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: penicillins / heparin agents attending: chief complaint: mental status change reason for transfer: status epilepticus major surgical or invasive procedure: central line placement arterial line placement lumbar puncture history of present illness: 84 year old woman with atrial fibrillation on coumadin, diastolic chf, cri, and pulmonary hypertension who was admitted from rehab facility to osh for increasing somnolence. pt had recently been admitted to another osh s/p and discharged to a rehab facility. at rehab facility pt became increasing somnolent and deteriorated to the point of only being responsive to painful stimuli. she was taken to ed where she was found to be confused and bradycardic. digoxin levels found high, u/a with evidence of uti. head ct mri read as normal. neurology consulted; no focal deficits seen on exam but eeg revealed status epilepticus with r temporal predominance. loaded with 1400 mg iv dilantin and transferred to micu. pt noted to have progressively longer periods of apnea; abg revealed 7.42/48/50/31, pt intubated intially on ac and weaned to pressure support. pt has also received vanocmycin, cefepime, gentamicin and ciprofloxacin for uti and question of pneumonia. pt subsequently transferred to for 24 hour eeg monitoring. past medical history: 1) chronic atrial fibrillation on digoxin and coumadin 2) diastolic chf, ef 55% 3) mild pulm htn (seen on echo) 4) chronic renal insufficiency (baseline cr 1.5-3) 5) diverticulosis 6) asd, l to r shunt 7) diverticulosis 8) aaa (3 cm) 9) chronic dyspnea on exertion 10) macular degeneration social history: russian. used to work as engineer. lives with husband, had been able to do basic prior to this. son is hcp. quit smoking 30 years ago. no tobacco or illicit drug history. family history: non-contributory physical exam: t 100 bp 150-160/60-70 p 55-80 r 23 o2 97 on fio2 40% vent: ps 10/5 on rate of 23 tv 375 gen: intubated, obtunded eyes: perrl, sclerae anicteric mouth: mmm, intubated neck: supple, no lymphadenopathy chest: scattered crackles at bases, fair air movement heart: rr, no murmur abd: obese, no bowel sounds. ext: no edema neurol: toes mute, some spontaneous movement of lower extremities. could not elicit reflexes, no clonus skin: no rash. pertinent results: abg 7.42/43/120 phenytoin 6.9 (13 with albumin correction) wbc 13.7 cr 1.8 digoxin from osh 3.3 . mri and ct from osh no stroke or bleed . mri/mra brain 1. no evidence of acute infarction. chronic infarcts and small vessel ischemic change. 2. mra of the brain within normal limits allowing for flow artifact as described above. . , eeg this 24 hour eeg telemetry initially was notable for a burst suppression pattern, followed by intermittent predominantly bitemporal epileptiform discharges and slowing within these same regions. at times, the epileptiform discharges acquire a more rhythmic quality, concerning for an electrographic seizure. the background reaches a 10 hz alpha rhythm but is remarkable for a generalized delta theta slowing. the epileptiform activity significantly improves over the later stages of the recording. these findings are suggestive of an epileptogenic focus in the posterior temporal region, perhaps more so on the right. prolonged runs of more rhythmic appearing generalized discharges are concerning for limited electrographic seizures early in the course of the telemetry. lp results 03:34am cerebrospinal fluid (csf) wbc-2 rbc-0 polys-0 lymphs-24 monos-75 atyps-1 03:34am cerebrospinal fluid (csf) totprot-77* glucose-68 . clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. . **final report ** clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. . **final report ** clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. . 06:03pm stool clostridium difficile toxin b assay- detected brief hospital course: this 84 year old woman with atrial fib, chf, htn in non-convulsive status epilepticus also with recent digoxin toxicity and uti presented to this hospital for management of her status epilepticus. on presentation, the patient was intubated (was in hypoxic, hypercarbic respiratory failure secondary to apnea at osh) and obtunded. she was started on propofol and continued on dilantin for presumed status epilepticus. the cause of seizing was unknown and the differential included infection, stroke, or organic brain injury. the patient had been empirically started on meningitic antibiotics. the regimen was modified on transfer and included vancomycin and ceftriaxone. she was also started empirically on acyclovir for possible hsv infection. a lumbar puncture performed on transfer was unremarkable with no evidence of infection, all culture data was negative. mri/mra brain was not remarkable for stroke or bleed. . the patient was continued on propofol and dilantin. initial eeg confirmed the presence of non-convulsive status epilepticus. dilantin doses were adjusted and keppra was added on. propofol was transitioned to ativan drip as the patients blood pressure was somewhat labile on propofol. after several days of an eeg without seizure activity, the ativan drip was weaned and eventually discontinued. however, no obvious improvement in her mental status was noted (despite sedation off for > 1.5 weeks). the patient remained unresponsive. she was kept on ventilation until it was decided after several family meetings to move towards comfort measures only. a morphine drip was started and the breathing tube was discontinued. several minutes later, the patient passed away. her death was pronounced on at 1.14pm. . the patient's other medical issues were managed as follows. her atrial fibrillation was managed with diltiazem or bb if her blood pressured allowed. her warfarin was discontinued since the patient had a decreased hematocrit. she suffered from a gi bleed and rp bleed. she also had a progressive leukocytosis up to 50.000. c.diff was negative x 3, and all blood/sputum cultures no growth. she was empirically started on flagyl, but white count continued to rise and she did not have any diarrhea. no definitive source for an infection was found until a colonoscopy revealed findings consistent with c. diff colitis (vs ischemic colitis). she improved soon after having started her on po vancomycin and iv flagyl. later, a send out test for c.diff toxin b returned positive. with regards to the digoxin toxicity, this drug was held throughout her hospital stay and her acute renal failure was treated with ivf. her diastolic chf was managed with antihypertensive and diuretic medications as needed. medications on admission: medications at home: coumadin 1.5 daily lasix 160 mg coreg 12.5 digoxin 0.125 daily imdur 30 mg po daily lipitor 40 mg daily litaman 25 mg po daily (for buccal dyskinesia) zyprexa 1.25 po dialy trazodone 50 po prn probenecid/colchicine 1 tab po daily protonix 40 daily colace 100 daily calcium/vitamin d 600 fosamax 70 q sunday tylenol 750 mg mvi . medications on transfer: mvi zyprexa 1.25 qhs coumadin 2 mg daily protonix 40 iv bid lipitor 40 daily colace 100 daily tylenol prn ativan 2 mg iv q3 prn morphine 2 mg iv q2 prn agitation . all/adr's: penicillins (unknown reaction) discharge medications: not applicable discharge disposition: expired discharge diagnosis: status epilepticus c.difficile colitis retroperitoneal bleed acute renal failure thrombocytopenia atrial fibrillation discharge condition: expired discharge instructions: . followup instructions: . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus arthrocentesis closed [endoscopic] biopsy of large intestine transfusion of packed cells transfusion of other serum transfusion of platelets infusion of vasopressor agent diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation other chronic pulmonary heart diseases chronic kidney disease, unspecified acute and chronic respiratory failure intestinal infection due to clostridium difficile long-term (current) use of anticoagulants diastolic heart failure, unspecified hemoperitoneum (nontraumatic) epilepsia partialis continua, with intractable epilepsy leukemoid reaction 

Answer: The patient is high likely exposed to