion, with associated spondylitic ridging. facet arthritis is asymmetrically moderate on the right and mild on the left. there is resultant severe spinal canal stenosis with complete effacement of scf in the thecal sac, and severe foraminal encroachment which is worse on the right.l2-l3: the disc is severely degenerated with bulging of spondylitic ridging and there is moderate facet arthritis, with resultant moderate to severe canal stenosis, severe encroachment of the left neural foramen and moderate right foraminal encroachment.l3-l4, and l4-l5: there is a shallow broad based dorsal disc protrusion and moderate facet arthrisit causing moderate to canal stenosis which is asymmetrically most prominent along the left lateral recess, moderate foraminal encroachment on the right, and severe froaminal encroachment of the left. . cervical mri: motion degraded study showing mild cervical spondylosis. . mri head: results are unavailable brief hospital course: ms. is a 69 year-old woman with a past medical history including obesity, dmii, hyperlipidemia, and cervical spondylosis who was admitted to the with with lower extremity weakness and was found to have stenosis at l1-2 for which she underwent laminectomy; she subsequently developed progressive weakness in the lower extremities, upper extremities, and face and was discovered to have evidence of aidp. she was initially admitted to the neurosurgery service and subsequently transferred to the neurology service. . # neuro: when the patient first presented, she was evaluated by both neurosurgery and neurology, where she was found to have diffuse weakness, r>l, a r sided facial palsy, decreased pinprick to the mid thighs, saddle anesthesia, brisk reflexes in the upper extremities, but no reflexes in her lower extremities. it was suspected that her inability to walk was due to her lumbar stenosis, and that her facial and upper extremity weakness were due to a lacunar stroke, that was too small to pick up on mri. she was initially scheduled to go to the er on for laminectomy, however this was delayed for further work-up. she had a repeat mri with dwi to rule out possible infarction to explain her symptoms, which was negative for infarct. on she went to the or for l1-l2 laminectomy. during surgery on , a csf sample was obtained, which showed an elevated protein of 197, with 1 wbc and 24 rbcs. on , patient complained of increased pain and was observed to have progressive increase in weakness in her upper extremities as well as a bilateral facial droop, r>l. she also increased her requirement for o2 due to dyspnea. she was re-evaluted by neurology, who found her facial weakness to be worse, with complaints of dysarthria, dysphagia, and mild dyspnea. concern was raised for either gbs vs. cidp vs. new stroke affecting her left side. as her respiratory status continued to decline, she was transferred to the icu and intubated. an emg was consistent with the concern for . accordingly, a five-day course of ivig was prescribed. thereafter the patient experienced gradual increases in strength and a return of reflexes, most notable in the left biceps. after transfer to the floor, her strength continued to improve, particularly in her upper extremities. # resp: because of worsening respiratory status, on the patient was transferred to the icu and intubated. on , after completing her course of ivig, she underwent a successful sbt and was extubated. however, shortly after extubation she desaturated and had to be emergently reintubated. ultimately, a tracheostomy was performed. she continued to receive oxygen supplementation via tracheostomy during the remainder of her hospital stay. . # id in the course of the hospitalization, the patient developed a fever. sputum culture demonstrated gram positive cocci in clusters for which iv vancomycin was begun () and subsequently switched to nafcillin after it was determined to be coagualase positive staph sensitive to nafcillin. nafcillin was discontinued after one week. stool was positive for c. difficile toxin for which flagyl was started (). for a concurrent urinary tract infection, ciprofloxacin was initiated () and continued for a ten day course. it was determined that flagyl should be continued for a 14 day course. the last dose of flagyl should be given on . . # gi tube feeds were provided to ensure adequate nutritional intake throughout the hospitalization. initial attempts to place a peg in conjunction with the trach were thwarted as the patient was found to have "concretions" in the esophagus. a follow-up egd demonstrated a clear esophagus, suggesting the concretions had spontaneously passed. as the patient seemed to attain improved attention and motor function following the ivig treatments, the placement of a peg was ultimately delayed with the hope she could begin oral intake. after transfer to the neurology floor, speech and swallow study was attempted but tracheostomy size was too large. on repeat study, she passed to receive ngt diet of ground consistency and nectar prethickend liquids. so that she could receive adequate nutritional support, she had a peg tube placed on . she is on goal tubefeeding of fiber full strength at 60 ml/hr and flush with 30 ml water q4h. also, per repeat swallowing evaluation, she is permitted ground (dysphagia) consistency regular diet and nectar prethickened liquids, but the trach cuff must be deflated while feeding. medications on admission: 1. metformin 500mg daily 2. tylenol prn 3. vitamin d 4. asa 81mg daily discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation: please give via peg. 2. glycerin (adult) suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): please give via peg. 5. docusate sodium 50 mg/5 ml liquid sig: 100 mg po bid (2 times a day) as needed for constipation: give via peg. 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: please give via peg. 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep : please give via peg. 8. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for dysesthetic leg pain: please give via peg. 9. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 10. lorazepam 0.5-1 mg iv q8h:prn anxiety 11. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 12. metronidazole (flagyl) 500 mg iv q8h 13. insulin regular human 100 unit/ml solution sig: as dir units injection four times a day: sliding scale. discharge disposition: extended care facility: & rehab center - discharge diagnosis: acute idiopathic demyelinating polyneuropathy ( syndrome) discharge condition: stable condition with trach. neurologic exam notable for paraparesis with limited movement at proximal legs and none distally; moderate weakness of ues but at least antigravity. discharge instructions: you were transferred to for evaulation of progressively worsening lower extremity weakness. you underwent neurosurgery for a procedure called a laminectomy. following diagnosis of syndrome, you were treated with ivig. you are currently begin treated with flagyl for a 14 day course for a previously postive c. diff toxin. repeat c. diff toxin in negative. the last day of treatment with flagyl will be on . with improving examination, you are now ready for transfer back to for continued rehabilitation. followup instructions: you will be contact by dr. and dr. office to schedule a follow-up appointment. . please call to schedule an appointment with dr. of neurosurgery to be seen in 6 weeks for follow-up after laminectomy. you will not need xrays prior to your appointment procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung other endoscopy of small intestine other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] other exploration and decompression of spinal canal temporary tracheostomy injection or infusion of immunoglobulin diagnoses: pneumonia, organism unspecified esophageal reflux urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified other and unspecified hyperlipidemia bacteremia cellulitis and abscess of upper arm and forearm intestinal infection due to clostridium difficile other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoarthrosis, unspecified whether generalized or localized, site unspecified paralytic ileus obesity, unspecified other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of superficial veins of upper extremities knee joint replacement foreign body accidentally entering other orifice disruption of external operation (surgical) wound acute infective polyneuritis staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified cervical spondylosis without myelopathy spinal stenosis, lumbar region, without neurogenic claudication other cataract foreign body in stomach 

Answer: The patient is high likely exposed to