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: ace inhibitors attending: chief complaint: diarrhea major surgical or invasive procedure: central line placed intubation history of present illness: east hospital medicine attending admission note date: time: 00:30 pcp: , . ] the patient is an 83 y/o female with h/o afib on coumadin, chf, htn, rheumatic hd who was recently admitted () for abdominal pain s/p perc chole tube placed for acute cholecystitis and mirrizzi syndrome. she now p/w diarrhea. she reports a 3d h/o worsening diarrhea and a fever to 101.0 today while at home. she describes the diarrhea as foul smelling and occuring four times per day, but did not notice any blood in her stool. she denies n/v/dysuria and any other symptoms. of note, on her last admission, she was placed on unasyn and then narrowed to cipro when blood and bile cultures grew out e. coli. this course was to end . upon review of omr, blood () and fluid (bile; ) cultures grew e. coli resistant to ampicillin and unasyn. in er: vs: 98.8 80 170/66 18 98%ra px: irreg irreg cv exam, guiac neg, green fluid in perc drain studies: sent for c. diff/stool cx fluids given: 1l ns meds given: ciprofloxacin iv 400mg consults called: surgery: no surgical indications vs prior to transfer to the floor: 77 19 145/57 100%ra review of systems: (+) per hpi (-) denies night sweats, recent weight loss or gain. denies visual changes, headache, dizziness, sinus tenderness, neck stiffness, rhinorrhea, congestion, sore throat or dysphagia. denies chest pain or tightness, palpitations, orthopnea, dyspnea on exertion. denies cough, shortness of breath, wheezes or pleuritic pain. denies nausea, vomiting, heartburn, constipation, brbpr, melena, or abdominal pain. no dysuria, urinary frequency. denies arthralgias or myalgias. denies rashes. no increasing lower extremity swelling. no numbness/tingling or muscle weakness in extremities. no feelings of depression or anxiety. all other review of systems negative. past medical history: ckd, stage iv, baseline cr 2-2.3 chronic atrial fibrillation on anti-coagulation htn diastolic dysfunction, mild systolic dysfunction rheumatic heart disease involving mitral valve with subsequent mild ms and 2+ mr, ai hypothyroidism pulmonary hypertension (tr gradient 61 on tte in ) oa - knees social history: lives with son, , who was admitted this weekend for a uti, and performs her adls independently. denies tobacco, etoh or drug use. family history: mother died traumatically at age 23. father died of stomach cancer at age 51. no brothers or sisters. physical exam: vs: 98.7 157/73 71 20 100%ra, 0/10 pain gen: no apparent distress heent: no trauma, pupils round and reactive to light and accommodation, no lad, oropharynx clear, no exudates cv: regular rate and rhythm, no murmurs/gallops/rubs pulm: clear to auscultation bilaterally, no rales/crackles/rhonchi gi: soft, non-tender, non-distended; no guarding/rebound; obese; perc chol tube in place draining bilious fluid ext: 2+ pitting leg edema b; no clubbing/cyanosis; 2+ distal pulses; peripheral iv present neuro: alert and oriented to person, place and situation; cn ii-xii intact, motor function globally derm: no lesions appreciated pertinent results: 08:20pm urine color-yellow appear-clear sp -1.011 08:20pm urine blood-neg nitrite-neg protein-150 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 08:20pm urine rbc-0-2 wbc-0 bacteria-occ yeast-none epi-0-2 08:20pm urine amorph-few 06:45pm glucose-87 urea n-26* creat-2.2* sodium-137 potassium-3.8 chloride-106 total co2-21* anion gap-14 06:45pm alt(sgpt)-14 ast(sgot)-23 alk phos-103 tot bili-0.6 06:45pm lipase-86* 06:45pm wbc-9.8 rbc-3.18* hgb-8.4* hct-26.1* mcv-82 mch-26.5* mchc-32.4 rdw-16.1* 06:45pm neuts-75.5* lymphs-19.2 monos-4.2 eos-0.6 basos-0.6 06:45pm plt count-286 . stool cx -clostridium difficile toxin a & b test (final ): reported by phone to , r.n. on at 0515. clostridium