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: aspirin / cephalexin / hydromorphone / ativan attending: chief complaint: right sided weakness, ?seizure major surgical or invasive procedure: none history of present illness: mrs. is a 62 year old woman with a history of a left cea one week ago for an asymptomatic 90% stenosis. she was doing well until yesterday afternoon when she had the sudden onset of rt sided weakness and right sided "twitching" both in the arm alone. by report she was responding normally when ems arrived but began to have slurred speech and declining alertness enroute. at osh she had myoclonic jerks of the right arm and was given 5mg valium, 200mg pb, and 1gm pht. she was transferred to , paralyzed and intubated on propofol. overnight she was extubated and noted to be confused and unable to speak. past medical history: hypertension, coronary artery disease with an mi in , angioplasty with stent placement to the right coronary artery in , a second mi in , with a re-stenting of the right coronary artery at that time. social history: +smoker, no hx of etoh or drug use family history: n/c physical exam: general exam: vitals: afebrile bp: 150/70s p: 90s r: 12 gen: obese, distraught head: nc/at, non-icteric, mmm, equal pulses neck: supple, left cea scar, no carotid bruits cv: nl s1, s2 regular ext: no edema nor rashes neurological exam: mental status: awake, alert, and attentive. non fluent aphasia with little comprehension and impaired repetition that fits technical criteria for global aphasia but with more comprehension than usually. tries to repeat but unable. sparse output. perseverative. says "scared" repeatedly. 50% midline commands, <25% axial. cranial nerves: ii. visual fields intact to threat. pupils normal, round and reactive to light, no rapd iii, iv, vi. extraocular movements intact and without nystagmus, v, vii. normal facial sensation. no facial droop. strength full and symmetric. viii. hearing intact to voice bilaterally ix, x, xii. normal oropharyngeal movemement. tongue midline without fasciculations. sternocleidomastoid and trapezius normal bilaterally motor: left side with full strength but motor impersistance. repeatedly extends left arm and hand toward examiner or railing and often lifts left leg in the process. left arm with 4 to 4+/5 range umn weakness, left leg sustained antigravity appears to have either proprioceptive difficulty or motor planning problems. sensory: grossly intact reflexes: tri br pat ach toes l 2 2 2 2 0 down r 3 3 3 3 0 down pertinent results: 01:05pm blood wbc-17.9*# rbc-4.47# hgb-13.7 hct-41.8# mcv-93 mch-30.7 mchc-32.9 rdw-13.0 plt ct-434# 04:45am blood wbc-11.8* rbc-4.15* hgb-12.8 hct-37.7 mcv-91 mch-30.8 mchc-33.9 rdw-13.4 plt ct-353 01:05pm blood pt-13.1 ptt-28.4 inr(pt)-1.1 01:05pm blood glucose-237* urean-12 creat-0.8 na-142 k-3.8 cl-99 hco3-34* angap-13 04:27am blood alt-36 ast-22 ld(ldh)-264* alkphos-97 amylase-69 totbili-0.4 04:27am blood lipase-41 04:27am blood %hba1c-5.8 04:27am blood triglyc-115 hdl-68 chol/hd-2.9 ldlcalc-103 04:45am blood phenyto-11.5 01:05pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg stool: positive for c. dif toxin urine cx: positive for proteus and e. coli brief hospital course: 62 yo s/p endarterectomy last week for 90% stenosis of left ica who presents to the ed after acute right sided weakness followed by accounts of shaking of the rue. she was given large doses of valium, phenobarb, and dilantin at an osh and was intubated in the er for airway protection. was extubated, transfered to floor . head ct showed evidence of subacute left frontal infarct which likely served as the focus for her seizure. cta demonstrated patent cervical and intracranial vasculature. eeg showed intermittent low amplitude sharp activity seen over the left centro-temporal region confirming an area of focal irritability which may have led to her seizure. she was loaded with dilantin and levels were therapeutic at the time of discharge. dilantin will be continued for the next six months. she has remained seizure free during her hospitalization. she was continued on plavix for secondary stroke prevention (has asa allergy). she had a carotid duplex which showed less than 40% stenosis right extracranial internal carotid artery, no significant stenosis was seen in the left extracranial internal carotid artery. echocardiogram was done to r/o cardioembolic source. it showed no cardiac source of embolus. on admission she was noted to have an elevated wbc. she was found to have a uti with cultures positive for both p. mirabilis and e. coli. her stool was also positive for c. diff. she was started on levofloxacin and flagyl and will finish 7 and 14 day courses, respectively, of these antibiotics. vascular surgery evaluated her with regard to her recent cea and felt that she was healing well. her exam improved over the course of her admission, no aphasia, mild right sided weakness and ataxia. she will be discharged with primary care, vascular surgery and neurology follow up appointments. she will also have outpatient pt/ot to improve right ue mobility. medications on admission: protonix xanax 0.5 prn lescol 80 avapro 300 discharge medications: 1. fluvastatin sodium 20 mg capsule sig: four (4) capsule po qd (). disp:*120 capsule(s)* refills:*2* 2. irbesartan 300 mg tablet sig: one (1) tablet po qd (). disp:*30 tablet(s)* refills:*2* 3. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days. disp:*10 tablet(s)* refills:*0* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. fexofenadine hcl 60 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 12 days. disp:*90 tablet(s)* refills:*2* 9. dilantin 100 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*2* 10. dilantin 30 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* 11. occupational therapy sig: one (1) as needed: s/p acute stroke, please do ot to improve right upper extremity function. disp:*1 1* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: 1. seizure 2. stroke -left frontal lobe infarct 3. htn 4. c. diff colitis 5. urinary tract infection-proteus and e. coli discharge condition: stable: right ue weakness and ataxia. discharge instructions: please follow up with dr. next week. please take your medication as directed. you will need to be on dilantin for six months for seizure prevention. you cannot drive for the next six months. you will take two antibiotics: levofloxacin and flagyl. you should take the levofloxacin for 4 more days (to complete 7 days) and the flagyl for 12 more days (to complete 14 days). followup instructions: 1. dr. (. have bloodwork done next week to check dilantin level. the target dilantin level is . please have your blood pressure checked. you will also need a repeat ua and urine culture after you have completed the course of antibiotics. 2. clinic: dr. / dr. . ( time: at 1:00pm. where: bldg 3. outpatient occupational therapy md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: urinary tract infection, site not specified unspecified essential hypertension other convulsions intestinal infection due to clostridium difficile cerebral artery occlusion, unspecified with cerebral infarction iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to