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 attending: chief complaint: left lower quadrant pain major surgical or invasive procedure: cesarean section hysterectomy history of present illness: patient is a 26y/o g4p2012 at 34+4 weeks gestation with by 6wk u/s. she presents to labor and delivery from the office with severe left lower quadrant pain. pt reports pain and describes it as sharp, localized to llq, and does not radiate. she was seen with similar complaints and had an evaluation including pelvic ultrasound. no acute process noted and she was discharged home on percocet. states she has been taking percocet but feels that it is not helping the pain. she denies any vaginal bleeding, leaking of fluid, fevers, chills, contractions. patient has a known placenta accreta and a history of two prior c/s. she is scheduled for c-hyst on . past medical history: prenatal course (1)edc by lmp c/w first trimester u/s (2)labs o pos, ab neg, (3)u/s nl ffs, previa, cannot r/o accreta (4)screening: quad neg issues * t2dm - poor control () efw 2347g (>90%) was discharged nph 28 qam, 38 qhs humalog 34/30/36/- * placenta previa/accreta - last vaginal bleed in (slight spotting), stable; f/ - () mri neg for percreta, myometrium not clearly visualized * short cervix - cerclage placed () * asthma - albuterol prn, with hospitalization from - with steroid treatment past obstetric history g4p2012 - ' ltcs for suspected macrosomia, boy 9#8oz - ' rpt ltcs, boy 8#2oz, had cerclage - sab 10wks - present, with cerclage past gynecologic history - h/o abnl pap -> nl on rpt and since denies stis pmh: - asthma - albuterol prn - migraine - t2dm, insulin past surgical history - ltcs x2 - cerclage x2 social history: married, lives in with husband, children and in-laws currently not working denies tobacco, alcohol, illicit drug use family history: noncontributory physical exam: general: a&o x 3, nad vitals: t 97.2, bp 112/60, hr 98 lungs: ctab heart: rrr abdomen: soft, tenderness with palpation no guarding or rebound, +bs extremities: trace edema fht: 130-140s and reactive toco: no contractions sve: closed/50% pertinent results: fibrinoge-549 pt-12.1 ptt-30.5 inr-1.0 wbc-5.9 rbc-3.96 hgb-9.2 hct-27.7 mcv-70 plt-193 pelvic mri low anterior placenta with findings concerning for placenta percreta with involvement of the anterior abdominal wall at the level of the lower uterine segment, and with unchanged questionable involvement of the bladder wall, but no definite evidence of mucosal penetration. ultrasound could possibly be helpful in the evaluation of the anterior abdominal wall, particularly for planning of the surgical approach. for evaluation of the bladder, cystoscopy may be helpful as previously suggested. ct head impression: 1. no evidence of acute intracranial hemorrhage. 2. slight asymmetry of the frontal horns of the lateral ventricles, however no definite mass lesions identified. if clinical suspicion remains high, an mr may be helpful. ct chest with intravenous contrast: impression: 1. no evidence of pulmonary embolism. 2. multifocal pneumonia, bilateral pleural effusions with atelectasis. cta chest impression: 1. multiloculated pelvic fluid collection is likely hemoperitoneum in resolution, though superinfection is possible. the collection is amenable to percutaneous drainage. 2. acute pulmonary embolus to apical segmental branch of right upper lobe pulmonary artery. 3. worsening of multifocal pneumonia and bilateral now moderate pleural effusions. 4. generalized anasarca. brief hospital course: 26y/o g4p2012 with known placenta acreta admitted at 34+4 weeks with lower abdominal pain. . mrs was admitted for close observation and bedrest. fetal testing was reassuring. followed her to assist in management of her diabetes. a repeat mri on the day of admission revealed findings concerning for placenta percreta with involvement of the anterior abdominal wall at the level of the lower uterine segment, and with unchanged questionable involvement of the bladder wall, but no definite evidence of mucosal penetration. due to the findings concerning for placenta percreta, in addition to her left lower quadrant tenderness, the decision was made to move up her delivery date to . please see the operative report for further details. briefly, her cesarean delivery was complicated by excessive hemorrhage requiring supracervical hysterectomy and abdominal packing. during this operation the patient received 15 units of packed red blood cells, 10 units of fresh frozen plasma, 1 unit of cryoprecipitate, 3 units of platelets. the patient was then taken to the operating room on for exploratory laparotomy, removal of pelvic packing, cystoscopy, removal of cerclage. . patient was in the icu from through . she was briefly called out to the floor on the evening of but returned to the icu for respiratory distress in the setting of tachycardia and fever. patient was transferred back to the floor on . brief hospital course by organ system: *) neuro: - patient underwent ct head on for delirium and disconjugate gaze on exam, which was negative. patient's pain was controlled with iv toradol, oxycodone, and ibuprofen. the day prior to discharge, the patient expressed significant anxiety and urgency regarding going home. she was started on lorazepam, and was seen by social worker. *) cardiovascular: - patient had persistent tachycardia immediately post operatively which