difficile. feces positive for c. difficile toxin by eia. (reference range-negative). a positive result in a recently treated patient is of uncertain significance unless the patient is currently symptomatic (relapse). brief hospital course: pt is an 83 y.o female with h.o afib on coumadin, ckd, htn, diastolic dysfxn/systolic dysfxn 25-30%, rhd, hypothyroidism, phtn recent cholecystitis s/p perc chole, e.coli bacteremia/bile who presented with watery diarrhea while on cipro. . #fever/c.diff colitis-likely precipitated by recent cipro usage. pt with positive c.diff toxin. pt was tx with po flagyl. ivf were given due to appearing dry on exam. . #s/p perc chole for cholecystitis (recent e.coli bacteremia/bile). general surgery were made aware of admission. perc tube was placed to gravity. cipro held due to c. diff. pt had compelted 10 days of tx. . #afib on coumadin-was rate controlled. therapeutic inr. pt was continued on bb, ccb, and coumadin. . #htn-continued carvedilol and losartan. . #ckd-baseline cr 2-2.7. #normocytic anemia-baseline 21-27 recently. stable during admission with no signs of active bleeding. on aranesp ast outpt. . #chronic systolic hf-pt with le edema but clear lungs and dry mm. continued on bb, losartan, simvastatin. metolazone for now given diarrhea. . on , pt was found unresponsive in cardiac arrest at 8:02pm on the floor, a code was called. cpr was started and pt was in pea arrest. pt was given epinephrine x 3, atropine x 2, bicarb x 2amps, mag x 2g, dextrose x 1 amp. pt was intubated and femoral line was placed. pt was given started on levo and neo gtts at max dose. ivf were given wide open. pt became minimally responsive and tried to pull at et tube, no pulse was felt, sbp was briefly at 60. pt was moved to . on arrival pt went into vt and was unresponsive. cpr was resumed. pt was shocked at 200 joules and went into pea arrest. pt was given atropine x 1, epinephrine x 3, bicarb x 2, mag x 2g, cal x 2grams. pt did not regain a pulse and cpr was stopped at 9pm. family were at the bedside and declined autopsy. hmed dr. was present during the code. icu attending was notified. death examination was at 9:15pm. pt chief cause of death was schf, immediate cause was cardiac dysrrythmia, and other causes were cholecystitis with recent percutaneous chole tube, c. diff diarrhea, and a fib. pt case was reported to the medical examiner due to recent procedure (tube placement). medications on admission: 1. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 2. carvedilol 12.5 mg tablet sig: one (1) tablet po bid 3. simvastatin 10 mg tablet sig: two (2) tablet po daily 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily 5. metolazone 2.5 mg tablet sig: one (1) tablet po daily 6. hectorol 2.5 mcg capsule sig: one (1) capsule po every mon-wed-fri. 7. vitamin d 50,000 unit one capsule po once a week. 8. aranesp (polysorbate) 60 mcg/0.3 ml one injection injection once a month. 9. combivent 18-103 mcg/actuation aerosol one puff inh qid prn sob or wheeze. 10. losartan 100 mg one (1) tablet po once a day. 11. coumadin 5 mg tablet po once a day 12. ciprofloxacin 500 mg 1.5 tablets po q24h thru . 13. omeprazole 20 mg (e.c.) one capsule po twice a day. discharge medications: none discharge disposition: expired discharge diagnosis: cardiac dysrrhythmia c. diff atrial fibrillation systolic congestive heart failure, chronic cholecystitis discharge condition: none discharge instructions: none none followup instructions: none procedure: venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: congestive heart failure, unspecified unspecified acquired hypothyroidism chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other chronic pulmonary heart diseases mitral valve insufficiency and aortic valve insufficiency bacteremia intestinal infection due to clostridium difficile chronic systolic heart failure long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to