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: sulfa (sulfonamide antibiotics) attending: chief complaint: etoh withdrawal seizure, c. diff diarrhea major surgical or invasive procedure: intubated prior to hospital transfer. history of present illness: the patient is a 61-year-old woman with a history of alcoholism, alcoholic withdrawal, and possible seiziure disorder and on keppra. the patient reports to her pcp in the setting of recent increase in alcohol use, although her tox screens have evidently been negative for alcohol and it is unknown when her last drink was. the patient had an episode of tremulousness and a staring episode at her pcp's office, for which she was transferred to hospital. at hospital, she experienced a generalized seizure for approximately 20 minutes, for which she was given versed, ativan, magnesium. the patient was intubated and given some ativan and midazolam. she has been on propofol for sedation since. the hospital non-contrast head ct was negative for acute intracranial process. the patient received 1g keppra. . in the ed, the patient's initial neurological exam was nonfocal. neurology was consulted. an eeg was obtained which showed no status and changes consistent with her propofol sedation. the patient spiked a temperature of 102 in the ed and received acetaminophen. an lp was then obtained, along with a non-contrast head ct. she was also started on 2g ceftriaxone for possible meningitis. the patient's potassium, calcium, and magnesium were all replenished. her ng tube was advanced. the patient is currentl sedated with a propofol drip. . on arrival to the micu, the patient is sedated on propofol and intubated. she appears to be quite cachectic. her heart rate is in the 80s, blood pressure systolic low 100s, diastolic low 60s. past medical history: copd etoh dependence and history of withdrawal seizures c. diff colitis cad diverticulitis social history: - tobacco: at least 2 packs per day - alcohol: "as much as i can get" - illicits: denies has boyfriend of 10years who she lives with in ?. family history: noncontributory physical exam: admission exam: general: intubated, sedated, cachectic heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, no lad, right ej iv in place cv: s1, s2, no murmurs auscultated lungs: clear to auscultation anteriorly abdomen: soft, non-tender, non-distended, bowel sounds present, midline scare running vertically from umbilicus ext: warm, well perfused, 2+ pulses, no edema neuro: perrl, but left pupil less brisk in response to right. discharge exam: vs: 96.5, 140/96, 65, 20, 95%ra i/o: none recorded. general: cachectic, sitting on edge of bed in nad, breathing comfortably on ra heent: sclera anicteric, dry mm, op clear, poor dentition neck: supple cv: rrr, s1/s2nml, no murmurs/rubs/gallops lungs: clear to auscultation bilaterally, no wheezes, rhonchi, rales abdomen: thin, soft, non-tender, non-distended, +bs, midline scare running vertically from umbilicus ext: cachectic, warm, well perfused, 2+ pulses, no edema neuro: cranial nerves grossly intact, 5/5 strength throughout, sensation to light touch intact throughout. relatively stable walking around without any aid pertinent results: admission labs: 05:25pm blood wbc-10.7 rbc-3.39* hgb-11.6* hct-33.4* mcv-98 mch-34.1* mchc-34.7 rdw-13.0 plt ct-127* 05:25pm blood neuts-86.3* lymphs-9.7* monos-3.1 eos-0.7 baso-0.2 05:25pm blood pt-9.8 ptt-22.7* inr(pt)-0.9 05:25pm blood glucose-85 urean-9 creat-0.4 na-142 k-3.0* cl-117* hco3-20* angap-8 05:25pm blood ck(cpk)-34 05:25pm blood calcium-6.0* phos-2.3* mg-1.5* 05:25pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 05:25pm blood osmolal-286 05:48pm blood type-art tidal v-400 fio2-40 po2-181* pco2-33* ph-7.45 caltco2-24 base xs-0 -assist/con 10:19pm blood lactate-0.9 depression labs: 07:00am blood vitb12-1260* 07:00am blood tsh-0.78 rpr negative microbiology: lp suggestive of traumatic tap, culture negative. blood culture ngtd. c. diff positive. urine culture negative stool cultures: no salmonella, shigella, campylobacter, cryptosporidium or giardia rpr negative csf tap: 09:50pm cerebrospinal fluid (csf) wbc-67 rbc-* polys-64 bands-8 lymphs-19 monos-4 eos-3 atyps-2 09:50pm cerebrospinal fluid (csf) wbc-6 rbc-4770* polys-65 bands-10 lymphs-11 monos-12 atyps-2 09:50pm cerebrospinal fluid (csf) totprot-37 glucose-73 urine: 07:25pm urine color-yellow appear-clear sp -1.017 07:25pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-tr bilirub-neg urobiln-neg ph-5.5 leuks-tr 07:25pm urine rbc-17* wbc-19* bacteri-none yeast-none epi-<1 07:25pm urine mucous-few 07:25pm urine bnzodzp-pos barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg discharge labs: (no labs drawn on day of discharge) 06:45am blood wbc-3.8* rbc-3.77* hgb-12.0 hct-36.0 mcv-96 mch-31.9 mchc-33.4 rdw-12.9 plt ct-185 07:20am blood glucose-88 urean-12 creat-0.7 na-143 k-4.1 cl-104 hco3-32 angap-11 07:20am blood calcium-9.0 phos-3.8 mg-1.6 images: osh head ct: 1. no intracranial hemorrhage or acute fracture. chronic involutional changes. 