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: patient recorded as having no known allergies to drugs attending: chief complaint: anemia major surgical or invasive procedure: none history of present illness: briefly, 85 yo woman w/ transfusion dependant myelofiborisis, diastolic chf, small bowel avm's, chronic venous insufficiency who was transferred from rehab for anemia on (hct 21). in ed cxr showed early rll infiltrate w/ pulm edema and she was admitted to medicine w/ dx of symptomatic anemia, aspiration pna, and chf. she was treated w/ ivf's, prbcs, and 40mg lasix iv, and was placed initially on levoflox and flagyl for presumed aspiration pna. on hd #2 patient found to be hypotensive, tachycardic, febrile, increasing o2 requirement after receiving 40 mg iv lasix, and was treated with ivf's, dopamine, ceftaz and levo and transferred to the micu. concern was for sepsis (fever, low wbc, tachycardia thought to be sedondary to pna) vs hypotension, but the patient responded well to ivf boluses and prbc's, and pressors were weaned off by hd #3. the pt denies dyspnea, chest pain. she does report recent increase in le edema and orthopnea. she denies any recent fever, chills, weight loss, chest pain, palps, cough, abd pain, dysuria, melena, and hematochezia. past medical history: 1. myelofibrosis with myeloid metaplasia, diagnosed . the patient has been transfusion dependent, requiring frequent admissions for transfusions. she was managed with prednisone 20 mg qod and thalidomide but now on hold per by dr. / 2. avms in the small bowel diagnosed by capsule endoscopy, but she has been guaiac negative during her admissions in the past. egd in was normal. 3. h/o left pleural effusion of unknown etiology 4. spinal stenosis 5. glaucoma 6. synovial cyst- this was visualized by ultrasound and ct on . 7. h/o chf - tte mild la enlargement, lvef > 55%, 1+ mr, mild pa systolic htn, minimal as, trace ar 8. lung nodules social history: the patient lives in a second-floor apartment in a subsidized housing. she has not wanted to pursue nursing home options. she has a son who is involved in her care. pt also has a home health aide and housekeeper who come on a regular basis for a total of about 3 hours per day. no etoh, tobacco, or drug use. family history: mother had gastric cancer. physical exam: vitals: 98.1, 100/50, 96, 20, 96% 2l gen: cachectic appearing woman breathing uncomfortably heent: anicteric, op clear w/ mmm pulm: crackles 1/2 up bilaterally, no wheezes cv: reg s1/s2, +3/6 systolic murmur at apex0 abd: +bs, soft, nt, nd ext: warm, + pitting edema to the thighs b neuro: cn 2-12 intact, a/o x 3 pertinent results: 03:00pm wbc-1.3* rbc-2.68* hgb-7.9* hct-21.7* mcv-81* mch-29.6 mchc-36.6* rdw-15.3 03:00pm plt smr-very low plt count-14* lplt-3+ 03:00pm pt-14.2* ptt-34.7 inr(pt)-1.4 03:00pm gran ct-740* 03:00pm albumin-3.2* calcium-7.2* phosphate-3.7 magnesium-2.2 03:00pm ck-mb-1 ctropnt-<0.01 03:00pm glucose-95 urea n-20 creat-0.7 sodium-138 potassium-4.1 chloride-107 total co2-22 anion gap-13 06:40am ck-mb-notdone ctropnt-<0.01 probnp-9785* 06:40am ck(cpk)-9* 03:53pm lactate-1.3 05:06pm lactate-2.5* 08:42pm urine color-yellow appear-clear sp -1.017 08:42pm urine -mod nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 08:42pm urine rbc-* wbc-0-2 bacteria-few yeast-none epi-0 08:42pm ck-mb-notdone ctropnt-<0.01 08:42pm ck(cpk)-7* brief hospital course: the patient is an 85 yo woman w/ transfusion dependant myelofiborisis and diastolic chf was sent from rehab to ed for treatment of hct 21. on arrival in the ed, t 96.3, bp 104/54, hr 95, o2 sat 92% ra-->98% 2l/m. a cxr showed an early rll infiltrate and pulmonary edema. she was admitted to medicine with a diagnosis of symptomatic anemia, aspiration pna, and chf. she was treated w/ 3l ns, 2units prbcs, and 40mg lasix iv. the day after admission, she had temp of 100.0 and was treated with levoflox 250mg iv and flagyl 500mg iv. uop was 1600cc overnight. at 3:45pm the next day, the patient was given lasix 40mg iv. 35 minutes later she was found to have bp 75/39, hr 120, rr 24, and o2 sat 96% on 2l--> 100% nrb. temp at that time was 101.8 rectal. she was treated w/ 1l ns, dopamine by piv, and ceftaz 2gm, and levaquin 500mg. within the hour, bp increased to 92/34, hr 110. the micu team was then consulted for evaluation. the patient was transferred to the micu for treatment of possible sepsis thought most likely secondary to pna. she was treated with vanocmycin and ceftaz. the patient was transferred out the floor. her antibiotics were switched to vancoycin and ceftriaxone with a plan to treat for a 10 day course. she was gently diuresed with lasix 10mg iv qd. we continued to transfuse for hct<21 and platelets<15. the patient continued to have increasing amounts of rectal bleeding thought secondary to internal hemorroids in the setting of platelets <20. a gi consult was called. the patient refused an exam, but the gi team advised continuing to give platelets and prbc. on , the patient chose to change her code status from full code to dnr/dni. later that day, the patient began to have hematuria and tingled sputum. her breathing became more labored. she improved with lasix and morphine, but continued to become intermittently hypotensive and was again spiking fevers. a family meeting with the patient and her son lead to a decision to make the patient cmo. all treatments other than lasix/morphine/and ativan were stopped. the patient was started on a morphine drip on and passed away on . the family was notified and refused autopsy. medications on admission: tucks hemorrhoidal oint 1% 1 appl pr :prn hydrocortisone (rectal) 2.5% cream 1 appl pr :prn vancomycin hcl 1000 mg iv q 12h ceftazidime 2 gm iv q12h pantoprazole 40 mg po q24h heparin 5000 unit sc tid docusate sodium 100 mg po bid:prn acetaminophen 325-650 mg po q4-6h:prn trazodone hcl 25 mg po hs:prn senna 1 tab po bid:prn zinc sulfate 220 mg po daily ascorbic acid 500 mg po daily vitamin d 400 unit po daily calcium carbonate 1000 mg po tid w/meals alendronate sodium 70 mg po qwed cyanocobalamin 50 mcg po daily folic acid 1 mg po daily discharge medications: expired discharge disposition: extended care facility: meadowbrook - discharge diagnosis: myelodyplastic sepsis discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: transfusion of packed cells transfusion of platelets infusion of vasopressor agent diagnoses: mitral valve disorders congestive heart failure, unspecified unspecified septicemia acute on chronic diastolic heart failure unspecified glaucoma sepsis pneumonitis due to inhalation of food or vomitus osteoporosis, unspecified hypovolemia internal hemorrhoids with other complication spinal stenosis, unspecified region angiodysplasia of stomach and duodenum without mention of hemorrhage venous (peripheral) insufficiency, unspecified other specified diseases of blood and blood-forming organs synovial cyst, unspecified 

Answer: The patient is high likely exposed to