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: dysgerminoma of the right ovary major surgical or invasive procedure: diagnostic laparoscopy total abdominal hysterectomy left salpingoopherectomy pelvic and para-aortic lymph node dissection omentectomy cystoscopy history of present illness: this is a 45 yo p0 who presented following discovery of disgerminoma of the right ovary. dr. was in her usual state of good health until . she presented at that time to medical center with acute severe abdominopelvic pain. she was found to have a torsion of the right ovary and underwent an emergent exploratory laparotomy, right salpingo-oophorectomy. final pathology revealed a 15 cm serous cystadenoma of the ovary with a 1 cm disgerminoma of the ovary focussed within the center. she had this surgery through incision and has healed well from that surgery. pathology has been read here at . the disgerminoma is identified as well as the serous cyst. the report was that the ovary was intact without surface involvement. the serous cyst was separate. the patient has had laboratory evaluations performed postoperatively and these include an ldh level which is normal, an inhibin level which evidently was normal, hcg level normal. she had normal liver function tests and blood counts as well. she has been advised after an evaluation at the medical center to undergo a staging laparotomy including hysterectomy, left past medical history: past medical history: she is relatively healthy. she denies any history of asthma, hypertension, mitral valve prolapse, or thromboembolic disorder. with respect to screening evaluations, she reports being up-to-date with respect to colonoscopy and mammography. she does suffer from gerd, for which she uses prilosec. past surgical history: as above. she also underwent an appendectomy at the age of 13. ob/gyn history: she is a gravida 0. she has two adopted children. she reports irregular menstrual cycles, which are moderate to heavy in flow. they last five days. her last was on . she denies any history of pelvic infections or abnormal pap smears and her last was obtained in 12/. she denies any history of gynecological problems. social history: neurologist in within the system. denies tobacco or illict drug use. occasional alcohol use. she lives with her husband and two adopted children. she denies any history of verbal, physical, or sexual abuse. family history: she reports her father had cancer at the age of 59. there is no other family history of cancer. physical exam: at the time of preoperative visit: general: she appears her stated age, in no apparent distress. heent: normocephalic, atraumatic. oral mucosa without evidence of thrush or mucositis. eyes, sclerae are anicteric. neck: supple. there are no masses. lymphatics: lymph node survey, negative cervical, supraclavicular, axillary, or inguinal adenopathy. chest: lungs clear. heart: regular rate and rhythm. back: no spinal or cva tenderness. abdomen: soft, nontender, nondistended. there are no palpable masses. there is no hepato or splenomegaly. there is no fluid wave. a well-healed incision is noted. extremities: there is no clubbing, cyanosis, or edema. pelvic: normal external genitalia. inner labia minora are normal. urethral meatus normal. speculum is placed. the walls of the vagina are normal. apex is normal. cervix is normal. bimanual exam reveals no mass or lesion. at the time of transfer: general appearance: well nourished, overweight / obese, full neck eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic, orbital edema lymphatic: cervical wnl, supraclavicular wnl cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: not assessed), (left radial pulse: not assessed), (right dp pulse: present), (left dp pulse: present) abdominal: midline incision, dressing in place, clean, dry, intact with mild serosanguinous drainage extremities: right lower extremity edema: trace, left lower extremity edema: trace skin: not assessed, no(t) rash: neurologic: attentive, follows simple commands, responds to: not assessed, oriented (to): person, place, time, movement: not assessed, tone: not assessed pertinent results: 02:20pm blood wbc-9.3 rbc-3.93* hgb-8.3*# hct-27.5* mcv-70*# mch-21.1*# mchc-30.1*# rdw-17.5* plt ct-366 07:15am blood wbc-10.1 rbc-3.53* hgb-8.1* hct-25.2* mcv-71* mch-23.0* mchc-32.2 rdw-19.4* plt ct-243 07:49pm blood neuts-85.2* lymphs-9.1* monos-5.2 eos-0.3 baso-0.2 05:10pm blood neuts-77.8* lymphs-14.5* monos-7.2 eos-0.5 baso-0.1 02:20pm blood pt-13.0 ptt-21.5* inr(pt)-1.1 07:15am blood pt-13.2 ptt-25.1 inr(pt)-1.1 02:20pm blood glucose-168* urean-7 creat-0.7 na-138 k-4.6 cl-104 hco3-28 angap-11 07:15am blood glucose-108* urean-8 creat-0.6 na-133 k-4.4 cl-97 hco3-27 angap-13 02:20pm blood calcium-7.8* phos-4.5# mg-2.1 06:00am blood calcium-7.7* phos-3.0 mg-2.2 03:07pm blood type-art po2-163* pco2-59* ph-7.27* caltco2-28 base xs-0 intubat-not intuba ct-a impression: 1. slightly limited exam secondary to motion and body habitus however no pulmonary embolus in the central or segmental pulmonary arteries. 2. scattered upper lobe predominent bilateral peribronchiolar nodular opacities which may be due to an infectious/inflammatory etiology or aspiration. bilateral lower lobes and lingular atelectasis. 