2. moderate paranasal sinus opacification, secondary to intubation. eeg: this is an abnormal routine eeg due to the presence of a diffusely slow background consistent with a moderate to severe encephalopathy which is etiologically non-specific. there was also superimposed generalized, frontally predominant beta frequency activity likely due to medication effects such as benzodiazepines or barbiturates. there were no clear electrographic seizures or epileptiform discharges. ecg: rate 96, sinus arrhythmia. poor r wave progression. no previous tracing available for comparison. cxr: 1. endotracheal tube in appropriate position. 2. nasogastric tube high in position, terminating in the distal esophagus. recommend advancement so that it is well within the stomach. 3. hyperinflated but clear lungs. 4. subacute-to-old left ninth rib fracture with opacity projecting over it, which is felt to more likely be related to osseous change. recommend comparison with priors and if the opacity has increased, consider chest ct to evaluate for underlying pulmonary nodule. 5. old fracture deformity and severe degenerative change at the right shoulder with possible loose body. head ct: 1. no intracranial hemorrhage or acute fracture. chronic involutional changes. 2. moderate paranasal sinus opacification, secondary to intubation. portable ap radiograph of the chest was reviewed in comparison to . the et tube tip is 6 cm above the carina. the ng tube is coiled in the proximal stomach continuing up towards the esophagus with its tip being at the level of the distal esophagus and should be readjusted. the heart size and mediastinum are unremarkable. lungs are hyperinflated but essentially clear. calcified right paratracheal lymph node is unchanged in appearance. old rib fractures are noted on the left. overall, within the limitations of this study technique, no other abnormalities are demonstrated. brief hospital course: ms. is a 61-year-old woman with a history of heavy alcohol abuse and withdrawal seizures who was transferred to the icu following the experience of a generalized 20-minute seizure at outside hospital necessitating airway protection and sedation. found to be c. diff positive with diarrhea. . # seizure, likely secondary to alcohol withdrawal. confirmed with partner that patient had been without alcohol for at least 24 hours prior to admission due to a recent hospital admission for copd. lumbar puncture was traumatic, so wbc counts not suggestive of infection. ct head not suggestive of seziure focus; report of mri from outside hospital also not suggestive of epileptic focus. eeg showed no clear electrographic seizures or epileptiform discharges. csf vdrl negative from osh. she was sedated with midazolam and then intubated for airway protection; she quickly was weaned and then self-extubated. she was given keppra for seizure prophylaxis, and neurology was consulted. she was given a "banana bag" for vitamin repletion. during her course in the hospital she did not experience any additional seizures. was monitored on a ciwa scale, but did not score. patient has a history of seizure disorder nos, and has been maintained on keppra as an outpatient, which was additionally continued throughout admission per neurology recs. . # history of c. diff. colitis: patient was on a vancomycin taper as an outpatient. per pcp, was first diagnosed with c.diff in , treated twice with flagyl (incomplete treatment in as patient had a seizure given flagyl/etoh use), was started on vanco course with taper on after unrelated hopsital admission. followed up with osh infectious disease specialist in mid who recommended continuing taper and trying fidaxomycin should she have another recurrence. having diarrhea here which tested c.diff positive, restarted vancomycin po and iv flagyl in the unit (flagyl d/c'd on