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: demerol attending: chief complaint: s/p fall major surgical or invasive procedure: external fixation, r femur orif r femur peg tube insertion tracheostomy bronchoscopy history of present illness: 82 year old female presents from osh s/p fall down a 30 foot staircase. no loc, single episode bloody emesis en route to . pt hd stable during transfer. pt c/o pain in l hip, r eye, l leg. past medical history: seizure d/o htn cad l hemiperesis s/p craniotomy in for tumor resection social history: noncontributory family history: noncontributory physical exam: r periorbital eccymosis blood from b/l nares c-collar in place cta rrr soft, nt, nd good rectal tone, guaic neg 2+ radial, dp pulses rle shortened, externally rotated no spinal step off or tenderness pertinent results: 09:51pm hct-28.5* 04:57pm type-art po2-206* pco2-36 ph-7.37 total co2-22 base xs--3 04:57pm glucose-139* 10:28am urea n-14 creat-0.4 sodium-144 potassium-3.6 chloride-115* total co2-23 anion gap-10 06:56am urine color-yellow appear-clear sp -1.018 studies: on admission: cxr: neg pxr: neg bilateral hip films: neg right femur films: distal femur fx knee neg ct head: r meningioma w/small ich bleed, repeat no change ct face: nasal fx, r max sinus fx/orbital floor fx ct cspine: neg ct chest: old l clavicle fx, old l rib fx ct abdomen/pelvis: old r pubic ramus fx, 4cm gallstone s/p angio r le: occluded sfa, recon dp, no pt s/p ex fix r femur fx head ct w/ contrast: no bleed, has possible recurr tumor tls xr: t11, l3, l5 compression fx old head ct- no interval change cxr- worse chf & worse lll consolid / effus head ct- no interval change cxr- decr lll consolidation / effusion cxr- no change echo- lv nl size/, 75%, tr mr leni's- neg trach/peg cxr-slight improvement l. base consolid flex ex neg c collar cleared cxr: no pna cxr: picc line plcmt brief hospital course: pt presented to the trauma bay on . the pt was intubated on arrival due to agitation. studies on admission were as above, showing r small ich into meningioma; r femur fx, r max sinus/orbital floor & nasal fx, r femur fx, occluded sfa. pt was admitted to the trauama sicu. 2 units prbcs were given. orthopedics, plastic surgery (covering face), neurosurgery, and vascular surgery were consulted. in the pt had open reduction of her femur fracture with external fixation. per vascular recs, angiography of the lower extremities was performed to evaluate for decreased pulses and abi of 0.2. angio was unremarkable. opthalmology was consulted and found no evidence of entrapment or globe injury. a head ct was repeated, showed no change from admission. a left axillary a-line was placed and a r subclavian central line was attempted unsuccessfully. the pt was started on prophylactic unasyn for her facial fx. on a spinal ct was obtained, showing t11, l1,l3 compression fx. on 2 more units prbc were given for persistently low hct (23-25). on the pt had a right ij line placed successfully. the pt was taken to the or by orthopedics for internal fixation of the right femur. on the pt was started on lovenox. neurosurgery stated the small ich into her meningioma was nonoperative in nature and signed off. on the pts persisten anemia was evaluated by hematology, who determined the pt has anti-e and anti-jkb antibodies causing a persistent low-grade hemolysis and mild transfusion reactions. on the pt recieved 2 more units prbcs. the pt remained stable until when weaning from the vent was attempted unsuccessfully. 1 additional unit prbc was given. unasyn was stopped (day 13). on an echocardiogram was obtained showing ef >75%, thickened mv, dilated la. on the pt was taken to the or for tracheostomy and peg tube insertion. optho signed off the pt, diagnosing a traumatic right 6th nerve palsy that can be followed as an outpt. on the pt was started on tube feedings. on the pt was noted to be febrile with infiltrates on cxr. a bronchoscopy was performed with bal. bal gram stain showed gram neg rods and the pt was started on levofloxacin. the following day the bacteria was identified as pseudamonas and ceftazidime was added. also on flex/ex films of the c-spine showed no ligamentous injury. on that day heme/onc left formal recommendations stating that the pt has what is likely a chronic though non-classic hemolytic anemia with poor marrow response of unknown origin. they due to the presence of alloantibodies, they reccommended transfusing crossmatched blood only when needed. the also recommended maintaining hct in the 25-26 range. on sensitivities showed the pseudamonas showing her pneumonia to be sensitive to imipenem, which was started. a passey-mask was placed. on a swallow eval showed the pt to be cleared to take soft solids and advance slowly. on the same day a psych consult was called for agitation and auditory and visual hallucinations. psychiatry made a diagnosis of multifactorual delerium and recommended standin orders for iv haldol. on the pt had a picc line placed and her central line was removed. on the pt was transferred to the floor. she remained stable on the floor until when she was discharged to an acute rehab facility. medications on admission: norvasc 10mg po qd provachol 20mg po qhs asa dilantin 30mg po bid keppra 750mg po bid vioxx 25mg po qd tylenol discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 3. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). 4. erythromycin 5 mg/g ointment sig: one (1) ophthalmic qid (4 times a day). 5. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 6. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed). 7. phenytoin 50 mg tablet, chewable sig: three (3) tablet, chewable po tid (3 times a day). 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 9. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). 10. pravastatin sodium 20 mg tablet sig: one (1) tablet po daily (daily). 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 13. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 14. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 15. enoxaparin sodium 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 16. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 17. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours). 18. haloperidol 1 mg tablet sig: one (1) tablet po bid (2 times a day). 19. haloperidol 1 mg tablet sig: 0.5-1 tablet po tid (3 times a day) as needed for agitation. 20. insulin nph human recomb 100 unit/ml syringe sig: as directed. subcutaneous twice a day: 16u nph . check fingersticks qid, riss coverage. 21. imipenem-cilastatin 500 mg recon soln sig: one (1) recon soln intravenous q6h (every 6 hours) for 5 days: continue until . disp:*20 recon soln(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: r small intracranial hemorrhage r femur fx r maxillary sinus, orbital floor, and nasal fx. occluded sfa pna delirium allogenic hemolytic anemia t11, l1,l3 compression fx 6th cranial nerve palsy discharge condition: stable discharge instructions: touchdown weight-bearing for rle x 8wks total. continue tube feeds: probalance full strength, rate 60ml/hr, cycle from 7pm-7am. heart-healthy diet, encourage pos, perform calorie counts. continue antibiotics until . followup instructions: please arrange to follow up with dr. from orthopedics in 2 weeks. call for an appointment. call to arrange an appointment with dr. from neurosurgery any time within the next 4 weeks. call ( to arrange an appointment in trauma clinic in 2 weeks. call to arrange to be seen in plastic surgery clinic for follow up for your facial fractures within 2 weeks. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arteriography of femoral and other lower extremity arteries percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus open reduction of fracture with internal fixation, femur transfusion of packed cells closed reduction of fracture without internal fixation, femur application of external fixator device, femur removal of implanted devices from bone, femur diagnoses: other convulsions sixth or abducens nerve palsy pneumonia due to pseudomonas accidental fall on or from other stairs or steps benign neoplasm of cerebral meninges closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury acquired hemolytic anemia, unspecified closed fracture of lumbar vertebra without mention of spinal cord injury atherosclerosis of native arteries of the extremities, unspecified closed fracture of orbital floor (blow-out) delirium due to conditions classified elsewhere closed fracture of nasal bones closed fracture of base of skull with other and unspecified intracranial hemorrhage, with no loss of consciousness other closed fracture of lower end of femur esotropia, unspecified 

Answer: The patient is high likely exposed to