3. diffuse low attenuation of the liver compatible with fatty infiltration. brief hospital course: on , she underwent diagnostic laparoscoy, converted to open total abdominal hysterectomy, left salpingoopherectomy, pelvic and para-aortic lymph node dissection, omentectomy, and cystoscopy. procedure was converted due to difficulty accessing the lymph nodes. please see dr. operative note for full details. postoperatively, the patient received a tap block for pain in the pacu. she developed tachycardia to 130s. preoperatively, the patient had been tachycardic to 110s. the patient had received 6l iv fluids and maintained good uop. she also received 13mg iv morphine and rr went down to 8. arterial blood gas demonstrated hypercarbia with pco2 to 59. no pre-operative hct was drawn, but the post-op hct was 27.5. her 02 sat was 82% on ra and up to mid 90s on cpap. the decision was made to transfer the patient to the icu for further management. on arrival to the icu the patient's 02 sat 99% on 2l, she was alert, oriented and rr 15, not complaining of any pain. she had a one-night stay. the following were addressed during the stay: 1) hypoxia: her hypoxia was likely multifactorial, associated with atelectasis and low rr in the setting of a high morphine dose. the cxr was consistent with atelectasis. patient also noted to have some snoring and full neck likely associated with some degree of sleep apnea. she was ruled out for pulmonary embolism with ct-a. the ct did suggest possible aspiration versus infectious etiology with "scattered bilateral peribronchovascular opacities." at the time of call-out, the patient was saturating 98% on 2l oxygen by nasal canula, which was stable from her presentation to the icu, mildly improved. 2) sinus tachycardia: her sinus tachycardia was of unclear etiology, though clearly documented prior to going to the or. the patient clearly denied pain, anxiety; her post-op pain was controlled with dilaudid pca. she did describe some difficulty with bowel prep that could have caused dehydration, but the tachycardia did not resolve with 6l ivfs despite orbital edema. her post-operative fever could have been contributing to the tachycardia as well. telemetry was discontinued upon transfer to the gyn oncology service. 3) fever: the patient spiked a fever to 102.5 the evening of pod#0. cta was suggestive of possible aspiration pneumonia as an etiology. 4) anemia: hematocrit at time of transfer to the was 24. she was transfused 1 unit of prbcs in the icu in addition to 2 units of prbcs she had received intraoperatively in the pacu. the patient was transferred to the gyn oncology service on pod#1. the remainder of her hospital stay was notable for the following: 1) apiration pneumonia: the patient was successfully weaned to room air on gyn oncology service. given that her temperature was still elevated to 101.2 at the time of transfer, she was started on iv clindamycin empirically for treatment of aspiration pneumonia. urine culture was negative, and blood cultures were still pending at the time of hospital discharge. following initiation of clindamycin, she remained afebrile for over 24 hours. she then respiked to a low grade temperature of 100.6. urinalysis was negative. cxr was repeated, demonstrating bibasilar opacities concerning for ongoing aspiration pneumonia. the patient spontaneously defervesced, and remained afebrile for the remainder of her hospital stay. clindamycin was discontinued and levofloxacin initiated. the patient received 24 hours of iv levofloxacin and was discharged home on po levofloxacin. within 24 hours of discharge, the patient called informing that insurance would not cover po levofloxacin. she was switched to a 10 day course of augmentin and azithromycin. 2) nausea/emesis the patient experienced an episode of nausea with small amount of bilious emesis on pod#3. diet was retracted from full liquids back to npo with resolution of symptoms. diet was successfully advanced the following day. she was discharged home on pod#5 in good condition: tolerating a regular diet, ambulating and voiding without difficulty, afebrile, saturating well on room air. medications on admission: prilosec discharge medications: 1. levofloxacin 750 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not exceed 12 pills in any 24 hour period. disp:*40 tablet(s)* refills:*0* 5. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: dysgerminoma of the ovary discharge condition: good discharge instructions: - please call your doctor if you experience fever > 100.4, chills, nausea and vomiting, worsening or severe abdominal pain, heavy vaginal bleeding, chest pain, trouble breathing, or if you have any other questions or concerns. - please call if you have redness and warmth around the incision, if your incision is draining pus-like or foul smelling discharge, or if your incision reopens. - no driving for two weeks and while taking narcotic pain medication as it can make you drowsy. - no heavy lifting or strenuous exercise for 6 weeks to allow your incision to heal adequately. - nothing per vagina (no tampons, intercourse, douching for 6 weeks. - please keep your follow-up appointments as outlined below. followup instructions: provider: phone: date/time: 10:10 provider: , md phone: date/time: 1:00 md procedure: other cystoscopy excision or destruction of peritoneal tissue other lysis of peritoneal adhesions division or crushing of other cranial and peripheral nerves regional lymph node excision other unilateral salpingo-oophorectomy other and unspecified total abdominal hysterectomy diagnoses: anemia, unspecified esophageal reflux cardiac complications, not elsewhere classified other opiates and related narcotics causing adverse effects in therapeutic use other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus peritoneal adhesions (postoperative) (postinfection) other respiratory complications hypoxemia dehydration laparoscopic surgical procedure converted to open procedure malignant neoplasm of ovary 

Answer: The patient is high likely exposed to