the floor). ruled out other etiologies of diarrhea as the toxin assay can often stay positive even after effective treatment for c. diff (stool cultures negative for salmonella, shigella, campylobacter, cryptosporidium or giardia). however, our suspicion for non-compliance is high and we feel that she likely never completed a course for her c. diff and therefore has continuing infection and not recurrence. patient is being discharged on full course of fidaxomycin as it is only dosing with less chance of recurrence. she will have vna and her boyfriend to help ensure she takes her medication. . # possible urinary tract infection: ua mildly suggestive of urinary tract infection. patient received 2g ceftriaxone in ed for suspected meningitis. follow up urine culture negative. patient was not continued on antibiotics for uti. . # alcohol abuse: the patient appears, from both physical appearance and laboratory values, to have chronic malnutrition from her alcohol use. social work met with her many times and her electrolytes were closely monitored and repleted as necessary. patient was monitored on a ciwa scale, but was not . . transitional issues: patient has a follow up appointment with pcp in early . we are not confident she is able to complete a treatment course on her own and so we have given her fidaxomycin which is only dosing and has a lower chance of recurrence when compared to vanc po. vna will observe her take one dose, and boyfriend will hopefully ensure she takes the second dose. she additionally has neurology follow up for her recurrent seizures. overall, she is very low functioning, however did not qualify for a higher level of care. medications were minimized on discharge as patient clearly cannot manage a complicated regimen. medications on admission: combivent 18-103 inhaler 2 puffs per 6 weeks asa 81 mg daily folic acid 1mg po daily keppra 750mg mirtazapine 15mg qhs thiamine 100mg daily vancomycin po 125mg po (on taper, appears to only need a single dose) vitamin b-12 100 mcg daily discharge medications: 1. fidaxomicin 200 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* 2. keppra 750 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 3. mirtazapine 15 mg tablet sig: one (1) tablet po at bedtime. 4. combivent 18-103 mcg/actuation aerosol sig: two (2) puffs inhalation every six (6) hours as needed for shortness of breath or wheezing. discharge disposition: home with service facility: amedisys homehealth care discharge diagnosis: primary diagnosis: alcohol withdrawal seizure and c. diff diarrheal infection secondary diagnosis: copd etoh dependence and history of withdrawal seizures c. diff colitis cad diverticulitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you at . you were transferred here after you had a seizure. you seizure was likely caused because you were going into alcohol withdrawal from not having had any recent alcohol. while here, you were stable and able to breathe on your own, however you were noted to have persistent diarrhea. it appears that your recent diarrheal infection has not been fully treated. youshould be treated with an antibiotic called fidaxomycin and it is extremely important that you take this medication twice daily for 10 days. do not miss any of these doses. please make the following changes to your medication regimen: take fidaxomycin 200mg by mouth twice daily for 10 days. stop vancomycin continue keppra 750mg (1 tablet) by mouth twice daily please continue home mirtazipine as prescribed. followup instructions: primary care provider: . when: at 11:15am location: family health center address: 454 , , office number: # department: neurology when: thursday at 1 pm with: drs. & building: sc clinical ctr campus: east best parking: garage department: cognitive neurology unit when: monday at 1 pm with: drs. & building: ks building (/ complex) campus: east best parking: main garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung diagnoses: hypocalcemia coronary atherosclerosis of native coronary artery tobacco use disorder unspecified protein-calorie malnutrition chronic airway obstruction, not elsewhere classified other convulsions hypopotassemia acute respiratory failure cachexia disorders of phosphorus metabolism intestinal infection due to clostridium difficile disorders of magnesium metabolism other and unspecified alcohol dependence, continuous alcohol withdrawal 

Answer: The patient is high likely exposed to