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: history of present illness: the patient is an 87-year-old female with a past medical history significant for atrial fibrillation and status post a stroke in , who presented status post fall from her wheelchair. the patient is status post a stroke in . she developed bilateral weakness (right greater than left) and aphagia. the patient had a prolonged hospital course complicated by pneumonia and recurrent urinary tract infections. she is incontinent of urine and feces and has an indwelling foley catheter. currently, her left side has recovered some function from the stroke in , the patient is left with residual right-sided paralysis and some speech difficulties. on (on the day prior to admission), the patient was being wheeled by her granddaughter down a ramp and fell out of her wheelchair. she rolled onto her neck. it was a mild fall; per her granddaughter. the patient denies loss of consciousness or a change in mental status. she did have persistent neck pain following the fall. she was taken to where she was noted to have full range of motion in her neck. however, she was transferred to the after a computed tomography scan showed a c2 fracture. in the emergency department, at , she was noted to have elevated creatine kinase levels and troponin levels with a troponin level of 1.02 and a ck/mb level of 19. she was seen by cardiology who felt no intervention was needed at this time. the patient was already anticoagulated on coumadin due to her history of atrial fibrillation. she was also on a beta blocker and aspirin. in addition, the patient also aspirated in the ambulance on the way to . she underwent a computed tomography scan which showed an oblique fracture involving the body of c2. the lamina of c2 on the right was fractured. a computed tomography scan of the head showed no acute intracranial hemorrhage of mass effect. there was a large left frontal scalpel hematoma. there were remote old infarctions identified. there was a calcified meningioma at the left posterior fossae. past medical history: 1. atrial fibrillation with an ejection fraction of approximately 20%. 2. breast cancer; status post mastectomy in . 3. colon cancer; status post hemicolectomy in . 4. status post radiation therapy for a bone lesion in . medications on admission: celexa, lactulose, atenolol, lisinopril, digoxin, coumadin, and glyburide. allergies: sulfa. social history: the patient denies alcohol or recent tobacco use. she lives with her granddaughter who provides day-to-day care. family history: no history of malignancy or coronary artery disease. physical examination on presentation: physical examination revealed head, eyes, ears, nose, and throat with dry mucous membranes. pupils were equal, round, and reactive to light. extraocular movements were intact. the chest examination revealed the lungs were clear to auscultation bilaterally. cardiovascular examination revealed a regular rate and rhythm. no murmurs, rubs, or gallops appreciated on examination. the abdomen was obese, soft, nontender, and nondistended. extremity examination revealed no clubbing or cyanosis. there was 1+ edema in the legs bilaterally and 1+ edema in the hands bilaterally. neurologic examination revealed the patient was minimally responsive. her strength was in her right hand and 3+/5 in her left arm and left leg. the patient was unable to move her right leg. per granddaughter, this was unchanged from her baseline. pertinent laboratory values on presentation: the patient's white blood cell count was 18.6, her hematocrit was 36.9, and her platelets were 365. her prothrombin time was 22.4, her partial thromboplastin time was 31.4, and her inr was 3.3. chemistry-7 revealed her sodium was 142, potassium was 3.8, chloride was 107, bicarbonate was 20, blood urea nitrogen was 19, creatinine was 0.7, and blood glucose was 247. her ck/mb was 19, mb index was 14.1, and her troponin i was 102. her digoxin level was 0.8. pertinent radiology/imaging: a computed tomography of the head and neck as described above; oblique fracture involving the body of c2. a magnetic resonance imaging of the head revealed multiple old infarctions involving the brain stem, the right cerebral peduncle, internal capsule on the right side, and the left occipital lobe. possible new infarction in the right cerebellar hemisphere. an echocardiogram revealed left ventricular cavity was dilated, ejection fraction of 20% to 30%, apical hypokinesis, ascending aorta dilated, moderate aortic regurgitation, and moderate pulmonary artery hypertension. concise summary of hospital course: the patient was admitted to the medicine . she was seen by the neurosurgery service who recommended a hard collar for the patient's c2 fracture. the patient's family did not want any surgical intervention to be done to repair her c2 fracture. it was unclear whether or not the patient would have been a candidate for surgery. the patient was placed in a hard collar which was then switched to an aspen hard collar. the patient was started on heparin for her elevated creatine kinase and troponin levels. warfarin was held. she was continued on her beta blocker, ace inhibitor, and aspirin. she was also started on levofloxacin for her history of recent aspiration and her history of urinary tract infections. flagyl was then added to her regimen. over the next several days the patient's cardiac enzymes trended down; however, her inr rose in the setting of being started on levofloxacin and flagyl. at this time she was not taking coumadin. her inr reached a high of 6.7; at which time she was reversed with 10 , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: subendocardial infarction, initial episode of care mitral valve disorders urinary tract infection, site not specified hyposmolality and/or hyponatremia atrial fibrillation acute respiratory failure pneumonitis due to inhalation of food or vomitus closed fracture of second cervical vertebra 

Answer: The patient is high likely exposed to