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: sulfur / norvasc attending: chief complaint: abd pain, crohns flare major surgical or invasive procedure: none history of present illness: 84 f with pmhx of renovascular htn c/b nstemi now s/p renal stents, gout and h/o crohn's disease who presented to the ed on with rlq pain for approx 2 days. she denies any nausea/vomiting/diarrhea or constipation but has not been taking po well and felt dehydrated. . initial vs on arrival to the ed: t 97.6 bp 116/63 hr 84 rr 20 sats 97% on ra. pt was noted to have a leukocytosis with bandemia and underwent a ct abd which showed inflammation in the terminal ileum likely consistent with crohns flare. she was noted to be guaic negative with normal lactate and was given 2l of ivf prior to admission to the floor. . on arrival to the floor, pt was reporting rlq pain, decreased appetite and general lethargy. she denied any fevers, chills, n/v/d/c and had her last bm approx 24hrs ago which was soft but non-bloody. . ros: denies cp/sob/cough/congestion/fevers/rash/dysuria/sick contacts/unusual food exposures but does report 2-3 days of general malaise and poor po intake. past medical history: -crohn's disease -accelerated hypertension -renal artery stenosis, s/p stents to renal arteries in -gout -b12 deficiency . past surgical history -fibrous tumor requiring abd rescection in -s/p appendectomy at age 9 and tonsillectomy at age 21 social history: divorced and lives alone. pt has many supportive friends and does not smoke cigarettes, denies any etoh. daughter is likely her health care proxy, but not officially appointed. family history: (+) cad father died at age 53 of cad after having rheumatic fever as a child. physical exam: vs: t 96.2 bp 110/58 hr 85 rr 18 sats 98% ra gen: nad, tired appearing but responds appropriately to questions heent: ncat, eomi, dry mm, no apprec lad cv: rrr no apprec mr/r/g resp: ctab no w/r apprec, no resp distress abd: soft, nabs, mild distended with ttp over rlq, no rebound/guarding extr: warm, thin, no rash guaic- negative in ed pertinent results: 05:20pm blood wbc-13.5*# rbc-4.07* hgb-12.0 hct-37.1 mcv-91 mch-29.6 mchc-32.4 rdw-13.8 plt ct-512*# 05:20pm blood neuts-58 bands-22* lymphs-7* monos-9 eos-1 baso-0 atyps-1* metas-2* myelos-0 05:20pm blood pt-18.1* ptt-29.0 inr(pt)-1.6* 06:13pm blood glucose-76 urean-113* creat-1.5* na-142 k-4.5 cl-110* hco3-15* angap-22* 06:13pm blood alt-8 ast-11 ld(ldh)-185 ck(cpk)-19* alkphos-45 totbili-0.3 06:13pm blood lipase-84* 05:20pm blood ctropnt-0.01 12:50am blood lactate-0.7 12:50am blood lactate-0.7 . ct abd - prelim read inflammation of the ileum consistent with likely crohn flare . ekg from : nsr with lvh but otherwise unchanged from prior tracings with some tw flattening in iii. brief hospital course: 84 y/o f with pmhx of renovascular htn s/p stenting, gout and crohns dz who presents with rlq pain and ct findings consistent with crohns flare. hospital course: pt slowly improved with bowel rest, ivf, antibiotics (initially ciprofloxacin and flagyl, and ultimately ciprofloxacin, flagyl, and vancomycin). she was evaluated by general surgery who assessed her as a risky surgical candidate. she was intermittantly delerious, however this ultimately resolved. cultures were negative. during the hospitalization, she experienced atrial fibrillation and flutter with rapid ventricular response. this was rate controlled with metoprolol. anticoagulation was considered and was not started. she was also noted to have a coagulopathy attributed to malnutrition. this was treated with oral vitamin k supplementation with some improvement. medications on admission: carvedilol 12.5mg calcium 500+d protonix 40mg daily aspirin 325mg daily lisinopril 40mg daily isosorbide mononitrate 30mg daily colchicine 0.6mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 2. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 4. mesalamine 250 mg capsule, sustained release sig: three (3) capsule, sustained release po bid (2 times a day). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: care center of discharge diagnosis: primary: crohns flare delirium paroxysmal atrial fibrillation and flutter . secondary: cri renovascular disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. ... discharge instructions: you were admitted with a crohns flare and you were evaluated by our gastroenterologists. you have been treated with antibiotics and ____. you also experienced an abnormal heart rhythm known as atrial fibrillation. this was largely controlled with medication. it does place you at risk for strokes, however, and in order to minimize this risk, anticoagulation with blood thinners was ______________. dr. will dictate an addendum with updated discharge instructions. followup instructions: department: primary care when: wednesday, , 9:30am name: , k. md location: healthcare - address: , , , phone: department: gastroenterology when: wednesday at 9:20 am with: , md building: lm bldg () campus: west best parking: garage department: west clinic when: wednesday at 11:00 am with: , m.d. building: de building ( complex) campus: west best parking: garage procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified arthrocentesis diagnoses: acidosis thrombocytopenia, unspecified toxic encephalopathy acute posthemorrhagic anemia unspecified protein-calorie malnutrition atrial fibrillation perforation of intestine atrial flutter hypopotassemia atherosclerosis of renal artery old myocardial infarction encounter for palliative care hemorrhage of gastrointestinal tract, unspecified hyperosmolality and/or hypernatremia other and unspecified coagulation defects acute gouty arthropathy chronic kidney disease, stage ii (mild) regional enteritis of small intestine unspecified renovascular hypertension 

Answer: The patient is high likely exposed to