was most pronounced with activity. patient underwent two cta chest studies. initial study was negative for pe but showed multifocal pneumonia. the second study showed worsening multifocal, small segmental branch pulmonary embolism, and worsening pulmonary effusions with generalized anasarca. the patient was started on antibiotics and received diuresis. her tachycardia resolved. *) respiratory: - please see cv above - briefly, the patient remained intubated post operatively, but was extubated without problems on . was persistently tachycardic and underwent cta chest which revealed multifocal pneumonia. the patient initially received a 7 day course of cipro/vanco/flagyl. however, the patient was noted to be febrile, with worsening respiratory status requiring transfer back to the icu. repeat cta chest revealed worsening pna and the patient was started on cipro/miropenem/vanco after she underwent a miropenem desensitization protocol. the patient was also noted to have a pulmonary embolus and she was started on anticoagulation. her respiratory status improved greatly. upon discharge, she was treated with lovenox 90mg . *) heme: - throughout the hospitalization the patient received a total of 22u prbc, 12u ffp, 2 units of cryo, and 4 units of platelets. at the time of discharge, patient's hematocrit and coags were wnl *) fen/gi: - the patient was noted to have generalized anasarca and underwent diuresis both throughout the icu stay as well as on the floor with iv lasix. - patient was started on tpn briefly while awaiting return of her bowel function. - patient's diet was slowly advanced. *) id: - please see cv / resp above, but briefly, the patient was initially received a 7 day course of cipro / vanc / flagyl for multifocal pneumonia, but continued spiking temperatures. an id consultation was obtained and the patient's antibiotics were changed to vancomycin, ciprofloxacin, and miropenem for 3 days. at the time of the discharge, multiple blood cultures are pending. patient was also noted to have multiple loose bowel movements per day and c. diff was negative x 2. the patient was discharged home on levo/flagyl as she refused any further iv antibiotics. - patient was noted to have a multiloculated pelvic fluid collection on ct abdomen and underwent an uncomplicated ct guided drainage on . at the time of discharge the culture of the pelvic fluid is pending. *) endocrine: - the patient has type ii dibetes mellitus. she was followed by throughout her hospitalization. the patient was initially receiving insulin drip, but was transitioned to sliding scale. *) renal: - the patient received diurses with iv lasix and was euvolemic at the time of discharge. *) ppx: - the patient was receiving venodynes, heparin, and famotidine for prophylaxis medications on admission: insulin percocet discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed. disp:*1 * refills:*5* 2. metronidazole 250 mg tablet sig: two (2) tablet po tid (3 times a day) for 14days days. disp:*180 tablet(s)* refills:*0* 3. lorazepam 1 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety / nausea. disp:*30 tablet(s)* refills:*0* 4. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 5. enoxaparin 100 mg/ml syringe sig: one (1) 90mg subcutaneous q12h (every 12 hours): use as directed. disp:*60 90mg * refills:*2* 6. insulin glargine 100 unit/ml solution sig: one (1) 10u subcutaneous at bedtime. disp:*1 bottle* refills:*2* 7. insulin lispro 100 unit/ml solution sig: three (3) units subcutaneous w/ breakfast, lunch and dinner: see sliding scale for additional insulin. disp:*1 bottle* refills:*2* discharge disposition: home discharge diagnosis: placenta eccreta pneumonia pulmonary embolus diabetes asthma discharge condition: stable discharge instructions: call for fever >100.5, vaginal bleeding, abdominal pain, nausea/vomiting, respiratory symptoms, any questions or concerns. followup instructions: 2 days with dr procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances arterial catheterization other cystoscopy reopening of recent laparotomy site transfusion of packed cells transfusion of other serum transfusion of platelets other unilateral salpingo-oophorectomy application or administration of an adhesion barrier substance classical cesarean section removal of cerclage material from cervix other and unspecified subtotal abdominal hysterectomy diagnoses: pneumonia, organism unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified long-term (current) use of insulin iatrogenic pulmonary embolism and infarction paralytic ileus early onset of delivery, delivered, with or without mention of antepartum condition previous cesarean delivery, delivered, with or without mention of antepartum condition other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition outcome of delivery, single liveborn anemia of mother, delivered, with or without mention of antepartum condition cervical incompetence, delivered, with or without mention of antepartum condition third-stage postpartum hemorrhage, delivered, with mention of postpartum complication diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition breech presentation without mention of version, delivered, with or without mention of antepartum condition major puerperal infection, delivered, with mention of postpartum complication acute or unspecified pelvic peritonitis, female 

Answer: The patient is high likely exposed to